远程患者监测项目对经口喂养不足新生儿护理成本的影响。
Effects of a remote patient monitoring program on cost of care for neonates with inadequate oral feeding.
作者信息
Fisher Christina R, Dukhovny Dmitry, Warren Jamie B
机构信息
Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.
Department of Pediatrics, Oregon Health & Science University School of Medicine, Doernbecher Children's Hospital, Portland, OR, USA.
出版信息
J Perinatol. 2025 Jun 12. doi: 10.1038/s41372-025-02334-w.
OBJECTIVE
Remote patient monitoring (RPM) facilitates early discharge of infants with inadequate oral feeding. We aim to determine the financial impact of discharge with RPM compared to continued hospitalization.
STUDY DESIGN
Patients discharged on RPM between May 2019 and June 2024 were eligible. Days of home nasogastric tube feeds and total physician time per episode were recorded. Direct cost estimates for each aspect of RPM and continued hospitalization were used to calculate cost savings of RPM use from a health care system perspective. One- and two-way sensitivity analyses were performed.
RESULTS
One hundred eighty infants were included. RPM decreased the hospital stay by 9.2 days/patient (mean). An RPM episode cost $1,768.24 (mean), while hypothetical continued hospitalization cost $13,978.32 (mean); a difference of $12,210.08. Sensitivity analyses showed that inpatient hospital cost variations were the primary driver of savings.
CONCLUSION
RPM programs for neonates with inadequate oral feeding can reduce direct medical costs.
CLINICAL TRIAL RESGISTRATION
None.
目的
远程患者监测（RPM）有助于经口喂养不足的婴儿早日出院。我们旨在确定与继续住院相比，采用RPM出院的经济影响。
研究设计
2019年5月至2024年6月期间通过RPM出院的患者符合条件。记录每次家庭鼻饲管喂养的天数和医生总用时。从医疗保健系统的角度，使用RPM和继续住院各方面的直接成本估算来计算使用RPM的成本节约。进行了单因素和双因素敏感性分析。
结果
纳入180名婴儿。RPM使每位患者的住院时间平均减少9.2天。一次RPM花费平均为1768.24美元，而假设继续住院的花费平均为13978.32美元；差额为12210.08美元。敏感性分析表明，住院医院成本变化是节约成本的主要驱动因素。
结论
针对经口喂养不足的新生儿的RPM计划可降低直接医疗成本。
临床试验注册
无。
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