Outcomes and resource utilization for newborns with major congenital malformations: The initial nicu admission

被引:7
作者
Lindower J.B. [1 ]
Atherton H.D. [2 ]
Kotagal U.R. [1 ,2 ,3 ]
机构
[1] Divisions of Neonatology, Children’s Hospital Medical Center and University of Cincinnati Medical Center, Cincinnati, OH
[2] Health Policy and Clinical Effectiveness, Children’s Hospital Medical Center and University of Cincinnati Medical Center, Cincinnati, OH
[3] Institute for Health Policy and Health Services Research, Children’s Hospital Medical Center and University of Cincinnati Medical Center, Cincinnati, OH
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D O I
10.1038/sj.jp.7200142
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摘要
HYPOTHESIS:Newborns with major congenital malformations (MCM) have contributed to a significant proportion of resource utilization in a regional referral neonatal intensive care unit (NICU).SETTING:The Children’s Hospital Medical Center NICU, Cincinnati, OH.SUBJECTS:Newborns with and without MCM admitted from August 1, 1993 through July 31, 1994. Total patients studied were 572; 147 with and 385 without MCM. No intervention was performed in this observational study.STATISTICS:Statistics were t test, chi-squared, and rank sum analysis.RESULTS:MCM accounted for 27.6% of NICU referrals, 32.4% of total NICU days, and 39.6% of NICU costs. Both median cost per patient and length of stay were significantly (p < 0.01) higher for patients with MCM than those without MCM. Surgery was more frequent in MCM than non-MCM cases. Thirty-three percent of the newborns with MCM received ongoing medical support at discharge.CONCLUSION:Patients with MCM remain as one of the largest and costliest groups hospitalized in a referral NICU. © 1999 Stockton Press. All rights reserved.
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页码:212 / 215
页数:3
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