Cargando…

Prenatal and post-natal cost of small for gestational age infants: a national study

BACKGROUND: Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to evaluate the costs of SGA versus appropriate for gestational age (AGA) infants in...

Descripción completa

Detalles Bibliográficos
Autores principales: Marzouk, Alicia, Filipovic-Pierucci, Antoine, Baud, Olivier, Tsatsaris, Vassilis, Ego, Anne, Charles, Marie-Aline, Goffinet, François, Evain-Brion, Danièle, Durand-Zaleski, Isabelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359886/
https://www.ncbi.nlm.nih.gov/pubmed/28320392
http://dx.doi.org/10.1186/s12913-017-2155-x
_version_ 1782516476339552256
author Marzouk, Alicia
Filipovic-Pierucci, Antoine
Baud, Olivier
Tsatsaris, Vassilis
Ego, Anne
Charles, Marie-Aline
Goffinet, François
Evain-Brion, Danièle
Durand-Zaleski, Isabelle
author_facet Marzouk, Alicia
Filipovic-Pierucci, Antoine
Baud, Olivier
Tsatsaris, Vassilis
Ego, Anne
Charles, Marie-Aline
Goffinet, François
Evain-Brion, Danièle
Durand-Zaleski, Isabelle
author_sort Marzouk, Alicia
collection PubMed
description BACKGROUND: Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to evaluate the costs of SGA versus appropriate for gestational age (AGA) infants in France from pregnancy through the first year of life and separate the contributions of prematurity from the contribution of foetal growth on costs. METHODS: This is a cross-sectional population-based study using national hospital discharge data from French public and private hospitals. SGA infants were defined as newborns with a birth weight below the 10th percentile of French intrauterine growth curves adjusted for foetal sex. AGA infants were defined as newborns with a birth weight between the 25th and the 75th. All births were selected between January 1st, 2011 and December 31st, 2011. Costs were calculated from the hospital perspective for both mothers and children using their diagnostic related group and the French national cost study. Hospital outcomes were extracted from the database and compared by gestational age and mode of delivery. RESULTS: Of 777,720 total births in 2011, 84,688 SGA births (10.9%) and 395,760 AGA births (50.8%) were identified. After adjustment for gestational age, the cost for an SGA infant was €2,783 higher than for an AGA infant. The total maternal and infant hospital cost of SGA in France was estimated at 23% the total cost for deliveries. The high cost is explained by higher complication rates, more frequent hospital readmissions and longer lengths of stay. CONCLUSIONS: Being small for gestational age is an independent contributor to 1-year hospital costs for both mothers and infants.
format Online
Article
Text
id pubmed-5359886
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-53598862017-03-22 Prenatal and post-natal cost of small for gestational age infants: a national study Marzouk, Alicia Filipovic-Pierucci, Antoine Baud, Olivier Tsatsaris, Vassilis Ego, Anne Charles, Marie-Aline Goffinet, François Evain-Brion, Danièle Durand-Zaleski, Isabelle BMC Health Serv Res Research Article BACKGROUND: Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to evaluate the costs of SGA versus appropriate for gestational age (AGA) infants in France from pregnancy through the first year of life and separate the contributions of prematurity from the contribution of foetal growth on costs. METHODS: This is a cross-sectional population-based study using national hospital discharge data from French public and private hospitals. SGA infants were defined as newborns with a birth weight below the 10th percentile of French intrauterine growth curves adjusted for foetal sex. AGA infants were defined as newborns with a birth weight between the 25th and the 75th. All births were selected between January 1st, 2011 and December 31st, 2011. Costs were calculated from the hospital perspective for both mothers and children using their diagnostic related group and the French national cost study. Hospital outcomes were extracted from the database and compared by gestational age and mode of delivery. RESULTS: Of 777,720 total births in 2011, 84,688 SGA births (10.9%) and 395,760 AGA births (50.8%) were identified. After adjustment for gestational age, the cost for an SGA infant was €2,783 higher than for an AGA infant. The total maternal and infant hospital cost of SGA in France was estimated at 23% the total cost for deliveries. The high cost is explained by higher complication rates, more frequent hospital readmissions and longer lengths of stay. CONCLUSIONS: Being small for gestational age is an independent contributor to 1-year hospital costs for both mothers and infants. BioMed Central 2017-03-21 /pmc/articles/PMC5359886/ /pubmed/28320392 http://dx.doi.org/10.1186/s12913-017-2155-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Marzouk, Alicia
Filipovic-Pierucci, Antoine
Baud, Olivier
Tsatsaris, Vassilis
Ego, Anne
Charles, Marie-Aline
Goffinet, François
Evain-Brion, Danièle
Durand-Zaleski, Isabelle
Prenatal and post-natal cost of small for gestational age infants: a national study
title Prenatal and post-natal cost of small for gestational age infants: a national study
title_full Prenatal and post-natal cost of small for gestational age infants: a national study
title_fullStr Prenatal and post-natal cost of small for gestational age infants: a national study
title_full_unstemmed Prenatal and post-natal cost of small for gestational age infants: a national study
title_short Prenatal and post-natal cost of small for gestational age infants: a national study
title_sort prenatal and post-natal cost of small for gestational age infants: a national study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359886/
https://www.ncbi.nlm.nih.gov/pubmed/28320392
http://dx.doi.org/10.1186/s12913-017-2155-x
work_keys_str_mv AT marzoukalicia prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT filipovicpierucciantoine prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT baudolivier prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT tsatsarisvassilis prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT egoanne prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT charlesmariealine prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT goffinetfrancois prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT evainbriondaniele prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy
AT durandzaleskiisabelle prenatalandpostnatalcostofsmallforgestationalageinfantsanationalstudy