Costs and benefits of neonatal intensive care.

Pharoah, P. O. D.; Stevenson, Richard; Cooke, Richard; Sandu, B.

doi:10.1136/adc.63.7_spec_no.715

Cited by 31 publications

(11 citation statements)

References 9 publications

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“…A review of the NHS Economic Evaluation database [13] revealed one similar study. Pharoah et al [14] compared the provision of neonatal intensive care in very low birth weight infants (< 1500 g) vs special care with no neonatal intensive care in the UK in 1984 and estimated an incremental cost per QALY gained of £2990. This suggests that intensive care represents good value for money in neonates.…”

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confidence: 99%

Cost effectiveness of adult intensive care in the UK

Ridley

Morris

2007

Anaesthesia

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SummaryWe wished to investigate whether intensive care represents good value for money to the National Health Service in the UK using cost-effectiveness analysis. We developed a cost-effectiveness model using secondary data sources to estimate the incremental cost per quality adjusted life year gained of treatment in intensive care vs non-intensive care treatment in adults. Estimates of hospital mortality with and without intensive care were obtained from seven published studies and from data published by the Intensive Care National Audit and Research Centre. Quality of life estimates were obtained from a literature review and NHS reference costs were used. Relative to nonintensive care treatment, the incremental cost per quality adjusted life year gained of treatment in intensive care is £7010. This figure is sensitive to the mortality risk reduction associated with intensive care. Despite the high daily cost of intensive care, its cost-effectiveness is excellent and compares favourably with other commonly used health interventions. Our findings suggest that adult intensive care represents good value for money.

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confidence: 99%

Cost effectiveness of adult intensive care in the UK

Ridley

Morris

2007

Anaesthesia

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“…Of the 52 studies, 21 were based on geographically defined cohorts of infants 28 29 31 33 35 39 41 42 48 50 60 61 63 64 66 68–73. The remaining studies were largely based on hospital-specific or convenience samples and, consequently, were likely to have been prone to selection biases.…”

Section: Resultsmentioning

confidence: 99%

“…Others estimate costs over a further extended time horizon,44 48 51 60–63 68–70 72 73 though the studies with the longer follow-up periods showed that the majority of healthcare costs occurred during the first 12 months of life. A series of studies from a group based in Merseyside, England, reported on the costs associated with a population-based cohort of low birthweight infants (<2000 g) born between 1979 and 1981 68–70.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies included in our review considered the education costs associated with preterm birth 44 47 51 53 62 63 66 68 70 72. Roth et al analysed birth and school records for 120 554 children born in Florida between September 1990 and August 1991 and found that the mean costs of kindergarten for those children born with birth weights of less than 1000 g were 60% higher than those born with birth weights over 2500 g 66.…”

Section: Resultsmentioning

confidence: 99%

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A structured review of the recent literature on the economic consequences of preterm birth

Petrou

Eddama²,

Mangham³

2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

131

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Although survival rates for preterm infants have greatly improved over the last three to four decades, these infants remain at risk of developing a broad range of short-term and long-term complications. Despite the large body of work on the clinical sequelae of preterm birth, relatively little is known about its economic consequences. This paper represents a structured review of the recent scientific literature on the economic consequences of preterm birth for the health services, for other sectors of the economy, for families and carers and, more broadly, for society. A total of 2497 studies were identified by a pretested literature search strategy, 52 of which were included in the final review. Of these 52 studies, 19 reported the costs associated with the initial period of hospitalisation, 35 reported costs incurred following the initial hospital discharge (without providing costs for the entire remaining period of childhood), four of which also reported costs associated with the initial period of hospitalisation, while two reported costs incurred throughout childhood. The paper highlights the variable methodological quality of this body of literature. The results of the studies included in the review are summarised and critically appraised. The paper also highlights gaps in our current knowledge of the topic and identifies requirements for further research in this area.

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“…Average cost of care for the extremely low-birthweight in fant is double the amount of the cost for neo nates weighting between 1,000 and 1,500 g. So far, we have not been able to make an estimate of the cost-benefit of care. This has been done in other countries [11,12]. Boyle, in 1983, calculated that intensive care was economically beneficial for babies with a birthweight between 1,000 and 1,499 g [13].…”

Section: Costmentioning

confidence: 99%

Organization of Neonatal Care in Belgium

Reempts

Senterre

1989

Neonatology

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The objectives of this paper are (1) to describe the organization of neonatal care in Belgium; (2) to review evaluative studies aiming at assessing the availability, effectiveness and cost of care, and (3) to compare the situation in Belgium with that in other countries. In the future, basic neonatal care should be provided in each maternity unit. This means that many maternities need upgrading in staffing and equipment. For intensive care, there is only a need for 10–12 specialized centers in the country. A policy for rapid transfer of sick neonates to specialized centers should be implemented.

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Costs and benefits of neonatal intensive care.

Cited by 31 publications

References 9 publications

Cost effectiveness of adult intensive care in the UK

Cost effectiveness of adult intensive care in the UK

A structured review of the recent literature on the economic consequences of preterm birth

Organization of Neonatal Care in Belgium

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