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Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States

Perinatal mental health disorders are increasingly acknowledged as contributors to adverse maternal outcomes. We analyzed the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS; 2016 and 2017) to estimate hospitalization cost, length of stay, and severe maternal morbidity...

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Detalles Bibliográficos
Autores principales: Brown, Clare C., Adams, Caroline E., George, Karen E., Moore, Jennifer E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759410/
https://www.ncbi.nlm.nih.gov/pubmed/34606352
http://dx.doi.org/10.1377/hlthaff.2021.00759
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author Brown, Clare C.
Adams, Caroline E.
George, Karen E.
Moore, Jennifer E.
author_facet Brown, Clare C.
Adams, Caroline E.
George, Karen E.
Moore, Jennifer E.
author_sort Brown, Clare C.
collection PubMed
description Perinatal mental health disorders are increasingly acknowledged as contributors to adverse maternal outcomes. We analyzed the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS; 2016 and 2017) to estimate hospitalization cost, length of stay, and severe maternal morbidity associated with perinatal mental health disorders overall, as well as stratified by payer and by specific mental health category. We found that individuals with mental health disorders had $458 higher costs per delivery hospitalization and 50% higher rates of severe maternal morbidity compared to those without mental health disorders. We estimate increased annual delivery hospitalization costs of $102 million in the US among individuals with perinatal mental health conditions compared to those without. Furthermore, individuals diagnosed with trauma/stress-related mental health disorders had even higher rates of hospitalization costs of $825 per delivery and 87% higher rates of severe maternal morbidity compared to those without. These findings provide important information for perinatal mental health program feasibility and cost-effectiveness analyses and suggest the need for increased focus on trauma/stress-related disorders.
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spelling pubmed-87594102022-10-01 Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States Brown, Clare C. Adams, Caroline E. George, Karen E. Moore, Jennifer E. Health Aff (Millwood) Article Perinatal mental health disorders are increasingly acknowledged as contributors to adverse maternal outcomes. We analyzed the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS; 2016 and 2017) to estimate hospitalization cost, length of stay, and severe maternal morbidity associated with perinatal mental health disorders overall, as well as stratified by payer and by specific mental health category. We found that individuals with mental health disorders had $458 higher costs per delivery hospitalization and 50% higher rates of severe maternal morbidity compared to those without mental health disorders. We estimate increased annual delivery hospitalization costs of $102 million in the US among individuals with perinatal mental health conditions compared to those without. Furthermore, individuals diagnosed with trauma/stress-related mental health disorders had even higher rates of hospitalization costs of $825 per delivery and 87% higher rates of severe maternal morbidity compared to those without. These findings provide important information for perinatal mental health program feasibility and cost-effectiveness analyses and suggest the need for increased focus on trauma/stress-related disorders. 2021-10 /pmc/articles/PMC8759410/ /pubmed/34606352 http://dx.doi.org/10.1377/hlthaff.2021.00759 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ Copyright of the final published version remains with Health Affairs.
spellingShingle Article
Brown, Clare C.
Adams, Caroline E.
George, Karen E.
Moore, Jennifer E.
Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title_full Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title_fullStr Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title_full_unstemmed Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title_short Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States
title_sort mental health conditions increase severe maternal morbidity by 50 percent and cost $102 million yearly in the united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759410/
https://www.ncbi.nlm.nih.gov/pubmed/34606352
http://dx.doi.org/10.1377/hlthaff.2021.00759
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