Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection

被引:82
作者
Greenough, A [1 ]
Alexander, J
Burgess, S
Bytham, J
Chetcuti, PAJ
Hagan, J
Lenney, W
Melville, S
Shaw, NJ
Boorman, J
Coles, S
Turner, J
机构
[1] Kings Coll Hosp London, Dept Child Hlth, London SE5 9RS, England
[2] N Staffordshire Hosp, Stoke On Trent, Staffs, England
[3] Leeds Gen Infirm, Leeds, W Yorkshire, England
[4] Liverpool Womens Hosp, Liverpool, Merseyside, England
[5] Abbott Labs Ltd, Maidenhead, Berks, England
[6] Therapeut Management, Crowthorne, Berks, England
关键词
D O I
10.1136/adc.2003.036129
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: In prematurely born infants with chronic lung disease (CLD), RSV hospitalisation is associated with increased health service utilisation and costs in the first two years after birth. Aims: To determine whether RSV hospitalisation in the first two years was associated with chronic respiratory morbidity during the preschool years in prematurely born children who had had CLD. Methods: Retrospective review of readmissions, outpatient attendances, and community care in years 2-4 and, at age 5 years, assessment of the children's respiratory status and their health related quality of life. Comparison was made of the results of children who had had at least one hospitalisation in the first two years after birth for RSV infection ( RSV group) to those of the rest of the cohort. Participants were 190 of an original cohort of 235 infants with CLD and a median gestational age 27 (range 22-33) weeks. Results: The 33 children in the RSV group, compared to the rest of the cohort, had a greater duration of hospital stay and more outpatient appointments. The RSV group had required more prescriptions for all treatments and respiratory medications, and more had used an inhaler. The cost of care of the RSV group was higher (median pound2630 [(sic)4000, US$4800], range pound124-18 091 versus pound1360 [(sic)2500, US$3000], range pound5-18 929) and their health related quality of life was lower. Conclusion: In prematurely born children who had developed CLD, RSV hospitalisation in the first two years was associated with chronic respiratory morbidity and increased cost of care.
引用
收藏
页码:673 / 678
页数:6
相关论文
共 9 条
  • [1] [Anonymous], 2000, UNIT COSTS HLTH SOCI
  • [2] BARR RD, 1994, INT J ONCOL, V4, P639
  • [3] CADMAN D, 1987, MEASUREMENT QUALITY, P1
  • [4] Health care utilisation of infants with chronic lung disease, related to hospitalisation for RSV infection
    Greenough, A
    Cox, S
    Alexander, J
    Lenney, W
    Turnbull, F
    Burgess, S
    Chetcuti, PAJ
    Shaw, NJ
    Woods, A
    Boorman, J
    Coles, S
    Turner, J
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2001, 85 (06) : 463 - 468
  • [5] High-frequency oscillatory ventilation for the prevention of chronic lung disease of prematurity
    Johnson, AH
    Peacock, JL
    Greenough, A
    Marlow, N
    Limb, ES
    Marston, L
    Calvert, SA
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (09) : 633 - 642
  • [6] Respiratory status and allergy nine to 10 years after acute bronchiolitis
    Noble, V
    Murray, M
    Webb, MSC
    Alexander, J
    Swarbrick, AS
    Milner, AD
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 1997, 76 (04) : 315 - 319
  • [7] WHEEZING, ASTHMA, AND PULMONARY DYSFUNCTION 10 YEARS AFTER INFECTION WITH RESPIRATORY SYNCYTIAL VIRUS IN INFANCY
    PULLAN, CR
    HEY, EN
    [J]. BRITISH MEDICAL JOURNAL, 1982, 284 (6330) : 1665 - 1669
  • [8] Respiratory syncytial virus bronchiolitis in infancy is an important risk factor for asthma and allergy at age 7
    Sigurs, N
    Bjarnason, R
    Sigurbergsson, F
    Kjellman, B
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 161 (05) : 1501 - 1507
  • [9] Multiattribute utility function for a comprehensive health status classification system - Health Utilities Index Mark 2
    Torrance, GW
    Feeny, DH
    Furlong, WJ
    Barr, RD
    Zhang, YM
    Wang, QN
    [J]. MEDICAL CARE, 1996, 34 (07) : 702 - 722