Survival, Hospitalization, and Acute-Care Costs of Very and Moderate Preterm Infants in the First 6 Years of Life: A Population-Based Study

Stephens, Alexandre; Lain, Samantha J.; Roberts, Christine L.; Bowen, Jennifer R.; Nassar, Natasha

doi:10.1016/j.jpeds.2015.10.028

Cited by 56 publications

(44 citation statements)

References 34 publications

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“…Our re-admission rate of 54% is quite similar to previously reported rates from various international settings 50% [1,3,14]. Previous Australasian data describes a readmission rate of 42% for VLBW infants [9] and 55% for very preterm infants [2].…”

Section: Features Of In-patientssupporting

confidence: 89%

“…Within Australasia there are few studies highlighting subsequent outcomes of infants born preterm [1,2,9,[14][15][16][17][18]. Some of these papers were from the pre-surfactant era where neonatal care was significantly different from current neonatal care [15][16][17][18].…”

Section: Inpatient Admissionmentioning

confidence: 99%

“…Some of them were based on weight rather than gestation age [1]. Hospital readmissions as an outcome of ELGAN is only reported in one study so far within Australasia [14].…”

Section: Inpatient Admissionmentioning

confidence: 99%

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Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

et al. 2017

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Section: Features Of In-patientssupporting

confidence: 89%

Section: Inpatient Admissionmentioning

confidence: 99%

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Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

et al. 2017

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“…2, 5 A linkage of databases in New South Wales, Australia, has also generated estimates of the impact of preterm birth on health care costs during infancy and the first 6 years of life. 24, 28 Similarly, linked databases have been used to assess health care use and costs for infants and young children with birth defects. 9 …”

Section: Discussionmentioning

confidence: 99%

Employer-Sponsored Plan Expenditures for Infants Born Preterm

et al. 2017

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BACKGROUND Care for infants born preterm or with major birth defects is costly. Specific estimates of financial burden for different payers are lacking, in part because use of administrative data to identify preterm infants and costs is challenging. METHODS We used private health insurance claims data and billing codes to identify live births during 2013 and calculated first-year expenditures for employer-sponsored health plans for infants born preterm, both overall and stratified by major birth defects. RESULTS We conservatively estimated that 7.7% of insured infants born preterm accounted for 37% of $2.0 billion spent by participating plans on the care of infants born during 2013. With a mean difference in plan expenditures of ~$47 100 per infant, preterm births cost the included plans an extra $600 million during the first year of life. Extrapolating to the national level, we projected aggregate employer-sponsored plan expenditures of $6 billion for infants born preterm during 2013. Infants with major birth defects accounted for 5.8% of preterm births but 24.5% of expenditures during infancy. By using an alternative algorithm to identify preterm infants, it was revealed that incremental expenditures were higher: $78 000 per preterm infant and $14 billion nationally. CONCLUSION Preterm births (especially in conjunction with major birth defects) represent a substantial burden on payers, and efforts to mitigate this burden are needed. In addition, researchers need to conduct studies using linked vital records, birth defects surveillance, and administrative data to accurately and longitudinally assess per-infant costs attributable to preterm birth and the interaction of preterm birth with major birth defects.

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“…1 In this volume of The Journal, Sharp et al 2 present a meta-analysis of 11 studies describing the outcomes of intensive treatment for 593 children with feeding disorder. The authors demonstrate that the majority of patients who undergo treatment in such programs improve, with up to 80% of patients weaning tube feeding dependence and improving mealtime volumes and behaviors.…”

mentioning

confidence: 99%