Knowledge of the cost of care for children with HIV infection is necessary to analyze the economic impact of recommendations for universal counseling and voluntary HIV testing of pregnant women.
To estimate the total cost of care for children with HIV infection.
We performed a retrospective cohort study of all 88 children with (n=29) or at risk for (n=59) perinatally acquired HIV infection cared for at Children's Hospital of Wisconsin between February 2,1987, and June 1,1995.
Review of medical records for all 29 children with perinatally acquired HIV infection or AIDS identified :
date of HIV diagnosis ;
date of classification into Category N,
B or C ;
date of AIDS diagnosis ;
and date of death or transfer of care.
The time each subject remained in each CDC category was calculated and the Kaplan-Meier product-limit method was used to calculate survival time for all patients in each CDC category.
Hospital-based inpatient and outpatient charges per patient per month in each CDC category (N, A, B, C and AIDS) were calculated with information from the hospital financial services database, and lifetime hospital-based inpatient and outpatient charges were estimated as the sum of the charges for each category.
From that, total charges were calculated assuming that hospital-based charges were 83% of total charges.
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirinae, Retroviridae, Virus, Estimation prix, Soin, Enfant, Homme, Durée vie, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirinae, Retroviridae, Virus, Cost estimation, Care, Child, Human, Lifetime, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0355778
Code Inist : 002B06D01. Création : 12/09/1997.