存活的超低出生体重儿的短期护理费用。
Short term cost of care for the surviving periviable neonate.
作者信息
Allen K M, Smith B, Iliev I, Evans J, Werthammer J
机构信息
Department of Pediatrics, Joan C Edwards School of Medicine at Marshall University, Huntington, WV, USA.
Department of Finance, Cabell Huntington Hospital, Huntington, WV, USA.
出版信息
J Neonatal Perinatal Med. 2017;10(2):191-194. doi: 10.3233/NPM-171655.
OBJECTIVE
To determine the hospital cost and distribution of financial charges for the initial hospitalization of the surviving periviable neonate.
STUDY DESIGN
In this retrospective case series, we analyzed medical records and financial data for neonates 23-25 weeks' gestational age in a single tertiary care NICU over 42 months. A detailed breakdown of hospital cost components and charges was determined for all survivors during their initial hospitalization. Statistical significance was determined using the Bonferroni-Sidak method.
RESULTS
Overall survival was 78% in infants born at 23-25 weeks' gestational age. Survival increased and length of stay and hospital costs decreased with increased gestational age (p < 0.05 for all). Hospital charges were distributed as: NICU 56%, respiratory 11%, pharmacy 6%, laboratory 6%, radiology 6%, surgery 1%, neonatology 13% and miscellaneous 1%.
CONCLUSION
Our study describes the hospital cost and distribution of charges for the periviable neonate during the initial hospitalization. These economic data may guide clinicians in quality improvement and cost management.
目的
确定存活的可存活新生儿首次住院的医院费用及财务费用分布情况。
研究设计
在这个回顾性病例系列研究中，我们分析了42个月内一家三级医疗新生儿重症监护病房（NICU）中孕龄为23 - 25周的新生儿的病历和财务数据。确定了所有幸存者首次住院期间医院费用组成部分和收费的详细明细。使用Bonferroni - Sidak方法确定统计学显著性。
结果
孕龄为23 - 25周的婴儿总体存活率为78%。随着孕龄增加，存活率上升，住院时间和医院费用下降（所有p值均<0.05）。医院收费分布如下：新生儿重症监护病房56%，呼吸科11%，药房6%，实验室6%，放射科6%，外科1%，新生儿科13%，杂项1%。
结论
我们的研究描述了可存活新生儿首次住院期间的医院费用及收费分布情况。这些经济数据可能会指导临床医生进行质量改进和成本管理。
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