Burden of Respiratory Syncytial Virus Hospitalizations in Canada

Can Respir J. 2017:2017:4521302. doi: 10.1155/2017/4521302. Epub 2017 Nov 7.

Abstract

Objective: To examine the socioeconomic burden of respiratory syncytial virus (RSV) disease for Canadian infants hospitalized for the condition.

Data and methods: The descriptive study used data collected in Alberta, Canada, during 2 consecutive RSV seasons. Infants (<1 year of age) were included if they had not received palivizumab and were hospitalized with a confirmed diagnosis of RSV. Hospitalization resource use and parental time burden, out-of-pocket costs, lost work productivity, and stress and anxiety were assessed.

Results: 13.4% of all infants (n = 67) had intensive care unit (ICU) admission, and average ICU stay for these infants was 6.5 days. Families had average out-of-pocket expenses of 736.69 Canadian dollars (CAD $), and the average time both parents spent in hospital was nearly 7 days (164.0 hours). For working parents (n = 43), average absenteeism was 49% and overall work impairment was 77.8%. Parents also exhibited significant parental stress (3.6 on the Parental Stressor Scale: 43.9 state anxiety and 36.9 trait anxiety scores).

Conclusions: Results indicate a high burden associated with the hospitalization of an infant due to RSV disease in terms of resource use, time, productivity, costs, and stress, even among a population of infants not considered to be at risk for the condition.

MeSH terms

  • Absenteeism*
  • Adult
  • Alberta
  • Canada
  • Cost of Illness
  • Female
  • Health Expenditures*
  • Hospitalization / economics*
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units / economics
  • Length of Stay / economics
  • Male
  • Parents / psychology*
  • Respiratory Syncytial Virus Infections / economics*
  • Stress, Psychological / psychology*