Document 0684
 DOCN  M94A0684
 TI    Health care and costs of children with vertically acquired HIV infection
       in Australia.
 DT    9412
 AU    Langdon P; Carlin JE; Ziegler J; Social Work Dept, Princess Margaret
       Hospital, Perth.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:40 (abstract no. TE5).
       Unique Identifier : AIDSLINE ASHM5/94348971
 AB    OBJECTIVES: To estimate lifetime costs of children with vertically
       acquired HIV infection and gather qualitative data on the clinical
       spectrum of disease and patterns of care of these children. METHODS: 33
       of 38 eligible children were studied from 10 medical centres in 4 states
       and 1 territory. Study group included: children who had died from AIDS
       (n = 7), children living with a diagnosis of HIV/AIDS (n = 13), infants
       with a seronegative diagnosis, i.e. seroreverters (n = 13). Data from
       medical records included number and length of hospital admissions, days
       in ICU, number of outpatient/daypatient visits investigations and
       procedures, medications. Parents of children living with HIV were
       interviewed for further details on GP visits, allied health services,
       household support. RESULTS: Level of care and costs depended primarily
       on when HIV risk was ascertained, timing of onset of symptoms (bimodal
       pattern with some children developing early systemic disease but 3
       others remaining well for 5-10 years), and parents' health (for 8
       children, one or both parents had died; 5 were in foster care). Patterns
       of care were similar across centres.
 DE    Australia  Child  Child Health Services/*ECONOMICS  Child, Preschool
       Costs and Cost Analysis  Health Services Needs and Demand/ECONOMICS
       Human  HIV Infections/*ECONOMICS/MORTALITY/TRANSMISSION  Infant  Infant,
       Newborn  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).