Medical expenditures attributable to cerebral palsy and intellectual disability among Medicaid-enrolled children

Kancherla, Vijaya; Amendah, Djesika D.; Grosse, Scott D.; Yeargin‐Allsopp, Marshalyn; Braun, Kim Van Naarden

doi:10.1016/j.ridd.2011.12.001

Cited by 90 publications

(73 citation statements)

References 24 publications

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“…29 A BSI episode in very low birth weight (<1500 g) infants has direct costs closer to $10,000. 30 Overall costs can be expected to be even greater for infections occurring in infants because of the costs associated with long-term complications such as chronic lung disease 31,32 and neurodevelopmental impairment 33-35 The 10-fold decrease in annual BSI incidence seen in our NICU would be expected to be associated with significant cost savings.…”

Section: Discussionmentioning

confidence: 99%

Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit

Neill

Haithcock

Smith

et al. 2016

Advances in Neonatal Care

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Purpose Reduction of bloodstream infections (BSI) has emerged as an important patient safety goal. Implementation of central line insertion bundles, standardized line care protocols, and health care provider education programs have reduced BSI in neonatal intensive care units (NICUs) around the country. The ability of large tertiary care centers to decrease nosocomial infections, including BSI, has been demonstrated. However, long-term BSI reductions in infants are not well documented. We sought to demonstrate that a low incidence of BSI can be maintained over time in a tertiary care NICU. Subjects 6,790 infants admitted to a large, tertiary care NICU between 2005 and 2013. Design Retrospective intervention study. Methods A staged, multifaceted infection prevention plan was implemented beginning in October 2007 under nursing leadership. The incidence of BSI was determined annually for 2005-2013. Results Baseline BSI incidence for infants admitted to the NICU was 5.15 and 6.08 episodes per 1,000 infant-days in 2005 and 2006, respectively. After protocol implementation, the incidence of BSI decreased to 2.14/1,000 infant-days and 2.44/1,000 infant-days in 2008 and 2009, respectively. Yearly incidence remained low over the next 4 years and decreased even further to 0.20-0.45 infections/1,000 infant days. This represents a 92% decrease in BSI over a period of >5 years. Conclusions Implementation of a nursing-led comprehensive infection control initiative can effectively produce and maintain a reduction in the incidence of BSI in infants at a large tertiary care NICU. What this study adds Long term reductions in neonatal BSI are possible with implementation of a multidisciplinary team approach and strong nursing leadership.

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Section: Discussionmentioning

confidence: 99%

Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit

Neill

Haithcock

Smith

et al. 2016

Advances in Neonatal Care

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“…Given the increasing survival of preterm neonates, cerebral palsy has ongoing and escalating medical and economical consequences. 1,2,4,5 In 2008, Rouse et al 6 found that antenatal magnesium sulfate exposure to women at risk for preterm delivery reduced the risk of cerebral palsy in surviving children. The authors did not, however, assess the optimal magnesium sulfate infusion duration required to reduce the risk of cerebral palsy.…”

Section: Discussionmentioning

confidence: 99%

Association of Duration of Neuroprotective Magnesium Sulfate Infusion With Neonatal and Maternal Outcomes

McPherson

Rouse

Grobman

et al. 2014

Obstetrics &Amp; Gynecology

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“…Provision of optimal care for patients with CP necessitates the care of multiple specialists, which, if not well coordinated, can result in treatment duplication, errors, increased costs, and decreased family satisfaction . Children with severe CP are high utilizers of hospital resources, because they are often medically fragile, and the costs of this care are frequently very high . Care coordination for children with special needs has been shown to reduce healthcare expenditures, reduce gaps in care, and increase satisfaction …”

mentioning

confidence: 99%

‘Learn From Every Patient’: implementation and early results of a learning health system

Lowes

Noritz

Newmeyer

et al. 2016

Develop Med Child Neuro

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Medical expenditures attributable to cerebral palsy and intellectual disability among Medicaid-enrolled children

Cited by 90 publications

References 24 publications

Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit

Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit

Association of Duration of Neuroprotective Magnesium Sulfate Infusion With Neonatal and Maternal Outcomes

‘Learn From Every Patient’: implementation and early results of a learning health system

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