title: [Not Available].
abstract: OBJECTIVE
  To evaluate the value of research in the case-mix database to identify cases of drug-related anaphylactic or anaphylactoid shock.
  
  
  METHODS
  Hospital stays of patients discharged from the University Hospital of Saint-Étienne between July 1st 2009 and June 30th 2012. Five codes from the international classification of diseases were selected: T88.6, T88.2, J39.3, T80.5 and T78.2.
  
  
  RESULTS
  Among 89 cases identified by the programme for medicalization of information system (programme de médicalisation des systèmes d'information, PMSI), 40 were selected (45%). Of these, 16 cases were spontaneously reported by physicians. The unspecific code "anaphylactic shock unspecified (T78.2)" was coded for 57.5% of cases.
  
  
  CONCLUSIONS
  The study confirms the interest of the PMSI as a tool for health monitoring, in addition to spontaneous reporting. Nevertheless, coding with insufficient precision about the causal role of the drug, requires a return to the medical record and so an important time consuming process.
authors.affiliation: INSERM, U1142, LIMICS, Paris, France ; Sorbonne Universités, UPMC Université Paris 6, UMRS 1142, LIMICS, Paris, France ; Université Paris 13, Sorbonne Paris Cité, LIMICS (UMRS 1142), Villetaneuse, France; Service de santé publique et d'information médicale, Centre hospitalier universitaire de Saint-Étienne - Hôpital Nord, Saint-Étienne, France. Electronic address: Hadyl.Asfari@chu-st-etienne.fr.
authors.forename: Hadyl
authors.initials: H
authors.lastname: Asfari
authors.affiliation: INSERM, U1142, LIMICS, Paris, France ; Sorbonne Universités, UPMC Université Paris 6, UMRS 1142, LIMICS, Paris, France ; Université Paris 13, Sorbonne Paris Cité, LIMICS (UMRS 1142), Villetaneuse, France; Service de santé publique et d'information médicale, Centre hospitalier universitaire de Saint-Étienne - Hôpital Nord, Saint-Étienne, France.
authors.forename: Cédric
authors.initials: C
authors.lastname: Bousquet
authors.affiliation: INSERM, U1142, LIMICS, Paris, France ; Sorbonne Universités, UPMC Université Paris 6, UMRS 1142, LIMICS, Paris, France ; Université Paris 13, Sorbonne Paris Cité, LIMICS (UMRS 1142), Villetaneuse, France; Service de santé publique et d'information médicale, Centre hospitalier universitaire de Saint-Étienne - Hôpital Nord, Saint-Étienne, France.
authors.forename: Béatrice Trombert
authors.initials: BT
authors.lastname: Paviot
authors.affiliation: Centre de pharmacovigilance, Centre hospitalier universitaire de Saint-Étienne, Saint-Étienne - Hôpital Nord, France.
authors.forename: Florelle
authors.initials: F
authors.lastname: Bellet
authors.affiliation: Centre de pharmacovigilance, Centre hospitalier universitaire de Saint-Étienne, Saint-Étienne - Hôpital Nord, France.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Mounier
authors.affiliation: Centre de pharmacovigilance, Centre hospitalier universitaire de Saint-Étienne, Saint-Étienne - Hôpital Nord, France.
authors.forename: Fakhria
authors.initials: F
authors.lastname: Marsille
authors.affiliation: Centre de pharmacovigilance, Centre hospitalier universitaire de Saint-Étienne, Saint-Étienne - Hôpital Nord, France.
authors.forename: Marie-Noëlle
authors.initials: MN
authors.lastname: Beyens
authors.affiliation: Centre de pharmacovigilance, Centre hospitalier universitaire de Saint-Étienne, Saint-Étienne - Hôpital Nord, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Guy
keywords: PMSI; anaphylactic shocks; choc anaphylactique; diagnosis related group; pharmacovigilance; sous-notification; under-reporting