Imperial College London
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DrKrystalLau

Business School

Visiting Researcher
 
 
 
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Contact

 

k.lau15 CV

 
 
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Location

 

349ACE ExtensionSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Miraldo:2019:10.1002/hec.3834,
author = {Miraldo, M and Lau, K and Hauck, K},
doi = {10.1002/hec.3834},
journal = {Health Economics},
pages = {175--188},
title = {Excess influenza hospital admissions and costs due to the 2009 H1N1 pandemic in England},
url = {http://dx.doi.org/10.1002/hec.3834},
volume = {28},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Influenza pandemics considerably burden affected health systems due to surges in inpatient admissions and associated costs. Previous studies underestimate or overestimate 2009/2010 influenza A/H1N1 pandemic hospital admissions and costs. We robustly estimate overall and agespecific weekly H1N1 admissions and costs between June 2009 and March 2011 across 170 English hospitals. We calculate H1N1 admissions and costs as the difference between our administrative data of all influenzalikeillness patients (seasonal and pandemic alike) and a counterfactual of expected weekly seasonal influenza admissions and costs established using timeseries models on prepandemic (2004–2008) data.We find two waves of H1N1 admissions: one pandemic wave (June 2009–March 2010) with 10,348 admissions costing £20.5 million and one postpandemic wave (November 2010–March 2011) with 11,775 admissions costing £24.8 million. Patients aged 0–4 years old have the highest H1N1 admission rate, and 25 to 44 and 65+yearolds have the highest costs. Our estimates are up to 4.3 times higher than previous reports, suggesting that the pandemic's burden on hospitals was formerly underassessed. Our findings can help hospitals manage unexpected surges in admissions and resource use due to pandemics.
AU  - Miraldo,M
AU  - Lau,K
AU  - Hauck,K
DO  - 10.1002/hec.3834
EP  - 188
PY  - 2019///
SN  - 1057-9230
SP  - 175
TI  - Excess influenza hospital admissions and costs due to the 2009 H1N1 pandemic in England
T2  - Health Economics
UR  - http://dx.doi.org/10.1002/hec.3834
UR  - http://hdl.handle.net/10044/1/64100
VL  - 28
ER  -
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