Respiratory Syncytial Virus Bronchiolitis in Infancy: The Acute Hospitalization Cost
| Autor: | Claudia Ciarlitto, Massimiliano Raponi, Livia Schettini, Gennaro Cerone, Anna Chiara Vittucci, Elena Bozzola, Alberto Villani, Carla Brusco, Renato Cutrera, Livia Antilici, Stefano Guolo, Anna Lucia Piscitelli |
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| Rok vydání: | 2020 |
| Předmět: |
Palivizumab
Pediatrics medicine.medical_specialty Acute hospitalization respiratory syncitial virus 03 medical and health sciences 0302 clinical medicine prevention 030225 pediatrics cost medicine 030212 general & internal medicine Medical prescription health care economics and organizations Original Research business.industry lcsh:RJ1-570 Mean age lcsh:Pediatrics hospitaalization medicine.disease Settore MED/38 Bronchiolitis Pediatrics Perinatology and Child Health Hospitalization cost Etiology Respiratory syncytial virus bronchiolitis bronchiolitis business medicine.drug |
| Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 8 (2021) |
| ISSN: | 2296-2360 |
| Popis: | Introduction: Respiratory syncytial virus (RSV) bronchiolitis is among the leading causes of hospitalization in infants. Prophylaxis with palivizumab may reduce RSV infection, but its prescription is restricted to high-risk groups. The aim of the study is to retrospectively determine acute hospitalization costs of bronchiolitis.Materials and methods: Infants aged 1 month−1 year, admitted to Bambino Gesù Children Hospital, Rome, Italy, with a diagnosis of bronchiolitis from January 1 till December 31, 2017, were included in the study.Results: A total of 531 patients were enrolled in the study, and the mean age was 78.75 days. The main etiologic agent causing bronchiolitis was RSV, accounting for 58.38% of infections. The total cost of bronchiolitis hospitalization was 2,958,786 euros. The mean cost per patient was significantly higher in the case of RSV (5,753.43 ± 2,041.62 euros) compared to other etiology (5,395.15 ± 2,040.87 euros) (p = 0.04).Discussion: The study confirms the high hospitalization cost associated with bronchiolitis. In detail, in the case of RSV etiology, the cost was higher compared to other etiology, which is likely due to the longer hospitalization and the more frequent admission to the intensive cure department.Conclusion: This study highlights that bronchiolitis is an important cost item even in a tertiary hospital and that cost-effective interventions targeting RSV are increasingly urgent. |
| Databáze: | OpenAIRE |
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