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Published on: December 10, 2013
The Resource Burden of Infections With Rhinovirus/Enterovirus, Influenza, and Respiratory Syncytial Virus in Children
Jenna Fine1, Amelia Bray-Aschenbrenner2, Howard Williams3
11 Eastern Virginia Medical School, Norfolk, VA, USA.
Insights
Human rhinovirus/enterovirus (HRV/ENT) infections in children lead to higher healthcare resource use and costs compared to influenza and respiratory syncytial virus (RSV). These findings highlight the significant burden of HRV/ENT in pediatric care.
Area of Science:
- Pediatric Infectious Diseases
- Health Services Research
- Epidemiology
Background:
- Respiratory viral infections are common in children.
- Human rhinovirus/enterovirus (HRV/ENT), influenza (FLU), and respiratory syncytial virus (RSV) are significant pathogens.
- Understanding resource utilization for these infections is crucial for healthcare management.
Purpose of the Study:
- To compare resource utilization and healthcare costs among pediatric patients with HRV/ENT, FLU, and RSV infections.
- To identify differences in clinical management and outcomes based on the causative virus.
Main Methods:
- Retrospective review of 2013 pediatric patients with positive nasopharyngeal swabs for HRV/ENT, FLU, or RSV.
- Analysis of data including respiratory support, vascular access, level of care (ED, admission, PICU), antibiotic use, length of stay, and billing data.
Main Results:
- HRV/ENT patients had lower emergency department discharge rates (P < .001) and higher Pediatric Intensive Care Unit (PICU) admission rates (P < .001) compared to FLU.
- HRV/ENT and RSV patients were more likely to require invasive procedures (P = .01).
- Median hospital costs for HRV/ENT patients were over double those for FLU patients (P < .001).
Conclusions:
- Pediatric HRV/ENT infections represent a substantial burden on healthcare resources and finances.
- The clinical management and associated costs for HRV/ENT infections are significantly higher than for FLU infections in children.
Abstract:
We reviewed the resource utilization of patients with human rhinovirus/enterovirus (HRV/ENT), influenza A/B (FLU), or respiratory syncytial virus (RSV). A total of 2013 patients with nasopharyngeal swabs positive for HRV/ENT, RSV, or FLU were included. Records were reviewed for respiratory support, vascular access procedures, emergency department care only versus admission versus pediatric intensive care unit (PICU) care, antibiotics, length of stay, and billing data. Of the 2013 subjects, 1251 tested positive for HRV/ENT, 558 for RSV, and 204 for FLU. Fewer HRV/ENT patients were discharged from the emergency department ( P < .001); and they were more likely to be admitted to the pediatric intensive care unit ( P < .001). HRV/ENT and RSV patients were more likely to require invasive procedures ( P = .01). Median hospital costs for HRV/ENT patients were more than twice that of FLU patients ( P < .001). HRV/ENT infection in pediatric patients poses a significant resource and cost burden, even when compared with other organisms.
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