Cargando…
Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants
Background: The objective is to study previously unexplored trends of birth hospitalization and readmission costs for late preterm infants (LPIs) in the United States between 2005 and 2016. Methods: We conducted a retrospective analysis of claims data to study healthcare costs of birth hospitalizati...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916486/ https://www.ncbi.nlm.nih.gov/pubmed/33578773 http://dx.doi.org/10.3390/children8020127 |
_version_ | 1783657488015425536 |
---|---|
author | Speer, Rebecca R. Schaefer, Eric W. Aholoukpe, Mahoussi Leslie, Douglas L. Gandhi, Chintan K. |
author_facet | Speer, Rebecca R. Schaefer, Eric W. Aholoukpe, Mahoussi Leslie, Douglas L. Gandhi, Chintan K. |
author_sort | Speer, Rebecca R. |
collection | PubMed |
description | Background: The objective is to study previously unexplored trends of birth hospitalization and readmission costs for late preterm infants (LPIs) in the United States between 2005 and 2016. Methods: We conducted a retrospective analysis of claims data to study healthcare costs of birth hospitalization and readmissions for LPIs compared to term infants (TIs) using a large private insurance database. We used a generalized linear regression model to study birth hospitalization and readmission costs. Results: A total of 2,123,143 infants were examined (93.2% TIs; 6.8% LPIs). The proportion of LPIs requiring readmission was 4.2% compared to 2.1% of TIs, (p < 0.001). The readmission rate for TIs decreased during the study period. LPIs had a higher mean cost of birth hospitalization (25,700 vs. 3300 USD; p < 0.001) and readmissions (25,800 vs. 14,300 USD; p < 0.001). For LPIs, birth hospitalization costs increased from 2007 to 2013, and decreased since 2014. Conversely, birth hospitalization costs of TIs steadily increased since 2005. The West region showed higher birth hospitalization costs for LPIs. Conclusions: LPIs continue to have a higher cost of birth hospitalization and readmission compared to TIs, but these costs have decreased since 2014. Standardization of birth hospitalization care for LPIs may reduce costs and improve quality of care and outcomes. |
format | Online Article Text |
id | pubmed-7916486 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79164862021-03-01 Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants Speer, Rebecca R. Schaefer, Eric W. Aholoukpe, Mahoussi Leslie, Douglas L. Gandhi, Chintan K. Children (Basel) Article Background: The objective is to study previously unexplored trends of birth hospitalization and readmission costs for late preterm infants (LPIs) in the United States between 2005 and 2016. Methods: We conducted a retrospective analysis of claims data to study healthcare costs of birth hospitalization and readmissions for LPIs compared to term infants (TIs) using a large private insurance database. We used a generalized linear regression model to study birth hospitalization and readmission costs. Results: A total of 2,123,143 infants were examined (93.2% TIs; 6.8% LPIs). The proportion of LPIs requiring readmission was 4.2% compared to 2.1% of TIs, (p < 0.001). The readmission rate for TIs decreased during the study period. LPIs had a higher mean cost of birth hospitalization (25,700 vs. 3300 USD; p < 0.001) and readmissions (25,800 vs. 14,300 USD; p < 0.001). For LPIs, birth hospitalization costs increased from 2007 to 2013, and decreased since 2014. Conversely, birth hospitalization costs of TIs steadily increased since 2005. The West region showed higher birth hospitalization costs for LPIs. Conclusions: LPIs continue to have a higher cost of birth hospitalization and readmission compared to TIs, but these costs have decreased since 2014. Standardization of birth hospitalization care for LPIs may reduce costs and improve quality of care and outcomes. MDPI 2021-02-10 /pmc/articles/PMC7916486/ /pubmed/33578773 http://dx.doi.org/10.3390/children8020127 Text en © 2021 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 Speer, Rebecca R. Schaefer, Eric W. Aholoukpe, Mahoussi Leslie, Douglas L. Gandhi, Chintan K. Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title | Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title_full | Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title_fullStr | Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title_full_unstemmed | Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title_short | Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants |
title_sort | trends in costs of birth hospitalization and readmissions for late preterm infants |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916486/ https://www.ncbi.nlm.nih.gov/pubmed/33578773 http://dx.doi.org/10.3390/children8020127 |
work_keys_str_mv | AT speerrebeccar trendsincostsofbirthhospitalizationandreadmissionsforlatepreterminfants AT schaeferericw trendsincostsofbirthhospitalizationandreadmissionsforlatepreterminfants AT aholoukpemahoussi trendsincostsofbirthhospitalizationandreadmissionsforlatepreterminfants AT lesliedouglasl trendsincostsofbirthhospitalizationandreadmissionsforlatepreterminfants AT gandhichintank trendsincostsofbirthhospitalizationandreadmissionsforlatepreterminfants |