ArticleInfection control and hospital epidemiology2014
Are well-child visits a risk factor for subsequent influenza-like illness visits?
Article in Infection control and hospital epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 25 citations in OpenAlex.
- Comparison of As-Needed and Scheduled Posthospitalization Follow-up for Children Hospitalized for Bronchiolitis: The Bronchiolitis Follow-up Intervention Trial (BeneFIT) Randomized Clinical Trial.JAMA pediatrics · 2020Trial
- Avoidable visits to the paediatric emergency department: associated factors and lessons learned from the pandemic.BMC pediatrics · 2025Article
- Quality of life burden on United States infants and caregivers due to lower respiratory tract infection and adjusting for selective testing: Pilot prospective observational study.Health science reports · 2023Article
- Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States.Health affairs (Project Hope) · 2021Article
- Outcomes of Follow-up Visits After Bronchiolitis Hospitalizations.JAMA pediatrics · 2018Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine whether well-child visits are a risk factor for subsequent influenza-like illness (ILI) visits within a child's family.
designRetrospective cohort.
methodsUsing data from the Medical Expenditure Panel Survey from the years 1996-2008, we identified 84,595 families. For each family, we determined those weeks in which a well-child visit or an ILI visit occurred. We identified 23,776 well-child-visit weeks and 97,250 ILI-visit weeks. We fitted a logistic regression model, where the binary dependent variable indicated an ILI clinic visit in a particular week. Independent variables included binary indicators to denote a well-child visit in the concurrent week or one of the previous 2 weeks, the occurrence of the ILI visit during the influenza season, and the presence of children in the family in each of the age groups 0-3, 4-7, and 8-17 years. Socioeconomic variables were also included. We also estimated the overall cost of well-child-exam-related ILI using data from 2008.
resultsWe found that an ILI office visit by a family member was positively associated with a well-child visit in the same or one of the previous 2 weeks (odds ratio, 1.54). This additional risk translates to potentially 778,974 excess cases of ILI per year in the United States, with a cost of $500 million annually.
conclusionsOur results should encourage ambulatory clinics to strictly enforce infection control recommendations. In addition, clinics could consider time-shifting of well-child visits so as not to coincide with the peak of the influenza season.
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