Burden of childhood rotavirus disease on health systems in the United States. Mast, T C., Walter, E. B, Bulotsky, M., Khawaja, S. S, DiStefano, D. J, Sandquist, M. K, Straus, W. L, & Staat, M. A. The Pediatric Infectious Disease Journal, 29(2):e19–25, February, 2010. ![Burden of childhood rotavirus disease on health systems in the United States [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper abstract bibtex BACKGROUND: To determine the burden of rotavirus disease before the introduction of rotavirus vaccines.METHODS: From February 2005 to June 2006, prospective rotavirus surveillance was conducted in Cincinnati, Ohio, and Durham, North Carolina. Children \textless 5 years of age presenting at hospitals and outpatient clinics with acute gastroenteritis (AGE) of \textless 72 hours duration were enrolled. Stool samples were first tested for rotavirus by EIA and the VP7 type was determined by RT-polymerase chain reaction for rotavirus-positive samples. Medical costs were obtained from billing or accounting data. RESULTS: A total of 1998 children were enrolled, with a mean age of 16.9 months. Among 1601 (80%) patients with a stool specimen, 44% were rotavirus positive. The rotavirus detection rate was 38% for patients admitted to hospital, 60% for patients requiring a short-stay hospital visit (\textless 24 hour hospitalization), 49% for emergency department visits, and 37% for outpatient visits. During the rotavirus season, rotavirus accounted for 56% of all AGE cases. Only 11% of rotavirus-positive children were assigned the rotavirus-specific ICD-9-CM code and this proportion varied considerably by clinical setting. The VP7 genotypes identified were G1, 79%; G2, 14%; G3, 5%; G9, 1%; and G12, 1%. For children hospitalized with rotavirus, the estimated median direct cost was $4565, the average length of stay was 1.9 days, and parents lost 3.4 days of work. For short-stay, emergency department, and outpatient visits, the estimated median costs were $3160, $867, and $75, respectively. CONCLUSIONS: Before the widespread use of rotavirus vaccines in the United States, rotavirus was prevalent among children treated in hospital-based and outpatient settings and was associated with a substantial proportion of pediatric medical visits for AGE.
@article{mast_burden_2010,
title = {Burden of childhood rotavirus disease on health systems in the {United} {States}},
volume = {29},
issn = {1532-0987},
url = {http://www.ncbi.nlm.nih.gov/pubmed/20135751},
abstract = {BACKGROUND: To determine the burden of rotavirus disease before the introduction of rotavirus vaccines.METHODS: From February 2005 to June 2006, prospective rotavirus surveillance was conducted in Cincinnati, Ohio, and Durham, North Carolina. Children {\textless} 5 years of age presenting at hospitals and outpatient clinics with acute gastroenteritis (AGE) of {\textless} 72 hours duration were enrolled. Stool samples were first tested for rotavirus by EIA and the VP7 type was determined by RT-polymerase chain reaction for rotavirus-positive samples. Medical costs were obtained from billing or accounting data. RESULTS: A total of 1998 children were enrolled, with a mean age of 16.9 months. Among 1601 (80\%) patients with a stool specimen, 44\% were rotavirus positive. The rotavirus detection rate was 38\% for patients admitted to hospital, 60\% for patients requiring a short-stay hospital visit ({\textless} 24 hour hospitalization), 49\% for emergency department visits, and 37\% for outpatient visits. During the rotavirus season, rotavirus accounted for 56\% of all AGE cases. Only 11\% of rotavirus-positive children were assigned the rotavirus-specific ICD-9-CM code and this proportion varied considerably by clinical setting. The VP7 genotypes identified were G1, 79\%; G2, 14\%; G3, 5\%; G9, 1\%; and G12, 1\%. For children hospitalized with rotavirus, the estimated median direct cost was \$4565, the average length of stay was 1.9 days, and parents lost 3.4 days of work. For short-stay, emergency department, and outpatient visits, the estimated median costs were \$3160, \$867, and \$75, respectively. CONCLUSIONS: Before the widespread use of rotavirus vaccines in the United States, rotavirus was prevalent among children treated in hospital-based and outpatient settings and was associated with a substantial proportion of pediatric medical visits for AGE.},
number = {2},
urldate = {2010-11-05},
journal = {The Pediatric Infectious Disease Journal},
author = {Mast, T Christopher and Walter, Emmanuel B and Bulotsky, Monique and Khawaja, Shazia S and DiStefano, Daniel J and Sandquist, Mary K and Straus, Walter L and Staat, Mary Allen},
month = feb,
year = {2010},
pmid = {20135751},
keywords = {Child, Preschool, Feces, Female, Gastroenteritis, Genotype, Health Care Costs, Humans, Immunoenzyme Techniques, Infant, Length of Stay, Male, North Carolina, Ohio, Prevalence, Prospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Rotavirus, Rotavirus Infections},
pages = {e19--25},
}
Downloads: 0
{"_id":"4mKpjS6S857dSEgj7","bibbaseid":"mast-walter-bulotsky-khawaja-distefano-sandquist-straus-staat-burdenofchildhoodrotavirusdiseaseonhealthsystemsintheunitedstates-2010","author_short":["Mast, T C.","Walter, E. B","Bulotsky, M.","Khawaja, S. S","DiStefano, D. J","Sandquist, M. K","Straus, W. L","Staat, M. A."],"bibdata":{"bibtype":"article","type":"article","title":"Burden of childhood rotavirus disease on health systems in the United States","volume":"29","issn":"1532-0987","url":"http://www.ncbi.nlm.nih.gov/pubmed/20135751","abstract":"BACKGROUND: To determine the burden of rotavirus disease before the introduction of rotavirus vaccines.METHODS: From February 2005 to June 2006, prospective rotavirus surveillance was conducted in Cincinnati, Ohio, and Durham, North Carolina. Children \\textless 5 years of age presenting at hospitals and outpatient clinics with acute gastroenteritis (AGE) of \\textless 72 hours duration were enrolled. Stool samples were first tested for rotavirus by EIA and the VP7 type was determined by RT-polymerase chain reaction for rotavirus-positive samples. Medical costs were obtained from billing or accounting data. RESULTS: A total of 1998 children were enrolled, with a mean age of 16.9 months. Among 1601 (80%) patients with a stool specimen, 44% were rotavirus positive. The rotavirus detection rate was 38% for patients admitted to hospital, 60% for patients requiring a short-stay hospital visit (\\textless 24 hour hospitalization), 49% for emergency department visits, and 37% for outpatient visits. During the rotavirus season, rotavirus accounted for 56% of all AGE cases. Only 11% of rotavirus-positive children were assigned the rotavirus-specific ICD-9-CM code and this proportion varied considerably by clinical setting. The VP7 genotypes identified were G1, 79%; G2, 14%; G3, 5%; G9, 1%; and G12, 1%. For children hospitalized with rotavirus, the estimated median direct cost was $4565, the average length of stay was 1.9 days, and parents lost 3.4 days of work. For short-stay, emergency department, and outpatient visits, the estimated median costs were $3160, $867, and $75, respectively. CONCLUSIONS: Before the widespread use of rotavirus vaccines in the United States, rotavirus was prevalent among children treated in hospital-based and outpatient settings and was associated with a substantial proportion of pediatric medical visits for AGE.","number":"2","urldate":"2010-11-05","journal":"The Pediatric Infectious Disease Journal","author":[{"propositions":[],"lastnames":["Mast"],"firstnames":["T","Christopher"],"suffixes":[]},{"propositions":[],"lastnames":["Walter"],"firstnames":["Emmanuel","B"],"suffixes":[]},{"propositions":[],"lastnames":["Bulotsky"],"firstnames":["Monique"],"suffixes":[]},{"propositions":[],"lastnames":["Khawaja"],"firstnames":["Shazia","S"],"suffixes":[]},{"propositions":[],"lastnames":["DiStefano"],"firstnames":["Daniel","J"],"suffixes":[]},{"propositions":[],"lastnames":["Sandquist"],"firstnames":["Mary","K"],"suffixes":[]},{"propositions":[],"lastnames":["Straus"],"firstnames":["Walter","L"],"suffixes":[]},{"propositions":[],"lastnames":["Staat"],"firstnames":["Mary","Allen"],"suffixes":[]}],"month":"February","year":"2010","pmid":"20135751","keywords":"Child, Preschool, Feces, Female, Gastroenteritis, Genotype, Health Care Costs, Humans, Immunoenzyme Techniques, Infant, Length of Stay, Male, North Carolina, Ohio, Prevalence, Prospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Rotavirus, Rotavirus Infections","pages":"e19–25","bibtex":"@article{mast_burden_2010,\n\ttitle = {Burden of childhood rotavirus disease on health systems in the {United} {States}},\n\tvolume = {29},\n\tissn = {1532-0987},\n\turl = {http://www.ncbi.nlm.nih.gov/pubmed/20135751},\n\tabstract = {BACKGROUND: To determine the burden of rotavirus disease before the introduction of rotavirus vaccines.METHODS: From February 2005 to June 2006, prospective rotavirus surveillance was conducted in Cincinnati, Ohio, and Durham, North Carolina. Children {\\textless} 5 years of age presenting at hospitals and outpatient clinics with acute gastroenteritis (AGE) of {\\textless} 72 hours duration were enrolled. Stool samples were first tested for rotavirus by EIA and the VP7 type was determined by RT-polymerase chain reaction for rotavirus-positive samples. Medical costs were obtained from billing or accounting data. RESULTS: A total of 1998 children were enrolled, with a mean age of 16.9 months. Among 1601 (80\\%) patients with a stool specimen, 44\\% were rotavirus positive. The rotavirus detection rate was 38\\% for patients admitted to hospital, 60\\% for patients requiring a short-stay hospital visit ({\\textless} 24 hour hospitalization), 49\\% for emergency department visits, and 37\\% for outpatient visits. During the rotavirus season, rotavirus accounted for 56\\% of all AGE cases. Only 11\\% of rotavirus-positive children were assigned the rotavirus-specific ICD-9-CM code and this proportion varied considerably by clinical setting. The VP7 genotypes identified were G1, 79\\%; G2, 14\\%; G3, 5\\%; G9, 1\\%; and G12, 1\\%. For children hospitalized with rotavirus, the estimated median direct cost was \\$4565, the average length of stay was 1.9 days, and parents lost 3.4 days of work. For short-stay, emergency department, and outpatient visits, the estimated median costs were \\$3160, \\$867, and \\$75, respectively. CONCLUSIONS: Before the widespread use of rotavirus vaccines in the United States, rotavirus was prevalent among children treated in hospital-based and outpatient settings and was associated with a substantial proportion of pediatric medical visits for AGE.},\n\tnumber = {2},\n\turldate = {2010-11-05},\n\tjournal = {The Pediatric Infectious Disease Journal},\n\tauthor = {Mast, T Christopher and Walter, Emmanuel B and Bulotsky, Monique and Khawaja, Shazia S and DiStefano, Daniel J and Sandquist, Mary K and Straus, Walter L and Staat, Mary Allen},\n\tmonth = feb,\n\tyear = {2010},\n\tpmid = {20135751},\n\tkeywords = {Child, Preschool, Feces, Female, Gastroenteritis, Genotype, Health Care Costs, Humans, Immunoenzyme Techniques, Infant, Length of Stay, Male, North Carolina, Ohio, Prevalence, Prospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Rotavirus, Rotavirus Infections},\n\tpages = {e19--25},\n}\n\n","author_short":["Mast, T C.","Walter, E. B","Bulotsky, M.","Khawaja, S. S","DiStefano, D. J","Sandquist, M. K","Straus, W. L","Staat, M. A."],"key":"mast_burden_2010","id":"mast_burden_2010","bibbaseid":"mast-walter-bulotsky-khawaja-distefano-sandquist-straus-staat-burdenofchildhoodrotavirusdiseaseonhealthsystemsintheunitedstates-2010","role":"author","urls":{"Paper":"http://www.ncbi.nlm.nih.gov/pubmed/20135751"},"keyword":["Child","Preschool","Feces","Female","Gastroenteritis","Genotype","Health Care Costs","Humans","Immunoenzyme Techniques","Infant","Length of Stay","Male","North Carolina","Ohio","Prevalence","Prospective Studies","Reverse Transcriptase Polymerase Chain Reaction","Rotavirus","Rotavirus Infections"],"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/robin.marlow","dataSources":["ix72eqAAMGCuupBaz"],"keywords":["child","preschool","feces","female","gastroenteritis","genotype","health care costs","humans","immunoenzyme techniques","infant","length of stay","male","north carolina","ohio","prevalence","prospective studies","reverse transcriptase polymerase chain reaction","rotavirus","rotavirus infections"],"search_terms":["burden","childhood","rotavirus","disease","health","systems","united","states","mast","walter","bulotsky","khawaja","distefano","sandquist","straus","staat"],"title":"Burden of childhood rotavirus disease on health systems in the United States","year":2010}