Cost of managing meningitis and encephalitis among infants and children in the United States

被引：20

作者：

Balada-Llasat, Joan M. ^{[1
]}

Rosenthal, Ning ^{[2
]}

Hasbun, Rodrigo ^{[3
]}

Zimmer, Louise ^{[4
]}

Bozzette, Samuel ^{[2
,5
]}

Duff, Steven ^{[6
]}

Chung, Jessica ^{[2
]}

Ginocchio, Christine C. ^{[4
,7
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Dept Pathol, Columbus, OH 43210 USA

[2] Premier Healthcare Solut Inc, Premier Appl Sci, Charlotte, NC USA

[3] Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA

[4] BioMerieux, Durham, NC USA

[5] Univ Calif San Diego, San Diego, CA 92103 USA

[6] Veritas Hlth Econ Consulting, Carlsbad, CA USA

[7] Hofstra Northwell Sch Med, Hempstead, NY USA

来源：

DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE | 2019年 / 93卷 / 04期

关键词：

Meningitis; Encephalitis; Cost; Diagnosis; Infants; Children; BACTERIAL-MENINGITIS; MENINGOCOCCAL DISEASE; MENINGITIS/ENCEPHALITIS; MANAGEMENT; IMPACT; EPIDEMIOLOGY; INFECTIONS; ADULTS; CARE;

D O I：

10.1016/j.diagmicrobio.2018.10.012

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

A retrospective cohort study design was used to assess the use and costs of diagnostic tests, medication, and total hospitalization costs for pediatric patients with suspected meningitis/encephalitis who received a lumbar puncture (LP) procedure. Related costs were calculated by timing of LP performed and infectious etiology for infants (<1 year) and children (1-17 years). A total of 3030 infants and 3635 children with suspected ME diagnosed between 2011 and 2014 were included in the study. The mean hospitalization cost for infants and children was $12,759 and $11,119, respectively, with medication and laboratory test costs of $834 and $1771 for infants and $825 and $855 for children, respectively. Total visit cost increased with delayed LP procedure, ICU stay, and if the etiology was viral (other than enterovirus or arbovirus) or bacterial. Higher diagnostic and treatment costs were associated with delayed LP procedure, etiologic agent, and ICU stay. (C) 2018 The Authors. Published by Elsevier Inc.

引用

页码：349 / 354

页数：6

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