Cost-Effectiveness Analysis of Malaysian Neonatal Intensive Care Units
| Autor: | Irene Guat Sim Cheah, Anna Padma Soosai, Teck Onn Lim, Swee Lan Wong |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Pediatrics
medicine.medical_specialty Cost-Benefit Analysis Birth weight Gestational Age Observation Direct Service Costs Intensive care medicine Humans Infant Very Low Birth Weight Retrospective Studies business.industry Infant Newborn Malaysia Obstetrics and Gynecology Cost-effectiveness analysis Length of Stay Confidence interval Survival Rate Treatment Outcome Pediatrics Perinatology and Child Health Inclusion and exclusion criteria Intensive Care Neonatal Gestation Observational study business Developed country |
| Zdroj: | Journal of Perinatology. 25:47-53 |
| ISSN: | 1476-5543 0743-8346 |
| Popis: | To perform a cost-effective analysis on the care of infants between 1000 and 1500 g birthweight (the study group), where outcomes are measured as survival to 1 year of age.This was a multicenter observational study to determine the outcome, cost and cost-effectiveness of neonatal intensive care provided by Ministry of Health (MOH) Pediatric services. A total of 333 patients enrolled were eligible for analysis according to the inclusion and exclusion criteria of this study.Overall survival probability of the study group infants at 1 year of age was 78%. Survival at 1-year of age was 77% for infants with birth weight 1000 to 1249 g, 79% for 1250 to 1499 g. Survival at 1 year of age for the sample group was 53% for 22 to 27 weeks gestation, 80% for 28 to 36 weeks. The average cost-effectiveness ratio (CER) of neonatal intensive care for the study group infants was US$3979 [corrected] per survivor at 1 year of age (95% confidence interval US$3411, 5160).There was variability in the outcome and cost-effectiveness between the neonatal units, which need to be further assessed. However, neonatal intensive care services provided for the study group infants were cost-effective compared to that in developed countries. |
| Databáze: | OpenAIRE |
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