Preterm birth in Sweden: What are the average lengths of hospital stay and the associated inpatient costs?

Ringborg, Anna; Berg, Jenny; Norman, Mikael; Westgren, Magnus; Jönsson, Bengt

doi:10.1080/08035250600778636

Cited by 40 publications

(48 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,7,9,13,[17][18][19][20][21][22][23][24][25] None of the latter studies estimated the economic costs of LMPT birth from a societal perspective, however, with 11 studies limited to an estimation of hospital costs, 5,7,9,13,[19][20][21][22][23][24][25] and with two limited to an estimation of health and social services or public sector costs. 17,18 Moreover, these economic studies were either based on patient cohorts, recruited over a decade ago, 5,7,9,13,17,[19][20][21][22][23][24] or hypothetical cohorts simulated within models. 18, 25 The aim of this study was to estimate the economic costs during the first 2 years of life associated with LMPT birth in the context of a recent prospective population-based study.…”

Section: Introductionmentioning

confidence: 99%

“…6 A recent structured review summarising published evidence on the economic consequences of LMPT birth, 6 found that ten studies, published between 1980 and 2011, focused on economic costs during the infant's initial hospitalisation, [7][8][9][10][11][12][13][14][15][16] whereas 13 studies reported economic costs in some form following the infant's initial hospitalisation. 5,7,9,13,[17][18][19][20][21][22][23][24][25] None of the latter studies estimated the economic costs of LMPT birth from a societal perspective, however, with 11 studies limited to an estimation of hospital costs, 5,7,9,13,[19][20][21][22][23][24][25] and with two limited to an estimation of health and social services or public sector costs. 17,18 Moreover, these economic studies were either based on patient cohorts, recruited over a decade ago, 5,7,9,13,17,[19][20][21]<...>…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Economic costs associated with moderate and late preterm birth: a prospective population‐based study

Khan

Petrou

Dritsaki

et al. 2015

BJOG

View full text Add to dashboard Cite

Objective We sought to determine the economic costs associated with moderate and late preterm birth.Design An economic study was nested within a prospective cohort study.Sample Infants born between 32 +0 and 36 +6 weeks of gestation in the East Midlands of England. A sample of infants born at ≥37 weeks of gestation acted as controls.Methods Data on resource use, estimated from a National Health Service (NHS) and personal social services perspective, and separately from a societal perspective, were collected between birth and 24 months corrected age (or death), and valued in pounds sterling, at 2010-11 prices. Descriptive statistics and multivariable analyses were used to estimate the relationship between gestational age at birth and economic costs.Main outcome measures Cumulative resource use and economic costs over the first two years of life.Results Of all eligible births, 1146 (83%) preterm and 1258 (79%) term infants were recruited. Mean (standard error) total societal costs from birth to 24 months were £12 037 (£1114) and £5823 (£1232) for children born moderately preterm (32 +0-33 +6 weeks of gestation) and late preterm (34 +0 -36 +6 weeks of gestation), respectively, compared with £2056 (£132) for children born at term. The mean societal cost difference between moderate and late preterm and term infants was £4657 (bootstrap 95% confidence interval, 95% CI £2513-6803; P < 0.001). Multivariable regressions revealed that, after controlling for clinical and sociodemographic characteristics, moderate and late preterm birth increased societal costs by £7583 (£874) and £1963 (£337), respectively, compared with birth at full term.Conclusions Moderate and late preterm birth is associated with significantly increased economic costs over the first 2 years of life. Our economic estimates can be used to inform budgetary and service planning by clinical decision-makers, and economic evaluations of interventions aimed at preventing moderate and late preterm birth or alleviating its adverse consequences.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Economic costs associated with moderate and late preterm birth: a prospective population‐based study

Khan

Petrou

Dritsaki

et al. 2015

BJOG

View full text Add to dashboard Cite

show abstract

“…[9][10][11][12][13][14][15][16][17][18] While most studies used population data some focused on admissions four to six weeks after discharge, 12,15,18 used inaccurate measures of gestational age 10,11,14,18 or had a large proportion of missing data. 9-11, 14, 16 We aimed to identify health care utilization and associated costs of infants with and without severe neonatal morbidity in the first year of life.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Costs of Hospital Admissions in First Year of Life: A Population-Based Study

Lain

Nassar

Bowen

et al. 2013

The Journal of Pediatrics

View full text Add to dashboard Cite

Objective: Identify health care utilization and associated costs of infants with and without severe neonatal morbidity in the first year of life.Methods: Data from the Perinatal Data Collection for all 601,455 live born infants born in NSW, Australia, 2001Australia, -2007 were linked to hospital admission data. Logistic regression models were used to investigate the association between severe neonatal morbidity and readmission to hospital once, and more than once in the first year; and average costs were calculated for infants with and without serious neonatal morbidity up to one year. Neonatal morbidity was assessed using a validated composite outcome indicator. Results:Four per cent of infants suffered neonatal morbidity, 14.6% were readmitted to hospital once and 4.6% were had multiple readmissions. Gestational age (GA) was the strongest predictor of infants readmitted to hospital once while severe neonatal morbidity was the strongest predictor of multiple admissions (aOR 2.49; 95% CI 2.36-2.62). Infants with severe neonatal morbidity cost, on average $30,238 in the first year compared to $3,307, the cost per year of infants without neonatal morbidity.The mean annual cost decreased on average 10% and 25% each increasing week of GA for infants with and without neonatal morbidity respectively. This cost decrease continued until 39 weeks where average costs plateaued. Conclusions:Infants born with severe neonatal morbidity have increased hospitalizations and costs in the first year of life; and hospitalizations increased with decreasing GA, even for infants born at 37-38 weeks.

show abstract

“…2013( , Curtis 2013. Empirical distributions on resource use from national estimates (Department of Health NHS Reference Costs 2013) and the existing literature (Ringborg, Berg et al 2006, Eddama, Petrou et al 2010 indicate that length of stay for the study population would not exceed one year. As a result, no discounting of hospital costs and clinical outcomes will be undertaken for the within-trial economic component.…”

Section: Nhs Reference Costs (Department Of Health Nhs Reference Costmentioning

confidence: 99%

A randomised trial in women with a twin pregnancy, using the Arabin pessary to prevent preterm birth – STOPPIT-2

Norman¹

2014

http://isrctn.com/

View full text Add to dashboard Cite

Preterm birth in Sweden: What are the average lengths of hospital stay and the associated inpatient costs?

Abstract: The estimated lengths of stay and costs may serve as reference values for a Swedish setting.

Cited by 40 publications

References 17 publications

Economic costs associated with moderate and late preterm birth: a prospective population‐based study

Economic costs associated with moderate and late preterm birth: a prospective population‐based study

Risk Factors and Costs of Hospital Admissions in First Year of Life: A Population-Based Study

A randomised trial in women with a twin pregnancy, using the Arabin pessary to prevent preterm birth – STOPPIT-2

Contact Info

Product

Resources

About