Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants
| Autor: | Douglas L. Leslie, Chintan Gandhi, Mahoussi Aholoukpe, Eric W. Schaefer, Rebecca R. Speer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry lcsh:RJ1-570 preterm birth lcsh:Pediatrics late preterm newborns term newborns Readmission rate Article resource utilization length of stay Claims data Pediatrics Perinatology and Child Health Emergency medicine readmission cost Late preterm medicine Retrospective analysis Private insurance Quality of care business birth hospitalization cost Resource utilization health care economics and organizations |
| Zdroj: | Children Volume 8 Issue 2 Children, Vol 8, Iss 127, p 127 (2021) |
| ISSN: | 2227-9067 |
| DOI: | 10.3390/children8020127 |
| Popis: | Background: The objective is to study previously unexplored trends of birth hospitalization and readmission costs for late preterm infants (LPIs) in the United States between 2005 and 2016. Methods: We conducted a retrospective analysis of claims data to study healthcare costs of birth hospitalization and readmissions for LPIs compared to term infants (TIs) using a large private insurance database. We used a generalized linear regression model to study birth hospitalization and readmission costs. Results: A total of 2,123,143 infants were examined (93.2% TIs 6.8% LPIs). The proportion of LPIs requiring readmission was 4.2% compared to 2.1% of TIs, (p < 0.001). The readmission rate for TIs decreased during the study period. LPIs had a higher mean cost of birth hospitalization (25,700 vs. 3300 USD p < 0.001) and readmissions (25,800 vs. 14,300 USD 0.001). For LPIs, birth hospitalization costs increased from 2007 to 2013, and decreased since 2014. Conversely, birth hospitalization costs of TIs steadily increased since 2005. The West region showed higher birth hospitalization costs for LPIs. Conclusions: LPIs continue to have a higher cost of birth hospitalization and readmission compared to TIs, but these costs have decreased since 2014. Standardization of birth hospitalization care for LPIs may reduce costs and improve quality of care and outcomes. |
| Databáze: | OpenAIRE |
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