Rotavirus, respiratory syncytial virus and non-rotaviral gastroenteritis analysis of hospital readmissions in England and Wales
Article first published online: 9 JAN 2013
©2013 The Author(s)/Acta Pædiatrica ©2013 Foundation Acta Pædiatrica
Volume 102, Issue 4, pages e158–e163, April 2013
How to Cite
Pockett, R. D., Campbell, D., Carroll, S., Rajoriya, F. and Adlard, N. (2013), Rotavirus, respiratory syncytial virus and non-rotaviral gastroenteritis analysis of hospital readmissions in England and Wales. Acta Paediatrica, 102: e158–e163. doi: 10.1111/apa.12124
- Issue published online: 18 MAR 2013
- Article first published online: 9 JAN 2013
- Accepted manuscript online: 4 JAN 2013 11:38AM EST
- Manuscript Accepted: 5 DEC 2012
- Manuscript Revised: 3 DEC 2012
- Manuscript Received: 20 SEP 2012
- Infectious diseases;
- Nosocomial infections;
To quantify readmissions with infectious diseases and differences in readmission patterns.
Using the CHKS database, children <5 years admitted to hospital in England and Wales, between 2000 and 2008, with rotavirus (RV), respiratory syncytial virus (RSV) or non-rotaviral gastroenteritis (NRV) were identified. All admissions within a 30-day prior period were similarly identified, and the proportion of readmissions was calculated.
There were 365,693 admissions for RV, RSV and NRV; 17.2% were readmissions. In 36% of cases, the cause of the prior admission was also RV, RSV or NRV, with 64% having a different prior diagnosis. The majority of readmissions were within 5 days of their prior admission, the majority of those with RV (n = 2,566/58.7%) within 3 days, NRV (n = 11 326/53.5%) within 4 days and RSV (n = 18 811/50.2%) within 9 days of prior discharge. Readmission for RV was associated with greater LOS than RSV (p < 0.001) and NRV (p < 0.001), while cost per admission was greater for RV compared to RSV (p < 0.001) and NRV (p < 0.001).
Thirty-six percent of readmissions indicated discharge without resolution from the first admission; nosocomial infection needs to be considered as a cause in the other. Although RSV represented the largest readmission group, higher costs and longer LOS were associated with RV.