The Journal of Pediatrics
Volume 155, Issue 1 , Pages 56-61 , July 2009

National Rates of Diarrhea-Associated Ambulatory Visits in Children

  • Stephen J. Pont, MD, MPH

      Affiliations

    • Department of Pediatrics, University of Texas Medical Branch-Austin Programs, Austin, TX
    • Department of Kinesiology and Health Education, College of Education, University of Texas, Austin, TX
  • ,
  • Carlos G. Grijalva, MD, MPH

      Affiliations

    • Department of Preventive Medicine, Vanderbilt University, Nashville, TN
  • ,
  • Marie R. Griffin, MD, MPH

      Affiliations

    • Department of Preventive Medicine, Vanderbilt University, Nashville, TN
  • ,
  • Theresa A. Scott, MS

      Affiliations

    • Department of Biostatistics, Vanderbilt University, Nashville, TN
  • ,
  • William O. Cooper, MD, MPH

      Affiliations

    • Department of Pediatrics, Vanderbilt University, Nashville, TN

Received 10 October 2008 ,Revised 7 January 2009 ,Accepted 30 January 2009.

References 

  1. Chabra A, Chavez GF, Taylor D. Hospital use by pediatric patients: implications for change. Am J Prev Med. 1997;13(6 Suppl):30–37
  2. McConnochie KM, Conners GP, Lu E, Wilson C. How commonly are children hospitalized for dehydration eligible for care in alternative settings?. Arch Pediatr Adolesc Med. 1999;153:1233–1241
  3. Widdowson MA, Meltzer MI, Zhang X, Bresee JS, Parashar UD, Glass RI. Cost-effectiveness and potential impact of rotavirus vaccination in the United States. Pediatrics. 2007;119:684–697
  4. American Academy of Pediatrics Committee on Infectious Diseases. Recommended immunization schedules for children and adolescents–United States, 2007. Pediatrics 2007;119:207–8.
  5. Pont SJ, Carpenter LR, Griffin MR, Jones TF, Schaffner W, Dudley JA, et al. Trends in healthcare usage attributable to diarrhea, 1995-2004. J Pediatr. 2008;153:777–782
  6. Glass RI, Lew JF, Gangarosa RE, LeBaron CW, Ho MS. Estimates of morbidity and mortality rates for diarrheal diseases in American children. J Pediatr. 1991;118(4 Pt 2):S27–S33
  7. Fischer TK, Viboud C, Parashar U, Malek M, Steiner C, Glass R, et al. Hospitalizations and deaths from diarrhea and rotavirus among children < 5 years of age in the United States, 1993-2003. J Infect Dis. 2007;195:1117–1125
  8. Centers for Disease Control and Prevention, National Center for Health Statistics. Ambulatory health care data. Available from: www.cdc.gov/nchs/about/major/ahcd/ahcd1.htm. Accessed October 10, 2006.
  9. Centers for Disease Control and Prevention, National Center for Health Statistics. Ambulatory health care data. Available from: www.cdc.gov/nchs/about/major/ahcd/namcsdes.htm. Accessed October 10, 2006.
  10. Centers for Disease Control and Prevention. National Center for Health Statistics. Ambulatory health care data. Available from: www.cdc.gov/nchs/about/major/ahcd/nhamcsds.htm. Accessed October 10, 2006.
  11. International Classification of Diseases, Ninth Revision, Clinical Modification. Washington, DC: Public Health Service, US Dept of Health and Human Services; 1998.
  12. United States Census Bureau. Population estimates datasets. Available from: www.census.gov/popest/datasets.html. Accessed October 10, 2006.
  13. Casella G, Berger RL. Statistical Inference. 2nd ed.. Duxbury, CA: Duxbury Press; 2002;
  14. Cochran W. Sampling Techniques. 3rd ed.. New York: Wiley; 1977;
  15. Jin S, Kilgore PE, Holman RC, Clarke MJ, Gangarosa EJ, Glass RI. Trends in hospitalizations for diarrhea in United States children from 1979 through 1992: estimates of the morbidity associated with rotavirus. Pediatr Infect Dis J. 1996;15:397–404
  16. Parashar UD, Holman RC, Bresee JS, Clarke MJ, Rhodes PH, Davis RL, et al. Epidemiology of diarrheal disease among children enrolled in four West Coast health maintenance organizations. Vaccine Safety Datalink Team. Pediatr Infect Dis J. 1998;17:605–611
  17. Zimmerman CM, Bresee JS, Parashar UD, Riggs TL, Holman RC, Glass RI. Cost of diarrhea-associated hospitalizations and outpatient visits in an insured population of young children in the United States. Pediatr Infect Dis J. 2001;20:14–19

 Supported by an Academic Pediatric Association Young Investigator Award and a National Institutes of Health National Research Service Award Grant (T32 HS013833-03) The authors declare no conflicts of interest related to this work.

PII: S0022-3476(09)00111-5

doi: 10.1016/j.jpeds.2009.01.075

The Journal of Pediatrics
Volume 155, Issue 1 , Pages 56-61 , July 2009