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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...

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Autores principales: Speer, Rebecca R., Schaefer, Eric W., Aholoukpe, Mahoussi, Leslie, Douglas L., Gandhi, Chintan K.
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
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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.
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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
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