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The effect of maternal substance abuse on the cost of neonatal care.
Norton, E C; Zarkin, G A; Calingaert, B; Bradley, C J.
Afiliación
  • Norton EC; Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill 27599, USA.
Inquiry ; 33(3): 247-57, 1996.
Article en En | MEDLINE | ID: mdl-8883459
This study addresses the effect of maternal substance abuse on the cost of neonatal care in a sample of all singleton live births in Maryland in 1991. Most other cost studies have analyzed data from only one hospital; we analyzed data from 54 hospitals and therefore can control for individual hospital effects and correlation of observations within hospitals. We find that maternal drug abuse has a significant positive effect on total hospital charges, length of stay, and average daily charges, with the increase in length of stay being proportionally greater than the increase in average daily charges. Maternal alcohol abuse also has a positive effect on hospital charges and length of stay, but the effects are not statistically significant. About half the effect of drug abuse on total charges works indirectly through premature birth and other comorbidities.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Síndrome de Abstinencia Neonatal / Unidades de Cuidado Intensivo Neonatal / Precios de Hospital / Trastornos Relacionados con Sustancias Tipo de estudio: Clinical_trials / Diagnostic_studies / Health_economic_evaluation Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Inquiry Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Síndrome de Abstinencia Neonatal / Unidades de Cuidado Intensivo Neonatal / Precios de Hospital / Trastornos Relacionados con Sustancias Tipo de estudio: Clinical_trials / Diagnostic_studies / Health_economic_evaluation Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Inquiry Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos