Document Detail


Pediatric hospital admissions for measles. Lessons from the 1990 epidemic.
MedLine Citation:
PMID:  8855680     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To examine the descriptive epidemiology of serious measles complications and associated hospital costs during a major epidemic, we used California population-based hospital discharge data to identify hospital admissions for measles during 1986 through 1990 (ICD-9 code 055, n = 4,201). We examined 5-year trends and, for 1990 pediatric epidemic cases (n = 2,234), sociodemographic and hospital admission financial data. Hospital admission rates for measles rose significantly between 1986 and 1990. During the 1990 epidemic, preschool children aged 1 to 5 years, Medi-Cal (California's Medicaid) beneficiaries, Hispanics, and those living in urban counties accounted for most hospital admissions. Young infants and residents of southern California and the San Joaquin Valley had the highest risks. Medi-Cal beneficiaries and Asian children were at an increased risk for death during the hospital stay. The average hospital admission cost was $8,201, and the average length of hospital stay was 4.6 days. Hospital costs amounted to $18 million, two thirds of which was paid for by Medi-Cal. Measles is a serious disease that can result in severe complications requiring lengthy and costly hospital stays. We must remain alert to its continuing threat, complications, and resulting financial burdens.
Authors:
G F Chavez; A A Ellis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Western journal of medicine     Volume:  165     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-11-07     Completed Date:  1996-11-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  20-5     Citation Subset:  AIM; IM    
Affiliation:
California Department of Health Services, Sacramento, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Asian Americans / statistics & numerical data
California / epidemiology
Cause of Death
Child
Child, Preschool
Demography
Disease Outbreaks / economics
Hispanic Americans / statistics & numerical data
Hospital Costs
Hospital Mortality
Humans
Infant
Length of Stay / statistics & numerical data
Measles / complications,  economics,  epidemiology*,  mortality
Medicaid / economics
Patient Admission / statistics & numerical data*
Risk Factors
Socioeconomic Factors
United States
Urban Health / statistics & numerical data
Comments/Corrections
Comment In:
West J Med. 1996 Jul-Aug;165(1-2):80-1   [PMID:  8855699 ]

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