| How low birthweight and gestational age contribute to increased inpatient costs for multiple births. | |
| | |
MedLine Citation:
|
PMID: 9472231 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The dramatic rise in the number of multiple gestation births has led to concerns about heavy resource use by these newborns and the design of cost-effective interventions. This study uses medical records data to compare single and multiple births in terms of hospital charges by cost center, length of stay, neonatal intensive care unit (NICU) days, and discharge status. Potential mediators examined were gestational age and birthweight. These factors, respectively, accounted for 50% and 40% of the increase in total charges due to multiple gestation. The remaining "direct effect" was due primarily to longer hospital stays among twins and higher daily charges among higher-order multiples. Room and board charges were higher for multiples, while charges in other categories were actually lower, after controlling for birthweight and gestational age. Birthweight and gestational age accounted fully for the increased use of NICU services among multiples. These results show that while prevention of multiple gestation, where possible, is of paramount importance, strategies that decrease preterm delivery and/or increase birthweight should attenuate the adverse economic impact of multiple gestation pregnancies. |
| | |
Authors:
|
S L Ettner; C L Christiansen; T L Callahan; J E Hall |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Inquiry : a journal of medical care organization, provision and financing Volume: 34 ISSN: 0046-9580 ISO Abbreviation: Inquiry Publication Date: 1997-1998 Winter |
Date Detail:
|
Created Date: 1998-03-11 Completed Date: 1998-03-11 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0171671 Medline TA: Inquiry Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 325-39 Citation Subset: IM |
Affiliation:
|
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Boston Female Gestational Age* Health Services Research Hospital Charges Hospital Costs / statistics & numerical data* Hospitals, Maternity / economics Humans Infant Mortality Infant, Low Birth Weight* Infant, Newborn Intensive Care Units, Neonatal / economics*, utilization Male Maternal Age Multiple Birth Offspring* / statistics & numerical data Pregnancy Pregnancy, High-Risk |
| Grant Support | |
ID/Acronym/Agency:
|
HS07118-01/HS/AHRQ HHS; U54-HD-29164/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The demand for Medicare supplemental insurance benefits: the role of attitudes toward medical care a...
Next Document: Dynamic cost shifting in hospitals: evidence from the 1980s and 1990s.