Pomerance J J, Schifrin B S, Meredith J L
Am J Obstet Gynecol. 1980 Jun 15;137(4):486-90. doi: 10.1016/0002-9378(80)91133-3.
The relationship between gestational age at delivery and the cost of neonatal care was analyzed for 137 infants of 24 to 34 weeks' gestation born between 1973 and 1977. Cost estimates were based on hospital charges actually collected, adjusted to 1977 rates and weighted according to a smoothed survival curve. The cost estimates varied according to gestational age, development of RDS, and both in turn were related to survival. The estimated cost per infant without regard to survival status was as follows: 24 weeks' gestation, $7,000/infant; a bimodal peak cost of $36,000/infant at 26 and again at 29 weeks' gestation; 34 weeks' gestation, $9,000/infant. Between 29 and 34 weeks' gestation the average cost of hospital care fell about $5,400/week or $772/day. At certain periods of gestation, safe postponement of delivery for even a few days may result in significant financial benefits.
对1973年至1977年间出生的137名妊娠24至34周的婴儿,分析了分娩时的胎龄与新生儿护理成本之间的关系。成本估计基于实际收取的医院费用,根据1977年的费率进行调整,并根据平滑生存曲线进行加权。成本估计因胎龄、呼吸窘迫综合征(RDS)的发展情况而异,而这两者又都与生存率相关。不考虑生存状态,每名婴儿的估计成本如下:妊娠24周,7000美元/婴儿;妊娠26周和29周时出现双峰峰值成本,为36000美元/婴儿;妊娠34周,9000美元/婴儿。在妊娠29至34周之间,医院护理的平均成本每周下降约5400美元或每天下降772美元。在妊娠的某些时期,即使安全推迟几天分娩也可能带来显著的经济效益。