Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014
Abstract Background Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its tempo...
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ftdoajarticles:oai:doaj.org/article:dfb5896113c24dea90d6f6c258b42d9c 2023-05-15T15:16:03+02:00 Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 Andrea Rivera-Sepulveda Enid J. Garcia-Rivera 2017-10-01T00:00:00Z https://doi.org/10.1186/s41182-017-0064-7 https://doaj.org/article/dfb5896113c24dea90d6f6c258b42d9c EN eng BMC http://link.springer.com/article/10.1186/s41182-017-0064-7 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-017-0064-7 1349-4147 https://doaj.org/article/dfb5896113c24dea90d6f6c258b42d9c Tropical Medicine and Health, Vol 45, Iss 1, Pp 1-10 (2017) Bronchiolitis Pediatric Children Epidemiology Hospitalization Puerto Rico Arctic medicine. Tropical medicine RC955-962 article 2017 ftdoajarticles https://doi.org/10.1186/s41182-017-0064-7 2022-12-31T10:19:53Z Abstract Background Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its temporal trend and geographic distribution in Puerto Rico between 2010 and 2014. Methods We performed a retrospective descriptive analysis of a representative sample of privately insured children with bronchiolitis from January 2010 to December 2014. Data was provided by the largest private health insurer in Puerto Rico and identified children < 24 months of age with bronchiolitis by International Classification of Diseases, Ninth Revision code 466, 466.11, and 466.19. Chi-square and one-way ANOVA compared sex, age, diagnosis, and severity across the years. Joinpoint Poisson regression analysis evaluated the temporal trend distribution of bronchiolitis hospitalizations per calendar year. A P value less than 0.05 was statistically significant. Results During the study period, the annual proportion of emergency department visits and hospitalizations due to bronchiolitis increased from 3 to 5%, and 26 to 38%, respectively. The annual incidence rate of hospitalizations was 3.2 per 1000 privately insured children < 24 months. Non-RSV bronchiolitis was the most frequent diagnosis (51%). Hospitalizations occurred year-round, but increased significantly from August through December. Most children hospitalized resided in the metropolitan San Juan (35%) and surrounding urban areas. Total hospital charges decreased from $3.78 to $3.74 million, with an average cost per hospitalization of $4320.12 (11.3% increase; P = 0.0015). Conclusions This is the first study that evaluates the epidemiological characteristics of bronchiolitis in a primarily Hispanic population, living in a tropical country, and using data from a privately insured population. We found a small but significant increase in proportion of emergency visits and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic San Juan Tropical Medicine and Health 45 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Bronchiolitis Pediatric Children Epidemiology Hospitalization Puerto Rico Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Bronchiolitis Pediatric Children Epidemiology Hospitalization Puerto Rico Arctic medicine. Tropical medicine RC955-962 Andrea Rivera-Sepulveda Enid J. Garcia-Rivera Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
topic_facet |
Bronchiolitis Pediatric Children Epidemiology Hospitalization Puerto Rico Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its temporal trend and geographic distribution in Puerto Rico between 2010 and 2014. Methods We performed a retrospective descriptive analysis of a representative sample of privately insured children with bronchiolitis from January 2010 to December 2014. Data was provided by the largest private health insurer in Puerto Rico and identified children < 24 months of age with bronchiolitis by International Classification of Diseases, Ninth Revision code 466, 466.11, and 466.19. Chi-square and one-way ANOVA compared sex, age, diagnosis, and severity across the years. Joinpoint Poisson regression analysis evaluated the temporal trend distribution of bronchiolitis hospitalizations per calendar year. A P value less than 0.05 was statistically significant. Results During the study period, the annual proportion of emergency department visits and hospitalizations due to bronchiolitis increased from 3 to 5%, and 26 to 38%, respectively. The annual incidence rate of hospitalizations was 3.2 per 1000 privately insured children < 24 months. Non-RSV bronchiolitis was the most frequent diagnosis (51%). Hospitalizations occurred year-round, but increased significantly from August through December. Most children hospitalized resided in the metropolitan San Juan (35%) and surrounding urban areas. Total hospital charges decreased from $3.78 to $3.74 million, with an average cost per hospitalization of $4320.12 (11.3% increase; P = 0.0015). Conclusions This is the first study that evaluates the epidemiological characteristics of bronchiolitis in a primarily Hispanic population, living in a tropical country, and using data from a privately insured population. We found a small but significant increase in proportion of emergency visits and ... |
format |
Article in Journal/Newspaper |
author |
Andrea Rivera-Sepulveda Enid J. Garcia-Rivera |
author_facet |
Andrea Rivera-Sepulveda Enid J. Garcia-Rivera |
author_sort |
Andrea Rivera-Sepulveda |
title |
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
title_short |
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
title_full |
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
title_fullStr |
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
title_full_unstemmed |
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010–2014 |
title_sort |
epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in puerto rico, 2010–2014 |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s41182-017-0064-7 https://doaj.org/article/dfb5896113c24dea90d6f6c258b42d9c |
geographic |
Arctic San Juan |
geographic_facet |
Arctic San Juan |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 45, Iss 1, Pp 1-10 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s41182-017-0064-7 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-017-0064-7 1349-4147 https://doaj.org/article/dfb5896113c24dea90d6f6c258b42d9c |
op_doi |
https://doi.org/10.1186/s41182-017-0064-7 |
container_title |
Tropical Medicine and Health |
container_volume |
45 |
container_issue |
1 |
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1766346365341794304 |