患有慢性肺病的婴儿因呼吸道合胞病毒（RSV）感染住院的医疗服务利用情况。
Health care utilisation of infants with chronic lung disease, related to hospitalisation for RSV infection.
作者信息
Greenough A, Cox S, Alexander J, Lenney W, Turnbull F, Burgess S, Chetcuti P A, Shaw N J, Woods A, Boorman J, Coles S, Turner J
机构信息
Dept of Child Health, King's College Hospital, London SE5 9RS, UK.
出版信息
Arch Dis Child. 2001 Dec;85(6):463-8. doi: 10.1136/adc.85.6.463.
AIMS
To 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.
METHODS
Review 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.
RESULTS
The 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.
CONCLUSION
RSV hospitalisation in patients with CLD is associated with increased health service utilisation and costs in the first two years after birth.
目的
比较患有慢性肺病（CLD）且有或没有确诊为呼吸道合胞病毒（RSV）感染入院史的婴儿之间医疗资源的使用情况及相关费用。
方法
回顾出生后头两年的社区护理、门诊就诊及再次入院情况。
患者
235名婴儿（中位胎龄27周）分为四组进行评估：45名确诊为RSV感染入院的婴儿（确诊RSV）；24名可能因细支气管炎入院的婴儿；60名因其他呼吸道疾病入院的婴儿；106名非呼吸道疾病或未入院的婴儿。
结果
与其他组相比，确诊RSV的婴儿需要更频繁、更长时间地入住普通儿科病房和重症监护病房，因呼吸道相关疾病进行更多的门诊就诊和全科医生会诊，且护理总费用更高。
结论
CLD患者的RSV住院治疗与出生后头两年医疗服务利用率增加及费用增加有关。
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