دورية أكاديمية

Impact of an integrated mother-preterm infant intervention on birth hospitalization charges.

التفاصيل البيبلوغرافية
العنوان: Impact of an integrated mother-preterm infant intervention on birth hospitalization charges.
المؤلفون: Vonderheid SC; Department of Women Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA. vonde@uic.edu., Park CG; College of Nursing, University of Illinois at Chicago, Chicago, IL, USA., Rankin K; Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA., Norr KF; Department of Women Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA., White-Traut R; Department of Women Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.; Children's Hospital of Wisconsin, Milwaukee, WI, USA.
المصدر: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2020 Jun; Vol. 40 (6), pp. 858-866. Date of Electronic Publication: 2020 Jan 08.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5543 (Electronic) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : New York, NY : Nature Publishing Group
Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
مواضيع طبية MeSH: Infant, Premature* , Mothers*, Female ; Hospitalization ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Intensive Care Units, Neonatal
مستخلص: Objective: To examine whether the H-HOPE (Hospital to Home: Optimizing the Preterm Infant's Environment) intervention reduced birth hospitalization charges yielding net savings after adjusting for intervention costs.
Study Design: One hundred and twenty-one mother-preterm infant dyads randomized to H-HOPE or a control group had birth hospitalization data. Neonatal intensive care unit costs were based on billing charges. Linear regression, propensity scoring and regression analyses were used to describe charge differences.
Results: Mean H-HOPE charges were $10,185 lower than controls (p = 0.012). Propensity score matching showed the largest savings of $14,656 (p = 0.003) for H-HOPE infants, and quantile regression showed a savings of $13,222 at the 75th percentile (p = 0.015) for H-HOPE infants. Cost savings increased as hospital charges increased. The mean intervention cost was $680 per infant.
Conclusions: Lower birth hospitalization charges and the net cost savings of H-HOPE infants support implementation of H-HOPE as the standard of care for preterm infants.
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سلسلة جزيئية: ClinicalTrials.gov NCT02041923
تواريخ الأحداث: Date Created: 20200109 Date Completed: 20210831 Latest Revision: 20210831
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7253350
DOI: 10.1038/s41372-019-0567-7
PMID: 31913324
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5543
DOI:10.1038/s41372-019-0567-7