Table 3.
Pre- and post-RSV diagnosis healthcare costs and utilization among Medicare patients with RSV
| Hospitalized high-riska, N = 756 | Hospitalized non-high-risk, N = 37 | |||||
|---|---|---|---|---|---|---|
| Pre-index | Post-index | p valueb | Pre-index | Post-index | p valueb | |
| All-cause healthcare utilization mean (SD) | ||||||
| # of inpatient visits | 1.2 (1.4) | 1.5 (1.4) | < 0.0001* | 0.6 (1.2) | 1.9 (1.7) | < 0.0001* |
| # of outpatient visit | 17.8 (12.8) | 15.2 (13.5) | < 0.0001* | 14.2 (10.4) | 13.6 (9.0) | 0.737 |
| # of pharmacy uses | 21.1 (14.7) | 16.0 (14.1) | < 0.0001* | 15.5 (11.6) | 12.8 (8.8) | 0.149 |
| Length of stay | 9.0 (15.0) | 12.2 (19.2) | < 0.0001* | 3.1 (7.9) | 11.4 (16.5) | 0.000* |
| All-cause healthcare costs mean (SD) | ||||||
| Outpatient costs | $6540 ($10,783) | $5544 ($10,113) | 0.003* | $5421 ($0) | $3924 ($4619) | 0.252 |
| Inpatient costs | $16,604 ($27,664) | $23,172 ($33,438) | < 0.0001* | $6365 ($14,828) | $21,810 ($26,005) | 0.000* |
| Pharmacy costs | $3776 ($6834) | $3002 ($6445) | < 0.0001* | $1678 ($2244) | $1605 ($2140) | 0.760 |
| Other costsc | $4793 ($10,434) | $9205 ($13,619) | < 0.0001* | $3598 ($11,849) | $8866 ($16,311) | 0.062 |
| Total costsd | $31,713 ($36,718) | $40,923 ($41,152) | < 0.0001* | $17,063 ($27,446) | $36,204 ($32,597) | 0.000* |
| Outpatient high-risk, N = 399 | Outpatient non-high-risk, N = 436 | |||||
|---|---|---|---|---|---|---|
| Pre-index | Post-index | p valueb | Pre-index | Post-index | p valueb | |
| All-cause healthcare utilization mean (SD) | ||||||
| # of inpatient visits | 0.5 (0.9) | 0.5 (1.0) | 0.967 | 0.1 (0.4) | 0.2 (0.5) | 0.028* |
| # of outpatient visit | 15.9 (11.8) | 16.6 (11.1) | 0.170 | 10.8 (10.0) | 12.3 (9.7) | < 0.0001* |
| # of pharmacy uses | 17.3 (11.3) | 18.1 (12.2) | 0.110 | 11.9 (10.0) | 12.6 (9.2) | 0.029* |
| Length of stay | 3.0 (8.5) | 3.1 (10.0) | 0.868 | 0.5 (2.9) | 0.9 (3.6) | 0.052 |
| All-cause healthcare costs mean (SD) | ||||||
| Outpatient costs | $3886 ($5534) | $3891 ($4888) | 0.987 | $2452 ($4436) | $2836 ($4603) | 0.056 |
| Inpatient costs | $5648 ($15,138) | $5874 ($16,425) | 0.831 | $922 ($4221) | $1940 ($7027) | 0.009* |
| Pharmacy costs | $2454 ($3590) | $2777 ($6408) | 0.225 | $2036 ($4138) | $2314 ($5708) | 0.260 |
| Other costsc | $2510 ($6686) | $3567 ($8856) | 0.020* | $437 ($2250) | $829 ($3628) | 0.030* |
| Total costsd | $14,498 ($21,611) | $16,108 ($23,688) | 0.252 | $5847 ($9090) | $7919 ($12,976) | 0.000* |
RSV respiratory syncytial virus, SD standard deviation
*p ≤ 0.05
aSee “Methods” and “Patient Selection” for high-risk criteria
bp values were calculated using paired t tests
cOther costs includes durable medical equipment (DME), home health agency (HHA), hospice, and skilled nursing facility (SNF)
dTotal costs consists of the sum of inpatient costs, outpatient costs, pharmacy costs, and other costs