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Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus.

Publication ,  Journal Article
Blake, SM; Tanaka, D; Bendz, LM; Staebler, S; Brandon, D
Published in: Adv Neonatal Care
August 2017

BACKGROUND: Respiratory syncytial virus (RSV) is the leading viral cause of death in infants younger than 1 year. In July 2014, the American Academy of Pediatrics (AAP) Committee on Infectious Diseases concluded that the "limited clinical benefit" for infants born at more than 29 weeks' gestation, together with the associated high cost of the immunoprophylaxis, no longer supported the routine use of palivizumab (Synagis). PURPOSE: To evaluate the impact of the newly adopted AAP palivizumab prophylaxis administration on health and subsequent hospital costs of infants born between 29 and less than 32 weeks' gestation. METHODS: A retrospective cohort analysis from a single institution across the duration of the study comparing the clinical and financial outcomes of infants (aged < 32 weeks) treated under the 2009 AAP guidelines (PRE) and infants (aged >29 weeks) managed after the 2014 AAP guidelines (POST) took effect. RESULTS: RSV-positive admissions were greater in the POST cohort versus the PRE cohort (P = .04). There were no readmission deaths due to RSV infection in either cohort. The number needed to treat to avoid a single RSV-positive hospitalization was 20 infants at an estimated palivizumab cost of $90,000 to avoid an estimated hospital cost of $29,000. IMPLICATIONS FOR PRACTICE: Assessment of individual risk factors and their ability to predict severe RSV risk/disease, thus, would allow providers greater flexibility in determining need for prophylaxis therapy. IMPLICATIONS FOR RESEARCH: Longitudinal evaluation of financial and clinical outcomes is needed to determine the impact of the 2014 AAP revised regulatory guidelines.

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Published In

Adv Neonatal Care

DOI

EISSN

1536-0911

Publication Date

August 2017

Volume

17

Issue

4

Start / End Page

292 / 298

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiratory Syncytial Viruses
  • Respiratory Syncytial Virus Infections
  • Pediatrics
  • Palivizumab
  • Infant, Premature
  • Infant, Newborn
  • Immunoglobulins, Intravenous
  • Humans
  • Hospitalization
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blake, S. M., Tanaka, D., Bendz, L. M., Staebler, S., & Brandon, D. (2017). Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus. Adv Neonatal Care, 17(4), 292–298. https://doi.org/10.1097/ANC.0000000000000367
Blake, Stephanie McCallum, David Tanaka, Lisa M. Bendz, Suzanne Staebler, and Debra Brandon. “Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus.Adv Neonatal Care 17, no. 4 (August 2017): 292–98. https://doi.org/10.1097/ANC.0000000000000367.
Blake SM, Tanaka D, Bendz LM, Staebler S, Brandon D. Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus. Adv Neonatal Care. 2017 Aug;17(4):292–8.
Blake, Stephanie McCallum, et al. “Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus.Adv Neonatal Care, vol. 17, no. 4, Aug. 2017, pp. 292–98. Pubmed, doi:10.1097/ANC.0000000000000367.
Blake SM, Tanaka D, Bendz LM, Staebler S, Brandon D. Evaluation of the Financial and Health Burden of Infants at Risk for Respiratory Syncytial Virus. Adv Neonatal Care. 2017 Aug;17(4):292–298.

Published In

Adv Neonatal Care

DOI

EISSN

1536-0911

Publication Date

August 2017

Volume

17

Issue

4

Start / End Page

292 / 298

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiratory Syncytial Viruses
  • Respiratory Syncytial Virus Infections
  • Pediatrics
  • Palivizumab
  • Infant, Premature
  • Infant, Newborn
  • Immunoglobulins, Intravenous
  • Humans
  • Hospitalization