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. 2020 Feb 5;37(3):1203–1217. doi: 10.1007/s12325-020-01230-3

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