The Cost of Care of the Less-Than-1000-Gram Infant

Hernandez, Jacinto A.; Offutt, J; Butterfield, L. Joseph

doi:10.1016/s0095-5108(18)30832-7

Cited by 29 publications

(4 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, little is known about the responses of parents whose newborns weigh less than 500 g. Instead of focusing on the experience of parents, the literature has focused on outcome data and the ethical aspects of providing or withdrawing aggressive treatment for these newborns. Ethical dilemmas have evolved because of extremely high mortality rates for newborns weighing less than 500 g at birth, which have remained greater than 90% for the past decade (Davis, 1993;Hack & Fanaroff, 1986, 1988Hernandez, Offutt, & Butterfield, 1986;Hoffman & Bennett, 1990;Whyte et al, 1993). Although care providers have attempted to establish weight and maturity-related guidelines for providing and withdrawing treatment (Allen et al, 1993;Davis, 1993;Whyte et al, 1993), these efforts are complicated by reported case studies of the few intact survivors within this population (Amato, 1992;Coccia, Pezzani, Moro, & Minoli, 1992;Ginsberg et al, 1992;Muraskas et al, 1992;Optiz et al, 1993;Sherer, Abramowicz, Bennett, Mercier, & Woods, 1992).…”

Section: Literature Reviewmentioning

confidence: 99%

Parents’ Experience Surrounding the Death of a Newborn Whose Birth Is at the Margin of Viability

Kavanaugh

1997

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

Section: Literature Reviewmentioning

confidence: 99%

Parents’ Experience Surrounding the Death of a Newborn Whose Birth Is at the Margin of Viability

Kavanaugh

1997

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

“…Further, cost is considered a component of the healthcare quality aims (17). Previous work with cost effectiveness analyses (CEAs) has estimated the costeffectiveness of NICU care (18)(19)(20)(21)(22)(23) but this work did not include the most recent practice of 23-25-week infants. The most recent CEA (19) demonstrated cost effectiveness of resuscitation at 23 weeks in a theoretical model from maternal-neonatal perspective.…”

Section: Introductionmentioning

confidence: 99%

Cost of neonatal intensive care for extremely preterm infants in Canada

et al. 2021

View full text Add to dashboard Cite

Background: Neonatal intensive care is expensive and prolonged. Extremely preterm infants are routinely supported. The costs for this practice at the age of borderline viability are of interest to clinicians and policymakers.Methods: We analyzed data from the Canadian national administrative database on total cost and length of hospital care from a public payor perspective for 23-28-week premature infants from 2011 to 2015. We also compared total and daily costs for 23-25-week newborns. Each comparison evaluated the total cohort and infants who lived more than 3 days. We used non-parametric tests, correlation tests, and generalized linear models for cost difference analysis, adjusting for survival, length of stay, and year.Results: We analyzed 6,932 infants' cost records. For all infants, median length of hospital stay was 41 days (IQR, 1-77 days). For infants who survived the first 3 days, median length of stay was 61 days (IQR,

show abstract

“…Over the past 20 to 25 years a great deal of time, energy, and money have been directed towards acute care of the VLBW infant, resulting in a steady decline in neonatal mortality (Hernandez, Offutt, & Butterfield, 1986;Fitzhardinge & Pape 1981). Lowering the mortality for these high risk infants has resulted in an increased number of normal survivors but has also, in some instances, resulted in an absolute increase of children with handicapping sequelae.…”

Section: Introductionmentioning

confidence: 99%

Creating Paths: Living With a Very-Low-Birth-Weight Infant

Vasquez

1995

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

Objective: To describe parents' method of adaptation to the problems of caring for a very‐low‐birth‐weight (VLBW) infant at home. Design: Exploratory, involving three interview sessions, 1 month, 3 months, and 5 months after hospital discharge of a VLBW infant. Setting: A newborn intensive‐care unit in a tertiary‐care center. Participants: Fourteen parents of VLBW (< 1,500 g) infants after hospital discharge. Results: A basic social process, Creating Paths, was identified. It is the continuous process experienced by parents living with a VLBW infant the first 5 months after hospital discharge. The process consists of three stages: gathering, emerging, and affirming. Conclusions: This grounded theory systematically tracks and describes the adaptation process of parents with VLBW infants during the first 5 months of living at home. The theory may be used to anticipate concerns and provide guidance and support to parents and their infants.

show abstract

The Cost of Care of the Less-Than-1000-Gram Infant

Cited by 29 publications

References 46 publications

Parents’ Experience Surrounding the Death of a Newborn Whose Birth Is at the Margin of Viability

Parents’ Experience Surrounding the Death of a Newborn Whose Birth Is at the Margin of Viability

Cost of neonatal intensive care for extremely preterm infants in Canada

Creating Paths: Living With a Very-Low-Birth-Weight Infant

Contact Info

Product

Resources

About