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Variations in Site-Specific Costs for Infants Born Extremely Preterm in Canadian Neonatal Intensive Care Units.
Yeung, Telford; Ahmed, Asma; Wong, Jonathan; Toye, Jennifer; Abou Mehrem, Ayman; Mukerji, Amit; Lapointe, Anie; Ng, Eugene; Beltempo, Marc; Pechlivanoglou, Petros; Lee, Shoo; Shah, Prakesh S.
Afiliación
  • Yeung T; Department of Pediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada; Section of Neonatology, Windsor Regional Hospital Metropolitan Campus, Windsor, Ontario, Canada.
  • Ahmed A; Hospital for Sick Children, Toronto, Ontario, Canada.
  • Wong J; BC Children's Hospital, Vancouver, British Columbia, Canada.
  • Toye J; Stollery Children's Hospital, Edmonton, Alberta, Canada.
  • Abou Mehrem A; Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
  • Mukerji A; McMaster Children's Hospital, Hamilton, Ontario, Canada.
  • Lapointe A; Hospital Saint Justine, Montreal, Quebec, Canada.
  • Ng E; Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
  • Beltempo M; Montreal Children's Hospital, Montreal, Quebec, Canada.
  • Pechlivanoglou P; Hospital for Sick Children, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada.
  • Lee S; Department of Pediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Mother-Infant Care Research Center, Toronto, Ontario, Canada.
  • Shah PS; Department of Pediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada; Mother-Infant Care Research Center, Toronto, Ontario, Canada. Electroni
J Pediatr ; 266: 113863, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38096975
ABSTRACT

OBJECTIVE:

To quantify site-specific costs and their association with survival without major morbidity (SWMM) in Canada for neonates <28 weeks of gestation admitted to large tertiary neonatal intensive care units.

METHODS:

We conducted a retrospective analysis of infants born at <28 weeks of gestation and admitted to Canadian Neonatal Network sites from 2010 through 2021. Sites that cared for at least 50 eligible infants by gestational age in weeks over the study period were included. Using a validated costing algorithm that assessed physician, nursing, respiratory therapy, diagnostic imaging, transfusions, procedural, medication, and certain indirect costs, we calculated site and resource-specific costs in 2017 Canadian dollars (CAD) and evaluated their relationship with SWMM.

RESULTS:

Seven sites with 8180 (range 841-1605) eligible neonates with a mean (SD) gestation of 25.4 [1.3] weeks were included. Survival to discharge or transfer was 85.3% with a mean (SD) length of stay of 75 (46) days. The mean (SD) total and daily costs per neonate varied between $94 992 ($60 283) and $174 438 ($130 501) CAD and $1833 ($916) to $2307 ($1281) CAD, respectively. Between sites, there was no relationship between costs and SWMM.

CONCLUSIONS:

There was marked variation in costs and SWMM between sites in Canada with universal health care. The lack of concordance between both outcomes and costs among sites may provide possibilities for outcomes improvement and cost containment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Recien Nacido Extremadamente Prematuro Límite: Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Recien Nacido Extremadamente Prematuro Límite: Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos