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Impact of early daycare on healthcare resource use related to upper respiratory tract infections during childhood: prospective WHISTLER cohort study
- Source :
- BMC Medicine
- Publication Year :
- 2014
-
Abstract
- Background Daycare attendance is an established risk factor for upper respiratory tract infections (URTI) and acute otitis media (AOM). Whether this results in higher use of healthcare resources during childhood remains unknown. We aim to assess the effect of first year daycare attendance on the timing and use of healthcare resources for URTI and AOM episodes during early childhood. Methods In the Wheezing-Illnesses-STudy-LEidsche-Rijn birth cohort, 2,217 children were prospectively followed up to age six years. Children were categorized according to first-year daycare attendance (yes versus no) and age at entry when applicable (age 0 to 2 months, 3 to 5 months and 6 to 12 months). Information on general practitioner (GP) diagnosed URTI and AOM, GP consultations, antibiotic prescriptions and specialist referral was collected from medical records. Daycare attendance was recorded by monthly questionnaires during the first year of life. Results First-year daycare attendees and non-attendees had similar total six-year rates of GP-diagnosed URTI and AOM episodes (59/100 child-years, 95% confidence interval 57 to 61 versus 56/100 child-years, 53 to 59). Daycare attendees had more GP-diagnosed URTI and AOM episodes before the age of one year and fewer beyond the age of four years than non-attendees (Pinteraction
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Healthcare utilization
Office Visits
Rate ratio
Cohort Studies
Risk Factors
Germany
Surveys and Questionnaires
Outcome Assessment, Health Care
Medicine
Humans
Prospective Studies
Risk factor
Prospective cohort study
Child
Respiratory Tract Infections
Otitis media
Medicine(all)
Respiratory tract infections
business.industry
Incidence (epidemiology)
Incidence
Hazard ratio
Attendance
Infant
General Medicine
Child Day Care Centers
Anti-Bacterial Agents
Upper respiratory infection
Daycare
Paediatric
Child, Preschool
Acute Disease
Female
business
Cohort study
Research Article
Subjects
Details
- ISSN :
- 17417015
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- BMC medicine
- Accession number :
- edsair.doi.dedup.....12025d36c5df5ebb6f592ad384ba79d8