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

A. Greenough, J. Alexander, S. Burgess, J. Bytham, P. Chetcuti, J. Hagen, W. Lenney, S. Melville, N J Shaw, J. Boorman

Research output: Contribution to journalArticle

74 Citations (Scopus)

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
Original languageEnglish
Pages (from-to)673-678
JournalArchives of Disease in Childhood
Volume89
Issue number7
DOIs
Publication statusPublished - 2004

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Patient Acceptance of Health Care
Preschool Children
Lung Diseases
Hospitalization
Chronic Disease
Infection
Outpatients
Quality of Life
Parturition
Morbidity
Costs and Cost Analysis
Nebulizers and Vaporizers
Health Care Costs
Gestational Age
Health Services
Prescriptions
Length of Stay
Appointments and Schedules

Cite this

Greenough, A., Alexander, J., Burgess, S., Bytham, J., Chetcuti, P., Hagen, J., ... Boorman, J. (2004). Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection. Archives of Disease in Childhood, 89(7), 673-678. https://doi.org/10.1136/adc.2003.036129
Greenough, A. ; Alexander, J. ; Burgess, S. ; Bytham, J. ; Chetcuti, P. ; Hagen, J. ; Lenney, W. ; Melville, S. ; Shaw, N J ; Boorman, J. / Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection. In: Archives of Disease in Childhood. 2004 ; Vol. 89, No. 7. pp. 673-678.
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title = "Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection",
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",
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Greenough, A, Alexander, J, Burgess, S, Bytham, J, Chetcuti, P, Hagen, J, Lenney, W, Melville, S, Shaw, NJ & Boorman, J 2004, 'Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection', Archives of Disease in Childhood, vol. 89, no. 7, pp. 673-678. https://doi.org/10.1136/adc.2003.036129

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; Boorman, J.

In: Archives of Disease in Childhood, Vol. 89, No. 7, 2004, p. 673-678.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health care utilisation of prematurely born, preschool children related to hospitalisation for RSV infection

AU - Greenough, A.

AU - Alexander, J.

AU - Burgess, S.

AU - Bytham, J.

AU - Chetcuti, P.

AU - Hagen, J.

AU - Lenney, W.

AU - Melville, S.

AU - Shaw, N J

AU - Boorman, J.

PY - 2004

Y1 - 2004

N2 - 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

AB - 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

U2 - 10.1136/adc.2003.036129

DO - 10.1136/adc.2003.036129

M3 - Article

VL - 89

SP - 673

EP - 678

JO - Archives of Disease in Childhood

JF - Archives of Disease in Childhood

SN - 0003-9888

IS - 7

ER -