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Health Care Costs Associated to Type of Feeding in the First Year of Life

Background: Breastfeeding is associated with lower risk of infectious diseases, leading to fewer hospital admissions and pediatrician consultations. It is cost saving for the health care system, however, it is not usually estimated from actual cohorts but via simulation studies. Methods: A cohort of...

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Autores principales: Lechosa-Muñiz, Carolina, Paz-Zulueta, María, Sáez de Adana Herrero, María, Cornejo del Rio, Elsa, Mateo Sota, Sonia, Llorca, Javier, Cabero-Perez, María J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369965/
https://www.ncbi.nlm.nih.gov/pubmed/32630048
http://dx.doi.org/10.3390/ijerph17134719
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author Lechosa-Muñiz, Carolina
Paz-Zulueta, María
Sáez de Adana Herrero, María
Cornejo del Rio, Elsa
Mateo Sota, Sonia
Llorca, Javier
Cabero-Perez, María J.
author_facet Lechosa-Muñiz, Carolina
Paz-Zulueta, María
Sáez de Adana Herrero, María
Cornejo del Rio, Elsa
Mateo Sota, Sonia
Llorca, Javier
Cabero-Perez, María J.
author_sort Lechosa-Muñiz, Carolina
collection PubMed
description Background: Breastfeeding is associated with lower risk of infectious diseases, leading to fewer hospital admissions and pediatrician consultations. It is cost saving for the health care system, however, it is not usually estimated from actual cohorts but via simulation studies. Methods: A cohort of 970 children was followed-up for twelve months. Data on mother characteristics, pregnancy, delivery and neonate characteristics were obtained from medical records. The type of neonate feeding at discharge, 2, 4, 6, 9 and 12 months of life was reported by the mothers. Infectious diseases diagnosed in the first year of life, hospital admissions, primary care and emergency room consultations and drug treatments were obtained from neonate medical records. Health care costs were attributed using public prices and All Patients Refined–Diagnosis Related Groups (APR–DRG) classification. Results: Health care costs in the first year of life were higher in children artificially fed than in those breastfed (1339.5€, 95% confidence interval (CI): 903.0–1775.0 for artificially fed vs. 443.5€, 95% CI: 193.7–694.0 for breastfed). The breakdown of costs also shows differences in primary care consultations (295.7€ for formula fed children vs. 197.9€ for breastfed children), emergency room consultations (260.1€ for artificially fed children vs. 196.2€ for breastfed children) and hospital admissions (791.6€ for artificially fed children vs. 86.9€ for breastfed children). Conclusions: Children artificially fed brought about more health care costs related to infectious diseases than those exclusively breastfed or mixed breastfed. Excess costs were caused in hospital admissions, primary care consultations, emergency room consultations and drug consumption.
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spelling pubmed-73699652020-07-21 Health Care Costs Associated to Type of Feeding in the First Year of Life Lechosa-Muñiz, Carolina Paz-Zulueta, María Sáez de Adana Herrero, María Cornejo del Rio, Elsa Mateo Sota, Sonia Llorca, Javier Cabero-Perez, María J. Int J Environ Res Public Health Article Background: Breastfeeding is associated with lower risk of infectious diseases, leading to fewer hospital admissions and pediatrician consultations. It is cost saving for the health care system, however, it is not usually estimated from actual cohorts but via simulation studies. Methods: A cohort of 970 children was followed-up for twelve months. Data on mother characteristics, pregnancy, delivery and neonate characteristics were obtained from medical records. The type of neonate feeding at discharge, 2, 4, 6, 9 and 12 months of life was reported by the mothers. Infectious diseases diagnosed in the first year of life, hospital admissions, primary care and emergency room consultations and drug treatments were obtained from neonate medical records. Health care costs were attributed using public prices and All Patients Refined–Diagnosis Related Groups (APR–DRG) classification. Results: Health care costs in the first year of life were higher in children artificially fed than in those breastfed (1339.5€, 95% confidence interval (CI): 903.0–1775.0 for artificially fed vs. 443.5€, 95% CI: 193.7–694.0 for breastfed). The breakdown of costs also shows differences in primary care consultations (295.7€ for formula fed children vs. 197.9€ for breastfed children), emergency room consultations (260.1€ for artificially fed children vs. 196.2€ for breastfed children) and hospital admissions (791.6€ for artificially fed children vs. 86.9€ for breastfed children). Conclusions: Children artificially fed brought about more health care costs related to infectious diseases than those exclusively breastfed or mixed breastfed. Excess costs were caused in hospital admissions, primary care consultations, emergency room consultations and drug consumption. MDPI 2020-06-30 2020-07 /pmc/articles/PMC7369965/ /pubmed/32630048 http://dx.doi.org/10.3390/ijerph17134719 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lechosa-Muñiz, Carolina
Paz-Zulueta, María
Sáez de Adana Herrero, María
Cornejo del Rio, Elsa
Mateo Sota, Sonia
Llorca, Javier
Cabero-Perez, María J.
Health Care Costs Associated to Type of Feeding in the First Year of Life
title Health Care Costs Associated to Type of Feeding in the First Year of Life
title_full Health Care Costs Associated to Type of Feeding in the First Year of Life
title_fullStr Health Care Costs Associated to Type of Feeding in the First Year of Life
title_full_unstemmed Health Care Costs Associated to Type of Feeding in the First Year of Life
title_short Health Care Costs Associated to Type of Feeding in the First Year of Life
title_sort health care costs associated to type of feeding in the first year of life
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369965/
https://www.ncbi.nlm.nih.gov/pubmed/32630048
http://dx.doi.org/10.3390/ijerph17134719
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