Rhinovirus infection and healthcare utilisation in prematurely born infants.
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Publication Details
Output type: Journal article
Author list: Drysdale SB, Alcazar-Paris M, Wilson T, Smith M, Zuckerman M, Broughton S, Rafferty GF, Peacock JL, Johnston SL, Greenough A
Publisher: European Respiratory Society
Publication year: 2013
Journal: European Respiratory Journal (0903-1936)
Volume number: 42
Issue number: 4
Number of pages: 8
ISSN: 0903-1936
eISSN: 1399-3003
Languages: English-Great Britain (EN-GB)
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Open access status: bronze
Full text URL: https://erj.ersjournals.com/content/erj/42/4/1029.full.pdf
Abstract
Do rhinovirus lower respiratory tract infections (RV) LRTIs in prematurely born infants increase health related cost of care during infancy? Patients and methods: 153 infants born <36 weeks of gestation were prospectively followed to one year. Cost of care was calculated from the NHS reference costing scheme and health care utilisation determined by examining hospital/general practitioner records.Twenty infants developed RV LRTIs (RV group), 17 RSV LRTIs (RSV group), 12 both RV and RSV LRTIs (RV/RSV group), 74 had no LRTI (no LRTI group). Compared to the no LRTI group, the RV/RSV LRTI group had the greatest increase in adjusted mean cost (difference=£5769), followed by the RV LRTI group (difference=£278), then the RSV LRTI group (difference=£172), p=0.045. The RV group had more out-patient (p<0.05) and respiratory related general practitioner (p<0.05) attendances and more wheezed at follow up (p<0.001) than the no LRTI group and more respiratory related out-patient attendances than the RSV LRTI group (p<0.05). Answer to the question: RV LRTIs were associated with increased health related cost of care during infancy; our results suggest that the RV compared to the RSV group suffered greater chronic respiratory morbidity.
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