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  1. Use of state hospital discharge data to assess the morbidity from rotavirus diarrhea and to monitor the impact of a rotavirus immunization program : A pilot study in Connecticut.

    Article - En anglais

    Objectives

    Now that rotavirus vaccines have been licensed and recommended for routine immunization of US infants, there is an urgent need for data to assess the morbidity from rotavirus diarrhea and to monitor the impact of a rotavirus immunization program.

    In a pilot study, we have assessed the usefulness of state hospital discharge data on diarrhea in children to provide this information by examining data from Connecticut.

    Design

    Retrospective analysis of discharge records from acute care, nongovernmental hospitals in Connecticut.

    Patients

    Children 1 month through 4 years of age with a diarrhea-associated diagnosis listed on the discharge record.

    Setting

    Connecticut, 1987 through 1996.

    Results

    During the 10-year study period, a total of 11 324 diarrhea-associated hospitalizations (49.4 hospitalizations per 10000 children) were reported.

    Diarrhea-associated hospitalizations peaked during February through April, especially among children 4 to 35 months of age.

    The seasonality and age distribution of diarrhea-associated hospitalizations of presumed noninfectious and viral etiologies resembled those of rotavirus-associated hospitalizations.

    During 1993 to 1996, rotavirus was coded for 10.4% of diarrhea-associated hospitalizations increasing from 8.6% in 1993 to 14.7% in 1996.

    The unadjusted median cost of a diarrhea-associated hospitalization during 1987 to 1996 and 1993 to 1996 was $1941 and $2428, respectively. (...)

    Mots-clés Pascal : Diarrhée, Rotavirus, Reoviridae, Virus, Vaccination, Immunisation, Programme sanitaire, Prévention, Hospitalisation, Morbidité, Enfant, Homme, Economie santé, Analyse coût, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie, Intestin pathologie

    Mots-clés Pascal anglais : Diarrhea, Rotavirus, Reoviridae, Virus, Vaccination, Immunization, Sanitary program, Prevention, Hospitalization, Morbidity, Child, Human, Health economy, Cost analysis, United States, North America, America, Digestive diseases, Intestinal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0496071

    Code Inist : 002B13B03. Création : 22/03/2000.