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一个地区新生儿重症监护病房的成本与治疗结果

Costs and outcomes in a regional neonatal intensive care unit.

作者信息

Newns B, Drummond M F, Durbin G M, Culley P

出版信息

Arch Dis Child. 1984 Nov;59(11):1064-7. doi: 10.1136/adc.59.11.1064.

Abstract

At the Birmingham Maternity Hospital the mean cost of caring for surviving infants who require neonatal intensive care ranges from approximately pounds 2500 (for infants above 1500 g birthweight), to pounds 5500 (for infants 1000 to 1499 g birthweight), to pounds 10 000 (for infants less than 1000 g birthweight). The mean cost of caring for non-survivors is pounds 1000 or less, with little difference between the birthweight groups. These figures are based on the lengths of stay in three treatment regimens-intensive care, high dependency care, and special care-the average daily costs of which are estimated to be pounds 235, pounds 122, and pounds 43 respectively. The survival of very low birthweight infants (less than 1500 g) at this hospital has improved from 42% to 73% since the introduction of regional funding for neonatal intensive care. This increase in survival has been brought about without undue disability in the survivors.

摘要

在伯明翰妇产医院,照顾需要新生儿重症监护的存活婴儿的平均费用从约2500英镑(出生体重超过1500克的婴儿)到5500英镑(出生体重1000至1499克的婴儿),再到10000英镑(出生体重低于1000克的婴儿)不等。照顾非存活婴儿的平均费用为1000英镑或更低,不同出生体重组之间差异不大。这些数字基于三种治疗方案(重症监护、高度依赖护理和特殊护理)的住院时长,其平均每日费用估计分别为235英镑、122英镑和43英镑。自为新生儿重症监护引入区域资金以来,该医院极低出生体重婴儿(低于1500克)的存活率已从42%提高到73%。存活率的提高并未给存活者带来过度残疾。

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