| Cost of morbidities in very low birth weight infants. | |
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MedLine Citation:
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PMID: 22910099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the association between direct costs for the initial neonatal intensive care unit hospitalization and 4 potentially preventable morbidities in a retrospective cohort of very low birth weight (VLBW) infants (birth weight <1500 g). STUDY DESIGN: The sample included 425 VLBW infants born alive between July 2005 and June 2009 at Rush University Medical Center. Morbidities included brain injury, necrotizing enterocolitis, bronchopulmonary dysplasia, and late-onset sepsis. Clinical and economic data were retrieved from the institution's system-wide data and cost accounting system. A general linear regression model was fit to determine incremental direct costs associated with each morbidity. RESULTS: After controlling for birth weight, gestational age, and sociodemographic characteristics, the presence of brain injury was associated with a $12048 (P = .005) increase in direct costs; necrotizing enterocolitis, with a $15 440 (P = .005) increase; bronchopulmonary dysplasia, with a $31565 (P < .001) increase; and late-onset sepsis, with a $10055 (P < .001) increase. The absolute number of morbidities was also associated with significantly higher costs. CONCLUSION: This study provides collective estimates of the direct costs incurred during neonatal intensive care unit hospitalization for these 4 morbidities in VLBW infants. The incremental costs associated with these morbidities are high, and these data can inform future studies evaluating interventions aimed at preventing or reducing these costly morbidities. |
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Authors:
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Tricia J Johnson; Aloka L Patel; Briana J Jegier; Janet L Engstrom; Paula P Meier |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2012-08-19 |
Journal Detail:
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Title: The Journal of pediatrics Volume: 162 ISSN: 1097-6833 ISO Abbreviation: J. Pediatr. Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-16 Completed Date: 2013-03-11 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 0375410 Medline TA: J Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 243-49.e1 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2013 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Health Systems Management, Rush University, Chicago, IL 60661, USA. tricia_j_johnson@rush.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cost of Illness Direct Service Costs* Female Humans Infant, Newborn Infant, Newborn, Diseases / economics*, therapy* Infant, Very Low Birth Weight* Intensive Care Units, Neonatal / economics* Male Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
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R01 NR010009/NR/NINR NIH HHS; R01 NR010009/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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