Impact of time to treatment of oseltamivir on influenza hospitalization cost among Korean children

Jacqueline K. Lim, Paul E. Kilgore, Allison E. Aiello, Betsy Foxman, G. William Letson, Gi Young Jang, Eunhee Chung, Young Hwan Song, Yun Kyung Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Although oseltamivir is a common influenza treatment, there is a lack of data on the economic benefits of timely oseltamivir treatment. Methods: From February 2004 through June 2007, 116 hospitalized children ≤15 years of age with laboratory-confirmed influenza who received oseltamivir were identified via retrospective medical chart review. Demographic, clinical, and cost data were abstracted and multivariate linear regression was used to assess the association between oseltamivir time to treatment and treatment-related costs among hospitalized children with laboratory-confirmed influenza. Results: Overall, 28% (n = 33) of patients were treated with oseltamivir ≥day 3 of admission. Rapid influenza diagnostic test was used in a significantly lower proportion of patients treated with oseltamivir ≥day 3 of admission compared with those who received oseltamivir earlier. On multivariate linear regression, initiation of oseltamivir ≥day 3 of admission was associated with a 60.84% increase (95%CI: 32.59-95.11) in treatment-related hospital costs, compared with initiation on admission. Conclusion: Delayed initiation of oseltamivir was found to be associated with increased treatment-related hospital costs among children hospitalized with laboratory-confirmed influenza.

Original languageEnglish
Pages (from-to)393-400
Number of pages8
JournalPediatrics International
Volume57
Issue number3
DOIs
Publication statusPublished - 2015 Jun 1

Keywords

  • children
  • hospital cost
  • influenza
  • oseltamivir
  • rapid influenza diagnostic test

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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