Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?

Background: Varicella is a common pediatric infection. Even if it generally has a benign course, it may complicate and require hospitalization. The aim of our study was to estimate the acute hospitalization cost (AHC) for varicella in the acute phase in a pediatric population. Methods: We calculated...

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Autores principales:	Elena Bozzola, Giulia Spina, Maria Rosaria Marchili, Carla Brusco, Stefano Guolo, Chiara Rossetti, Giuseppe Logrieco, Francesca Pignatelli, Massimiliano Raponi, Alberto Villani
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	varicella hospitalization cost children Medicine R
Acceso en línea:	https://doaj.org/article/f62a66111e0b4042bf138c814b99d52c
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spelling	oai:doaj.org-article:f62a66111e0b4042bf138c814b99d52c2021-11-25T17:50:40ZPediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?10.3390/ijerph1822120531660-46011661-7827https://doaj.org/article/f62a66111e0b4042bf138c814b99d52c2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12053https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Varicella is a common pediatric infection. Even if it generally has a benign course, it may complicate and require hospitalization. The aim of our study was to estimate the acute hospitalization cost (AHC) for varicella in the acute phase in a pediatric population. Methods: We calculated the AHC of pediatric patients admitted for varicella at Bambino Gesù Children Hospital, Rome, Italy, from 1 November 2005 to 1 November 2020. Results: In the study period, 825 pediatric patients affected by varicella were hospitalized. The mean hospitalization cost was EUR 4015.35 (range from EUR 558.44 to EUR 42,608.00). Among patients, 55% were unvaccinable due to either their age or their immunosuppression status. They would benefit from herd immunity, reducing the overall AHC by EUR 182,196,506. Since the introduction of the compulsory vaccination against varicella in Italy, we observed a significant reduction in AHC cost of 60.6% in 2019 and of 93.5% in 2020. Finally, from the beginning of the COVID-19 pandemic, we documented a decline of 81.2% and 76.9% in varicella hospitalization, compared to 2018 and 2019, respectively. Conclusions: Varicella AHC is an important economic and health assessment point and can be useful for improving preventive strategies.Elena BozzolaGiulia SpinaMaria Rosaria MarchiliCarla BruscoStefano GuoloChiara RossettiGiuseppe LogriecoFrancesca PignatelliMassimiliano RaponiAlberto VillaniMDPI AGarticlevaricellahospitalizationcostchildrenMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12053, p 12053 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	varicella hospitalization cost children Medicine R
spellingShingle	varicella hospitalization cost children Medicine R Elena Bozzola Giulia Spina Maria Rosaria Marchili Carla Brusco Stefano Guolo Chiara Rossetti Giuseppe Logrieco Francesca Pignatelli Massimiliano Raponi Alberto Villani Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
description	Background: Varicella is a common pediatric infection. Even if it generally has a benign course, it may complicate and require hospitalization. The aim of our study was to estimate the acute hospitalization cost (AHC) for varicella in the acute phase in a pediatric population. Methods: We calculated the AHC of pediatric patients admitted for varicella at Bambino Gesù Children Hospital, Rome, Italy, from 1 November 2005 to 1 November 2020. Results: In the study period, 825 pediatric patients affected by varicella were hospitalized. The mean hospitalization cost was EUR 4015.35 (range from EUR 558.44 to EUR 42,608.00). Among patients, 55% were unvaccinable due to either their age or their immunosuppression status. They would benefit from herd immunity, reducing the overall AHC by EUR 182,196,506. Since the introduction of the compulsory vaccination against varicella in Italy, we observed a significant reduction in AHC cost of 60.6% in 2019 and of 93.5% in 2020. Finally, from the beginning of the COVID-19 pandemic, we documented a decline of 81.2% and 76.9% in varicella hospitalization, compared to 2018 and 2019, respectively. Conclusions: Varicella AHC is an important economic and health assessment point and can be useful for improving preventive strategies.
format	article
author	Elena Bozzola Giulia Spina Maria Rosaria Marchili Carla Brusco Stefano Guolo Chiara Rossetti Giuseppe Logrieco Francesca Pignatelli Massimiliano Raponi Alberto Villani
author_facet	Elena Bozzola Giulia Spina Maria Rosaria Marchili Carla Brusco Stefano Guolo Chiara Rossetti Giuseppe Logrieco Francesca Pignatelli Massimiliano Raponi Alberto Villani
author_sort	Elena Bozzola
title	Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
title_short	Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
title_full	Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
title_fullStr	Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
title_full_unstemmed	Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?
title_sort	pediatric hospitalization for varicella in an italian pediatric hospital: how much does it cost?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f62a66111e0b4042bf138c814b99d52c
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Pediatric Hospitalization for Varicella in an Italian Pediatric Hospital: How Much Does It Cost?

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