The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth
BackgroundNeonatal care for preterm babies is prolonged and expensive. Our aim was to analyze and report costs associated with common preterm diagnoses during NICU stay.MethodsWe analyzed data from the Ontario healthcare data service. Diagnoses were collated by discharge ICD codes, and categorized b...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-02-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1068367/full |
| _version_ | 1811170424022630400 |
|---|---|
| author | Asaph Rolnitsky Sharon Unger David Urbach Chaim M. Bell |
| author_facet | Asaph Rolnitsky Sharon Unger David Urbach Chaim M. Bell |
| author_sort | Asaph Rolnitsky |
| collection | DOAJ |
| description | BackgroundNeonatal care for preterm babies is prolonged and expensive. Our aim was to analyze and report costs associated with common preterm diagnoses during NICU stay.MethodsWe analyzed data from the Ontario healthcare data service. Diagnoses were collated by discharge ICD codes, and categorized by gestational age. We calculated typical non parametric statistics, and for each diagnosis we calculated median shifts and generalized linear mode.ResultsWe included data on 12,660 infants between 23 and 30 weeks gestation in 2005-2017. Calculated cost increment with diagnosis were: Intestinal obstruction: $94,738.08 (95%CI: $70,093.3, $117,294.2), Ventriculoperitoneal shunt: $86,456.60 (95%CI: $60,773.7, $111,552.2), Chronic Lung Disease $77,497.70 (95%CI: $74,937.2, $80,012.8), Intestinal perforation $57,997.15 (95%CI:$45,324.7, $70,652.6), Retinopathy of Prematurity: $55,761.80 (95%CI: $53,916.2, $57,620.1), Patent Ductus Arteriosus $53,453.70 (95%CI: $51,206.9, $55692.7, Post-haemorrhagic ventriculomegaly $41,822.50 (95%CI: $34,590.4, $48,872.4), Necrotizing Enterocolitis $39,785 (95%CI: $35,728.9, $43,879), Meningitis $38,871.85 (95%CI: $25,272.7, $52,224.4), Late onset sepsis $32,954.20 (95%CI: $30,403.7, 35.515), Feeding difficulties $24,820.90 (95%CI: $22,553.3, $27,064.7), Pneumonia $23,781.70 (95%CI: $18,623.8, $28,881.6), Grade >2 Intraventricular Haemorrhage $14,777.38 (95%CI: $9,821.7, $20,085.2). Adjusted generalized linear model of diagnoses as coefficients for cost confirmed significance and robustness of the model.ConclusionCost of care for preterm infant is expensive, and significantly increases with prematurity complication. Interventions to reduce those complications may enable resource allocation and better understanding of the needs of the neonatal health services. |
| first_indexed | 2024-04-10T16:56:36Z |
| format | Article |
| id | doaj.art-9eee599daf604281bd240ff9e1fa30da |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-10T16:56:36Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-9eee599daf604281bd240ff9e1fa30da2023-02-07T06:35:50ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-02-011110.3389/fped.2023.10683671068367The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birthAsaph Rolnitsky0Sharon Unger1David Urbach2Chaim M. Bell3Department of Paediatrics, University of Toronto, Toronto, ON, CanadaDepartment of Paediatrics, University of Toronto, Toronto, ON, CanadaDepartment of Surgery, University of Toronto, Toronto, ON, CanadaDepartment of Medicine, University of Toronto, Toronto, ON, CanadaBackgroundNeonatal care for preterm babies is prolonged and expensive. Our aim was to analyze and report costs associated with common preterm diagnoses during NICU stay.MethodsWe analyzed data from the Ontario healthcare data service. Diagnoses were collated by discharge ICD codes, and categorized by gestational age. We calculated typical non parametric statistics, and for each diagnosis we calculated median shifts and generalized linear mode.ResultsWe included data on 12,660 infants between 23 and 30 weeks gestation in 2005-2017. Calculated cost increment with diagnosis were: Intestinal obstruction: $94,738.08 (95%CI: $70,093.3, $117,294.2), Ventriculoperitoneal shunt: $86,456.60 (95%CI: $60,773.7, $111,552.2), Chronic Lung Disease $77,497.70 (95%CI: $74,937.2, $80,012.8), Intestinal perforation $57,997.15 (95%CI:$45,324.7, $70,652.6), Retinopathy of Prematurity: $55,761.80 (95%CI: $53,916.2, $57,620.1), Patent Ductus Arteriosus $53,453.70 (95%CI: $51,206.9, $55692.7, Post-haemorrhagic ventriculomegaly $41,822.50 (95%CI: $34,590.4, $48,872.4), Necrotizing Enterocolitis $39,785 (95%CI: $35,728.9, $43,879), Meningitis $38,871.85 (95%CI: $25,272.7, $52,224.4), Late onset sepsis $32,954.20 (95%CI: $30,403.7, 35.515), Feeding difficulties $24,820.90 (95%CI: $22,553.3, $27,064.7), Pneumonia $23,781.70 (95%CI: $18,623.8, $28,881.6), Grade >2 Intraventricular Haemorrhage $14,777.38 (95%CI: $9,821.7, $20,085.2). Adjusted generalized linear model of diagnoses as coefficients for cost confirmed significance and robustness of the model.ConclusionCost of care for preterm infant is expensive, and significantly increases with prematurity complication. Interventions to reduce those complications may enable resource allocation and better understanding of the needs of the neonatal health services.https://www.frontiersin.org/articles/10.3389/fped.2023.1068367/fullneonatologycosthealthcare servicesprematurityNICU |
| spellingShingle | Asaph Rolnitsky Sharon Unger David Urbach Chaim M. Bell The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth Frontiers in Pediatrics neonatology cost healthcare services prematurity NICU |
| title | The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth |
| title_full | The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth |
| title_fullStr | The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth |
| title_full_unstemmed | The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth |
| title_short | The price of neonatal intensive care outcomes – in-hospital costs of morbidities related to preterm birth |
| title_sort | price of neonatal intensive care outcomes in hospital costs of morbidities related to preterm birth |
| topic | neonatology cost healthcare services prematurity NICU |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1068367/full |
| work_keys_str_mv | AT asaphrolnitsky thepriceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT sharonunger thepriceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT davidurbach thepriceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT chaimmbell thepriceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT asaphrolnitsky priceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT sharonunger priceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT davidurbach priceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth AT chaimmbell priceofneonatalintensivecareoutcomesinhospitalcostsofmorbiditiesrelatedtopretermbirth |