Incidence and cost of rotavirus hospitalizations in Denmark.
In anticipation of licensure and introduction of rotavirus vaccine into the western market, we used modeling of national hospital registry data to determine the incidence and direct medical costs of annual rotavirus-associated admissions over >11 years in Denmark. Diarrhea-associated hospitalizations coded as nonspecified viral or presumed infectious have demonstrated a marked winter peak similar to that of rotavirus-associated hospitalizations, which suggests that the registered rotavirus-coded admissions are grossly underestimated. We therefore obtained more realistic estimates by 2 different models, which indicated 2.4 and 2.5 (for children <5 years of age) and 4.9 and 5.3 (for children <2 years of age) rotavirus-associated admissions per 1,000 children per year, respectively. These admissions amount to associated direct medical costs of US $1.7-1.8 million per year. Using 2 simple models to analyze readily available hospital discharge data resulted in more consistent and reliable estimates.
Fischer
Thea Kølsen
TK
Department for Epidemiology Research, Center for Epidemiology, Statens Serum Institut, Copenhagen, Denmark. thf@ssi.dk
Nielsen
Nete Munk
NM
Wohlfahrt
Jan
J
Paerregaard
Anders
A
D002675:Child, Preschool; D003718:Denmark / Q000453:epidemiology; D003967:Diarrhea / Q000191:economics / Q000453:epidemiology / Q000821:virology; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007223:Infant; D008962:Models, Theoretical; D012042:Registries / Q000706:statistics & numerical data; D012400:Rotavirus Infections / Q000191:economics* / Q000453:epidemiology*; D012621:Seasons; D013223:Statistics as Topic