Miedema C J, Kors A W, Tjon A Ten W E, Kimpen J L
Diaconessenhuis/Catharina Ziekenhuis, Einhhoven, The Netherlands.
Pediatr Infect Dis J. 2001 Feb;20(2):160-3. doi: 10.1097/00006454-200102000-00008.
To calculate both medical consumption and socioeconomic effects related to hospitalization for respiratory syncytial virus (RSV) infection in the Netherlands.
During the winter seasons of 1998 to 2000, parents of all patients hospitalized for RSV in three secondary care hospitals were asked to fill out questionnaires focusing on the 2 weeks before hospitalization, the period in hospital and the 2 weeks after discharge. The questions concerned workdays lost, level of education and current profession, extra childcare needed, consultation by the family physician and drugs prescribed and costs of travelling.
Seventy-three children were hospitalized. Median age was 79 days (range, 9 to 537 days), and median weight was 5,295 g (range, 3130 to 10,600 g). Three children were born preterm. Parents had 2 (range, 0 to 6) telephone contacts with the family doctor; the child was seen 2 (range, 0 to 4) times before hospitalization. Parents lost 0.5 workday before hospitalization. Duration of hospitalization was 5 days median (range, 1 to 12 days). Parents lost 1.5 (range, 0 to 9) workdays during hospitalization and drove 118 (range, 6 to 550) miles to visit their child. In the period after discharge expenses were negligible. Calculation of all parameters into currency resulted in a total amount of $2,200 per child hospitalized for RSV. Workdays lost, costs for travelling and consultation of family doctors resulted in $295 per child.
RSV infections necessitating hospitalization in a secondary care hospital have remarkable effects on parental expenses, parental absence from work and medical consumption. On top of the hospital-related costs 15% should be added for parental expenses and socioeconomic costs.
计算荷兰呼吸道合胞病毒（RSV）感染住院治疗的医疗消耗及社会经济影响。
在1998年至2000年冬季，要求三家二级护理医院中所有因RSV住院的患儿家长填写问卷，内容集中在住院前2周、住院期间及出院后2周。问题涉及误工天数、教育程度和当前职业、额外需要的儿童护理、家庭医生的诊疗及所开药物、交通费用。
73名儿童住院。中位年龄为79天（范围9至537天），中位体重为5295克（范围3130至10600克）。3名儿童为早产儿。家长与家庭医生有2次（范围0至6次）电话联系；患儿住院前就诊2次（范围0至4次）。家长住院前误工0.5天。住院时间中位数为5天（范围1至12天）。家长住院期间误工1.5天（范围0至9天），开车118英里（范围6至550英里）去看望孩子。出院后费用可忽略不计。将所有参数换算成货币后，每名因RSV住院的儿童总费用为2200美元。误工、交通费用和家庭医生诊疗费用每名儿童为295美元。
在二级护理医院因RSV感染住院对家长费用、家长误工及医疗消耗有显著影响。除医院相关费用外，还应加上15%的家长费用和社会经济成本。
