Population costs for newborn infants by survival and gestational age

Academic Article

Abstract

  • We previously reported that hospital charges for surviving infants increase as gestational age (GA) decreases. As part of a larger project to determine total lifetime health care costs for infants by outcome and GA, total cost of initial hospitalization was determined for infants bom at UAB Hospital from 1989-92. Infants back-transferred or with GA and Ballard exam ≥ 3 weeks different were excluded. Physician and hospital charges were collected and cost to charge ratios applied to the latter. Using survival rates for this population and GA distribution from the March of Dimes dataset of over 30 thousand births, costs by GA and survival were extrapolated to a population of 100,000 livebirths. While costs per survivor are higher for very low GA infants, a substantial proportion of total initial health care costs for a population are due to surviving term infants. Non-survi-vors account for a small proportion of total costs. A mathematical model developed from this data will allow cost savings to be predicted for strategies improving outcome or GA.
  • Authors

    Published In

    Pubmed Id

  • 28521758
  • Author List

  • Barefield ES; Bishnoi RR; Nelson KG; Goldenberg RL
  • Volume

  • 44
  • Issue

  • 1