tetano
Editor, Senior Moderator
Pediatrics. 2014 Aug 11. pii: peds.2014-0244. [Epub ahead of print]
Hospitalizations for Severe Lower Respiratory Tract Infections.
Greenbaum AH1, Chen J2, Reed C2, Beavers S3, Callahan D4, Christensen D5, Finelli L2, Fry AM6.
Author information
Abstract
BACKGROUND:
Hospitalization for lower respiratory tract infections (LRTIs) among children have been well characterized. We characterized hospitalizations for severe LRTI among children.
METHODS:
We analyzed claims data from commercial and Medicaid insurance enrollees (MarketScan) ages 0 to 18 years from 2007 to 2011. LRTI hospitalizations were identified by the first 2 listed International Classification of Diseases, Ninth Revision discharge codes; those with ICU admission and/or receiving mechanical ventilation were defined as severe LRTI. Underlying conditions were determined from out- and inpatient discharge codes in the preceding year. We report insurance specific and combined rates that used both commercial and Medicaid rates and adjusted for age and insurance status.
RESULTS:
During 2007-2011, we identified 16 797 and 12 053 severe LRTI hospitalizations among commercial and Medicaid enrollees, respectively. The rates of severe LRTI hospitalizations per 100 000 person-years were highest in children aged <1 year (commercial: 244; Medicaid: 372, respectively), and decreased with age. Among commercial enrollees, ≥1 condition increased the risk for severe LRTI (1 condition: adjusted relative risk, 2.68; 95% confidence interval, 2.58-2.78; 3 conditions: adjusted relative risk, 4.85; 95% confidence interval, 4.65-5.07) compared with children with no medical conditions. Using commercial/Medicaid combined rates, an estimated 31 289 hospitalizations for severe LRTI occurred each year in children in the United States.
CONCLUSIONS:
Among children, the burden of hospitalization for severe LRTI is greatest among children aged <1 year. Children with underlying medical conditions are at greatest risk for severe LRTI hospitalization.
Copyright ? 2014 by the American Academy of Pediatrics.
KEYWORDS:
children; hospitalizations; severe respiratory tract infection
PMID:
25113302
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25113302
Hospitalizations for Severe Lower Respiratory Tract Infections.
Greenbaum AH1, Chen J2, Reed C2, Beavers S3, Callahan D4, Christensen D5, Finelli L2, Fry AM6.
Author information
Abstract
BACKGROUND:
Hospitalization for lower respiratory tract infections (LRTIs) among children have been well characterized. We characterized hospitalizations for severe LRTI among children.
METHODS:
We analyzed claims data from commercial and Medicaid insurance enrollees (MarketScan) ages 0 to 18 years from 2007 to 2011. LRTI hospitalizations were identified by the first 2 listed International Classification of Diseases, Ninth Revision discharge codes; those with ICU admission and/or receiving mechanical ventilation were defined as severe LRTI. Underlying conditions were determined from out- and inpatient discharge codes in the preceding year. We report insurance specific and combined rates that used both commercial and Medicaid rates and adjusted for age and insurance status.
RESULTS:
During 2007-2011, we identified 16 797 and 12 053 severe LRTI hospitalizations among commercial and Medicaid enrollees, respectively. The rates of severe LRTI hospitalizations per 100 000 person-years were highest in children aged <1 year (commercial: 244; Medicaid: 372, respectively), and decreased with age. Among commercial enrollees, ≥1 condition increased the risk for severe LRTI (1 condition: adjusted relative risk, 2.68; 95% confidence interval, 2.58-2.78; 3 conditions: adjusted relative risk, 4.85; 95% confidence interval, 4.65-5.07) compared with children with no medical conditions. Using commercial/Medicaid combined rates, an estimated 31 289 hospitalizations for severe LRTI occurred each year in children in the United States.
CONCLUSIONS:
Among children, the burden of hospitalization for severe LRTI is greatest among children aged <1 year. Children with underlying medical conditions are at greatest risk for severe LRTI hospitalization.
Copyright ? 2014 by the American Academy of Pediatrics.
KEYWORDS:
children; hospitalizations; severe respiratory tract infection
PMID:
25113302
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25113302