Norovirus Gastroenteritis among Hospitalized Patients, Germany, 2007–2012

Autor: Frank Kowalzik, Harald Binder, Daniela Zöller, Margarita Riera-Montes, Ralf Clemens, Thomas Verstraeten, Fred Zepp
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 24, Iss 11, Pp 2021-2028 (2018)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid2411.170820
Popis: We estimated numbers of hospitalizations for norovirus gastroenteritis (NGE) and associated medical costs in Germany, where norovirus testing is high because reimbursement is affected. We extracted aggregate data for patients hospitalized with a primary or secondary code from the International Classification of Diseases, 10th Revision (ICD-10), NGE diagnosis during 2007–2012 from the German Federal Statistics Office. We assessed reliability of the coding system in patient records from a large academic hospital. Approximately 53,000–90,000 NGE hospitalizations occurred annually in Germany (21,000–33,000 with primary and 32,000–57,000 with secondary ICD-10–coded NGE diagnoses). Rates of hospitalization with NGE as primary diagnosis were highest in children 85 years of age. The average annual reimbursed direct medical cost of NGE hospitalizations was €31–43 million. Among patients with a NGE ICD-10 code, 87.6% had positive norovirus laboratory results.
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