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

被引:57
|
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
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
收藏
页码:4913 / 4919
页数:7
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