Costs and outcomes in a regional neonatal intensive care unit.

Newns, B; Drummond, MichaelF; Durbin, G M; Culley, Phyllis

doi:10.1136/adc.59.11.1064

Cited by 48 publications

(9 citation statements)

References 1 publication

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“…Over 7.2 per cent of all babies born in 1986 were of low birthweight. A study from Birmingham, England, shows that the smaller the baby the higher is the cost of special or intensive care, which ranged from an average of £2,500 per baby weighing over 1,500 g to £10,000 per baby weighing under 1,000 g, with an average cost of around £5,500 per baby (Newns et al, 1984). Costs in some centres are somewhat lower and vary with management policy (Sandhu et al, 1986).…”

Section: The Size Of the Problemmentioning

confidence: 98%

Magnesium and Other Nutrient Deficiencies as Possible Causes of Hypertension and Low Birthweight

Wynn¹,

Wynn²

1988

Nutr Health

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7.2 per cent of babies born in England and Wales in 1986 had birthweights below 2,500 g. Low birthweight and hypertension are associated. European trials have reported that oral supplementation with physiological amounts of magnesium during pregnancy reduces pregnancy hypertension and also miscarriage, preterm birth and fetal growth retardation. Magnesium deficiency causes hypertension and low birthweight in animals. In humans deficiency of thiamin and other B vitamins has also been reported to cause pregnancy hypertension and low birthweight. Magnesium and B vitamins are essential for the same biochemical reactions in energy metabolism. There is evidence that magnesium consumption of substantial numbers of women in Europe and North America is too low to support a healthy pregnancy. Magnesium and thiamin are lost in processing many foods. British trials of magnesium supplementation are advocated. It is suggested that more attention should be given to magnesium in nutritional advice.

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Section: The Size Of the Problemmentioning

confidence: 98%

Magnesium and Other Nutrient Deficiencies as Possible Causes of Hypertension and Low Birthweight

Wynn¹,

Wynn²

1988

Nutr Health

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“…The cost per survivor would be reduced by up to 16% even if the drug cost were to be as high as £550/baby. If the policies were to be adopted only for babies under 31 weeks' gestation, both policies would result in a reduction in cost of between 5 and 16%/survivor, although the increased survival resulting from the policies would lead to an increase in overall costs for babies of less then 31 weeks' gestation of between 7 Although neonatal intensive care is more cost effective than many other widely accepted components of health care,' it is one of the most costly parts of the perinatal health services. The costs of caring for babies who require artificial ventilation are particularly high,3 '3 and a high proportion of these babies have respiratory distress syndrome.…”

Section: Introductionmentioning

confidence: 99%

Cost implications of different approaches to the prevention of respiratory distress syndrome.

Mugford¹,

Piercy²,

Chalmers³

1991

Archives of Disease in Childhood

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The cost per survivor would be reduced by up to 16% even if the drug cost were to be as high as £550/baby. If the policies were to be adopted only for babies under 31 weeks' gestation, both policies would result in a reduction in cost of between 5 and 16%/survivor, although the increased survival resulting from the policies would lead to an increase in overall costs for babies of less then 31 weeks' gestation of between 7 and 32%.

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“…Narang et al found the total admission cost for preterm infants less than 1000g was 4 times more than those weighing 1250g-1500g (17). The cost of neonatal care for infants below 1000 g was found to be 75% higher compared to those between 1000g to 1499g and more than four times higher than those weighing 1500g and more (3, 21). These findings relate to this study where the total cost of intensive care per infant for extreme preterm (mean birth weight 0.92kg) was more than one and a half times higher than very preterm group (mean birth weight 1.26kg), two and a half times higher than moderate preterm (mean birth weight 1.69kg) and five times higher than late preterm (mean birth weight 2.08kg).…”

Section: Discussionmentioning

confidence: 86%

“…Narang et al found the total admission cost for preterm infants less than 1000g was 4 times more than those weighing 1250g-1500g (17). Cost of neonatal care for infants below 1000 g was found to be 75% higher compared to those between 1000g to 1499g and more than four times higher than those weighing 1500g and more (3, 21). In summary increasing prematurity either by gestational age or birth weight is associated with exponential increase in hospital cost (9).…”

Section: Discussionmentioning

confidence: 87%

Cost of preterm birth during initial hospitalization: A care provider’s perspective

Zainal

Dahlui

Soelar

et al. 2019

Preprint

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14Preterm birth incidence has risen globally and remains a major cause of neonatal mortality despite 15 improved survival. The demand and cost of initial hospitalization has also increased. This study 16 assessed care provider cost in neonatal intensive care units of two hospitals in the state of Kedah, 17 Malaysia. It utilized universal sampling and prospectively followed up preterm infants till discharge. 18 Care provider cost was assessed using mixed method of top down approach and activity based 19 costing. A total of 112 preterm infants were recruited from intensive care (93 infants) and minimal 20 care (19 infants). Majority were from the moderate (23%) and late (36%) preterm groups followed 21 by very preterm (32%) and extreme preterm (9%). Mean total cost per infant increased with level of 22 care and degree of prematurity from MYR 2,751 (MYR 374 -MYR 10,103) for preterm minimal care, 23 MYR 8,478 (MYR 817 -MYR 47,354) for late preterm intensive care to MYR 41,598 (MYR 25,351-24 MYR 58,828) for extreme preterm intensive care. Mean cost per infant per day increased from MYR 25 401 (MYR 363-MYR 534), MYR 444 (MYR 354 -MYR 916) to MYR 532 (MYR 443-MYR 939) 26 respectively. Cost was dominated by overhead (fixed) costs for general (hospital), intermediate 27 (clinical support services) and final (NICU) cost centers where it constituted at least three quarters of 157 MYR 2,518 (MYR 362-MYR 9,406) in minimal care to MYR 31,527 (MYR 12,710-MYR 47,268) in 158 extreme preterm intensive care. Breakdown of overhead cost revealed NICU specific overhead as 159 the overwhelming contributor in all categories (69% -89%). Mean total consumables cost per infant 160 ranged from MYR 232 (MYR 12-MYR 697) in minimal care to MYR 10,071 (MYR 7,428-MYR 13,441) 161 in extreme preterm intensive care.

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Costs and outcomes in a regional neonatal intensive care unit.

Cited by 48 publications

References 1 publication

Magnesium and Other Nutrient Deficiencies as Possible Causes of Hypertension and Low Birthweight

Magnesium and Other Nutrient Deficiencies as Possible Causes of Hypertension and Low Birthweight

Cost implications of different approaches to the prevention of respiratory distress syndrome.

Cost of preterm birth during initial hospitalization: A care provider’s perspective

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