Hospitalization for respiratory syncytial virus among California infants: Disparities related to race, insurance, and geography

Sangaré, Laura; Curtis, Michael; Ahmad, Shabbir

doi:10.1016/j.jpeds.2006.04.063

Cited by 45 publications

(48 citation statements)

References 18 publications

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“…Similar findings were reported by other investigators (Queiróz et al 2002, Sangaré et al 2006). Papadopoulos et al (2004), using duration of hospitalization in the severity index, did not find significant differences between the groups.…”

Section: Discussionsupporting

confidence: 92%

“…In our study, the majority of RSV A-infected children were male. This result is consistent with that of Sangaré et al (2006), who suggested that being female was protective against RSV hospitalization.…”

Section: Discussionsupporting

confidence: 92%

“…Respiratory syncytial virus (RSV) is a common cause of hospitalization and visits to the emergency rooms among neonates and young children, especially in their first years of life (Sangaré et al 2006). It is the principal cause of bronchiolitis and pneumonia in children under six months of age (Queiróz et al 2002, Calegari et al 2005).…”

mentioning

confidence: 99%

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Prevalence and clinical aspects of respiratory syncytial virus A and B groups in children seen at Hospital de Clínicas of Uberlândia, MG, Brazil

Oliveira¹,

Freitas²,

Ribeiro³

et al. 2008

Mem. Inst. Oswaldo Cruz

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

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Prevalence and clinical aspects of respiratory syncytial virus A and B groups in children seen at Hospital de Clínicas of Uberlândia, MG, Brazil

Oliveira¹,

Freitas²,

Ribeiro³

et al. 2008

Mem. Inst. Oswaldo Cruz

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“…21,22 For RSV infection, information is limited, but the reported severity of disease among black versus white children has been variable and inconclusive. 14,22,23 The rates of RSV hospitalization among black children ,24 months old or ,6 months old were not significantly different from those for white children. However, after 6 months of age, black children were hospitalized nearly twice as often.…”

Section: Discussionmentioning

confidence: 84%

Respiratory Syncytial Virus–Associated Hospitalizations Among Children Less Than 24 Months of Age

Hall

Weinberg²,

Blumkin³

et al. 2013

Pediatrics

531

430

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WHAT'S KNOWN ON THIS SUBJECT: Respiratory syncytial virus (RSV) infection is a leading cause of hospitalization among infants. Most estimates of RSV hospitalization rates are imprecise, having been calculated by using retrospective discharge diagnosis data and stratified age groups no narrower than 6 to 12 months.WHAT THIS STUDY ADDS: Prospective, population-based surveillance data for infants hospitalized with laboratoryconfirmed RSV infection were combined with birth certificate information to yield more precise age-specific hospitalization rates. These data should help determine priorities for the use of existing and future RSV prophylaxis strategies. abstract BACKGROUND: Respiratory syncytial virus (RSV) infection is a leading cause of hospitalization among infants. However, estimates of the RSV hospitalization burden have varied, and precision has been limited by the use of age strata grouped in blocks of 6 to $12 months. METHODS:We analyzed data from a 5-year, prospective, population-based surveillance for young children who were hospitalized with laboratoryconfirmed (reverse-transcriptase polymerase chain reaction) RSV acute respiratory illness (ARI) during October through March 2000-2005. The total population at risk was stratified by month of age by birth certificate information to yield hospitalization rates.RESULTS: There were 559 (26%) RSV-infected children among the 2149 enrolled children hospitalized with ARI (85% of all eligible children with ARI). The average RSV hospitalization rate was 5.2 per 1000 children ,24 months old. The highest age-specific rate was in infants 1 month old (25.9 per 1000 children). Infants #2 months of age, who comprised 44% of RSV-hospitalized children, had a hospitalization rate of 17.9 per 1000 children. Most children (79%) were previously healthy. Very preterm infants (,30 weeks' gestation) accounted for only 3% of RSV cases but had RSV hospitalization rates 3 times that of term infants.CONCLUSIONS: Young infants, especially those who were 1 month old, were at greatest risk of RSV hospitalization. Four-fifths of RSVhospitalized infants were previously healthy. To substantially reduce the burden of RSV hospitalizations, effective general preventive strategies will be required for all young infants, not just those with risk factors. Pediatrics 2013;132:e341-e348 AUTHORS:

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“…22,31,[35][36][37][38] Reported hospitalization rates reported for infants range from 13 to 27.4 per 1000 births, with most hospitalizations reported for patients ,6 months of age, and particularly in infants aged 1 to 3 months. [37][38][39][40][41][42] Among young children worldwide, RSV is the most common cause of LRTI and is a major cause of hospitalization for severe RSVrelated LRTI. 43 In contrast to influenza, recent data suggest that infants hospitalized due to RSV disease generally have longer hospital stays, a more severe course of disease, and a greater need for ancillary treatments such as supplemental oxygen.…”

Section: Rsv-related Hospitalization and Associated Costsmentioning

confidence: 99%

Overview of respiratory syncytial virus disease in young children

Hoopes¹,

Kumar²

2012

PHMT

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Abstract:Respiratory tract illnesses associated with respiratory syncytial virus (RSV) were first reported more than 160 years ago and gained acceptance as a major respiratory pathogen in the late 1950s. Annual epidemics show a seasonal pattern typically beginning in the late fall and ending in early spring, averaging 5 months in length, and varying in time of onset, offset, and duration depending on geographic location. Manifestations of RSV illness primarily involve the upper respiratory tract but can spread to the lower airways and lead to bronchiolitis and/or pneumonia. Initial infection occurs in approximately two-thirds of children during the first year of life; nearly all children are infected at least once by 2 years of age. Reinfection is common throughout life, but initial illness during infancy generally presents with the most severe symptoms. Medical risk conditions that consistently predispose young children to serious lower respiratory tract infection (LRTI) include congenital heart disease, chronic lung disease, and premature birth. Serious LRTI due to RSV is the leading cause of hospitalization in infants and young children worldwide and annual mean hospital expenses have been estimated to exceed 1 billion dollars in the United States. Young children incur more inpatient and outpatient visits for RSV LRTI than for influenza. RSV has a greater impact than influenza on hospitalization in infants with respect to length of stay, severity/course of disease, and resultant needs for ancillary treatments. Unlike many other childhood illnesses, a vaccine is not currently available for preventing RSV disease.

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Hospitalization for respiratory syncytial virus among California infants: Disparities related to race, insurance, and geography

Cited by 45 publications

References 18 publications

Prevalence and clinical aspects of respiratory syncytial virus A and B groups in children seen at Hospital de Clínicas of Uberlândia, MG, Brazil

Prevalence and clinical aspects of respiratory syncytial virus A and B groups in children seen at Hospital de Clínicas of Uberlândia, MG, Brazil

Respiratory Syncytial Virus–Associated Hospitalizations Among Children Less Than 24 Months of Age

Overview of respiratory syncytial virus disease in young children

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