Arch Dis Child 2001;85:463-468 ( December )

Article

Health care utilisation of infants with chronic lung disease, related to hospitalisation for RSV infection A Greenough^a, S Cox^a, J Alexander^b, W Lenney^b, F Turnbull^b, S Burgess^c, P A J Chetcuti^c, N J Shaw^d, A Woods^d, J Boorman^e, S Coles^e, J Turner^f

^a Dept of Child Health, King's College Hospital, London SE5 9RS, UK, ^b North Staffordshire Hospital, Stoke-on-Trent, UK, ^c Leeds General Infirmary, UK, ^d Liverpool Women's Hospital, UK, ^e Abbott Laboratories Ltd, Maidenhead, UK, ^f Therapeutic Management, Crowthorne

Correspondence to: Prof. Greenough anne.greenough{at}kcl.ac.uk

Accepted 13 August 2001

AIMSTo compare the use of health care resources and associated costs between infants with chronic lung disease (CLD) who had or had not an admission with a proven respiratory syncytial virus (RSV) infection.
METHODSReview of community care, outpatient attendances, and readmissions in the first two years after birth. Patients: 235 infants (median gestational age 27 weeks) evaluated in four groups: 45 infants with a proven RSV admission (RSV proven); 24 with a probable bronchiolitis admission; 60 with other respiratory admissions; and 106 with non-respiratory or no admissions.
RESULTSThe RSV proven compared to the other groups required more frequent and longer admissions to general paediatric wards and intensive care units, more outpatient attendances and GP consultations for respiratory related disorders, and had a higher total cost of care.
CONCLUSIONRSV hospitalisation in patients with CLD is associated with increased health service utilisation and costs in the first two years after birth.

Key message Prematurely born CLD infants who are hospitalised with RSV infection have an increased health service utilisation in the first two years after birth

Keywords: premature infants; chronic lung disease; respiratory syncytial virus

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© 2001 by Archives of Disease in Childhood
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