title: One year of anaesthesia in France: A comprehensive survey based on the national medical information (PMSI) database. Part 2: Out-hospital patients.
abstract: BACKGROUND
  Epidemiological data on French ambulatory anaesthesias are restricted. The aim of this study was to perform an epidemiological analysis of this activity for the year 2010.
  
  
  METHODS
  Using the national database program for medical information systems (the PMSI), we have listed all institutions in France and her overseas territories performing ambulatory anaesthesia. We have assessed the number and nature of anaesthetic procedures, in terms of type of institution, age and surgeries. These results were correlated with French general demographics.
  
  
  RESULTS
  Ambulatory anaesthetic procedures represented 44.4% of all anaesthesias, excluding childbirth, (n=4644,791 ambulatory acts), among which 88% were performed on adults and 12% on minors. The "65-74 years" age group had the highest annual relative rate of ambulatory anaesthesia. Rate of ambulatory anaesthesia was higher in children compared to adults (60% versus 42.8%, respectively). Outpatient surgery was mainly developed in Private Clinics as compared to public institutions.
  
  
  CONCLUSIONS
  Ambulatory anaesthesia has dramatically increased over fourteen years. It represents almost half of all anaesthetic acts, and its development is promising, especially in University Hospitals and adult populations.
authors.affiliation: Département d'anesthésie et de réanimation, hôpital Lapeyronie, CHU de Montpellier, 375, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.
authors.forename: Anaïs
authors.initials: A
authors.lastname: Marie
authors.affiliation: Département d'anesthésie et de réanimation, hôpital Lapeyronie, CHU de Montpellier, 375, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Unité Inserm U1046, bâtiment Paul-de-Castre, hôpital Arnaud-de-Villeneuve, 375, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France. Electronic address: c-dadure@chu-montpellier.fr.
authors.forename: Christophe
authors.initials: C
authors.lastname: Dadure
authors.affiliation: Département d'information médicale (DIM), hôpital La Colombière, CHU de Montpellier, 39, rue Charles-Flahaut, 34295 Montpellier cedex 5, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Seguret
authors.affiliation: Département d'anesthésie et de réanimation, hôpital Lapeyronie, CHU de Montpellier, 375, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France; Unité Inserm U1046, bâtiment Paul-de-Castre, hôpital Arnaud-de-Villeneuve, 375, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Capdevila
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D000758:Anesthesia; D000776:Anesthesiology / Q000706:statistics & numerical data / Q000639:trends*; D002648:Child; D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D005602:France; D019538:Health Care Surveys; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D010372:Pediatrics / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Ambulatory anaesthesia; Comprehensive Survey; Demography; France