High costs of influenza: Direct medical costs of influenza disease in young children

被引：58

作者：

Fairbrother, Gerry ^{[1
]}

Cassedy, Amy ^{[1
]}

Ortega-Sanchez, Ismael R. ^{[2
]}

Szilagyi, Peter G. ^{[3
]}

Edwards, Kathryn M. ^{[4
]}

Molinari, Noelle-Angelique ^{[2
]}

Donauer, Stephanie ^{[1
]}

Henderson, Diana

Ambrose, Sandra ^{[3
]}

Kent, Diane ^{[4
]}

Poehling, Katherine ^{[5
]}

Weinberg, Geoffrey A. ^{[3
]}

Griffin, Marie R. ^{[4
]}

Hall, Caroline B. ^{[3
]}

Finelli, Lyn ^{[2
]}

Bridges, Carolyn ^{[2
]}

Staat, Mary Allen

机构：

[1] Cincinnati Childrens Hosp Med Ctr, Div Biostat & Epidemiol, Cincinnati, OH 45229 USA

[2] Ctr Dis Control & Prevent, Natl Ctr Immunizat & Resp Dis, Atlanta, GA USA

[3] Univ Rochester, Sch Med & Dent, Rochester, NY USA

[4] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA

[5] Wake Forest Univ, Winston Salem, NC 27109 USA

来源：

VACCINE | 2010年 / 28卷 / 31期

关键词：

Children; Medical cost; Influenza; LABORATORY-CONFIRMED INFLUENZA; RESPIRATORY SYNCYTIAL VIRUS; VACCINE EFFECTIVENESS; EMERGENCY-DEPARTMENT; OUTPATIENT VISITS; HEALTH-CARE; HOSPITALIZATIONS; BURDEN; AGE; IMMUNIZATION;

D O I：

10.1016/j.vaccine.2010.05.036

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

This study determined direct medical costs for influenza-associated hospitalizations and emergency department (ED) visits. For 3 influenza seasons, children <5 years of age with laboratory-confirmed influenza were identified through population-based surveillance. The mean direct cost per hospitalized child was $5402, with annual cost burden estimated at $44 to $163 million. Factors associated with high-cost hospitalizations included intensive care unit (ICU) admission and having an underlying high-risk condition. The mean medical cost per ED visit was $512, with annual ED cost burden estimated at $62 to $279 million. Implementation of the current vaccination policies will likely reduce the cost burden. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：4913 / 4919

页数：7

共 34 条

[1] Epidemiology, complications, and cost of hospitalization in children with laboratory-confirmed influenza infection [J].

Ampofo, Krow ;

Gesteland, Per H. ;

Bender, Jeffery ;

Mills, Michelle ;

Daly, Judy ;

Samore, Matthew ;

Byington, Carrie ;

Pavia, Andrew T. ;

Srivastava, Rajendu .

PEDIATRICS, 2006, 118 (06) :2409-2417

[2]

[Anonymous], 2008, Morbidity and Mortality Weekly Report (MMWR) and Emerging Infectious Diseases (EID): Skin, Ear, and Eye Infections

[3]

[Anonymous], MMWR RECOMM REP

[4] Influenza and other respiratory virus-related emergency department visits among young children [J].

Bourgeois, Florence T. ;

Valim, Clarissa ;

Wei, Jennie C. ;

McAdam, Alexander J. ;

Mandl, Kenneth D. .

PEDIATRICS, 2006, 118 (01) :E1-E8

[5]

Bridges Carolyn B, 2003, MMWR Recomm Rep, V52, P1

[6]

*CFDCAP, 2009, INFL VACC COV LEV

[7]

Cox FM, 2000, AM J MANAG CARE, V6, P205

[8]

Dowless Robert M, 2007, J Health Care Finance, V34, P64

[9] Vaccine Effectiveness Against Laboratory-Confirmed Influenza in Children 6 to 59 Months of Age During the 2003-2004 and 2004-2005 Influenza Seasons [J].

Eisenberg, Katherine W. ;

Szilagyi, Peter G. ;

Fairbrother, Gerry ;

Griffin, Marie R. ;

Staat, Mary ;

Shone, Laura P. ;

Weinberg, Geoffrey A. ;

Hall, Caroline B. ;

Poehling, Katherine A. ;

Edwards, Kathryn M. ;

Lofthus, Geraldine ;

Fisher, Susan G. ;

Bridges, Carolyn B. ;

Iwane, Marika K. .

PEDIATRICS, 2008, 122 (05) :911-919

[10] THE DISTINCTION BETWEEN COST AND CHARGES [J].

FINKLER, SA .

ANNALS OF INTERNAL MEDICINE, 1982, 96 (01) :102-109

← 1 2 3 4 →