Department of Pediatrics, University at Buffalo, Buffalo, NY, USA.
Complex Care Service, Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
J Perinatol. 2018 Jun;38(6):734-741. doi: 10.1038/s41372-018-0055-5. Epub 2018 Feb 15.
To describe health-care spending and utilization for infants discharged from the neonatal intensive care unit (NICU).
Retrospective cohort analysis of 4973 NICU graduates in the Truven MarketScan Medicaid database, with follow-up to the third birthday. Health-care spending and utilization after NICU discharge were assessed. Using logistic regression, we assessed clinical characteristics associated with hospitalization and emergency department (ED) visits.
Most (69.5%) post-NICU spending occurred within the first year [$33,276 per member per year]. Inpatient care accounted for most (71.6%) of the 3-year spending. The percentages of infants with a 1-year readmission or ED visit were 36.8% and 63.7%, respectively. Medical technology was associated with the highest likelihoods of hospital [aOR 17.8 (95%CI 12.2-26.0)] and ED use [aOR 2.3 (95%CI 1.8-3.0)].
Hospital care accounts for the majority of spending for NICU graduates. Infants with medical technology have the highest risk of hospital and ED use.
描述新生儿重症监护病房（NICU）出院婴儿的医疗保健支出和利用情况。
对 Truven MarketScan 医疗补助数据库中 4973 名 NICU 毕业生进行回顾性队列分析，随访至 3 岁生日。评估 NICU 出院后的医疗保健支出和利用情况。使用逻辑回归评估与住院和急诊部（ED）就诊相关的临床特征。
大多数（69.5%）NICU 后支出发生在第一年[每名成员每年 33276 美元]。住院治疗占 3 年支出的大部分（71.6%）。一年内再入院或 ED 就诊的婴儿比例分别为 36.8%和 63.7%。医疗技术与住院[优势比（aOR）17.8（95%CI 12.2-26.0）]和 ED 使用[aOR 2.3（95%CI 1.8-3.0）]的可能性最高相关。
医院护理占 NICU 毕业生支出的大部分。使用医疗技术的婴儿有最高的住院和 ED 使用风险。
