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

Greenough, A., Alexander, J., Burgess, S., Bytham, J., Chetcuti, P., Hagen, J., Lenney, W., Melville, S., Shaw, N J and Boorman, J. (2004) Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection. Archives of Disease in Childhood, 89 (7). pp. 673-678. ISSN 0003-9888 DOI https://doi.org/10.1136/adc.2003.036129

Item not available from this archive.

Abstract

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 £2630 [€4000, US$4800], range £124–18 091 versus £1360 [€2500, US$3000], range £5–18 929) 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

Item Type: Article
Subjects: R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics
Divisions: Nursing and Midwifery
Date Deposited: 22 Mar 2011 13:26
URI: http://repository.edgehill.ac.uk/id/eprint/2803

Archive staff only

Item control page Item control page