Makari Doris, Hoopes J Michael, White Norman
Medical and Scientific Affairs, Medlmmune, LLC.
Manag Care. 2009 Jan;18(1 Suppl 2):2-7.
Severe RSV disease, manifested as bronchiolitis or pneumonia, is the leading cause of hospitalization of infants younger than 1 year of age in the United States. Infants born 35 weeks or less GA are particularly at high risk of severe RSV disease, which may result in frequent NICU admissions or long hospital stays and additional health care utilization over the first 12 months of life. This care is costly--infants 33 to 36 weeks GA with a history of RSV hospitalization incur costs that are nearly 5 times as much as costs for 33 to 36 weeks GA infants with no history of RSV hospitalization. Managed care payers should be cognizant of the potential ramifications of severe RSV disease in infants. Developing a proactive RSV management strategy can help improve health outcomes and reduce unnecessary hospital resource use.
严重呼吸道合胞病毒（RSV）疾病表现为细支气管炎或肺炎，是美国1岁以下婴儿住院的主要原因。孕龄35周及以下出生的婴儿尤其容易患严重RSV疾病，这可能导致在出生后的头12个月内频繁入住新生儿重症监护病房（NICU）或长时间住院，并增加医疗保健的使用。这种护理成本高昂——有RSV住院史的孕龄33至36周婴儿的费用几乎是没有RSV住院史的孕龄33至36周婴儿费用的5倍。管理式医疗支付方应认识到婴儿严重RSV疾病的潜在影响。制定积极的RSV管理策略有助于改善健康结果并减少不必要的医院资源使用。
