The economic burden of treating neonates in Intensive Care Units (ICUs) in Greece

Geitona, Mary; Latsou, Dimitra; Hatzistamatiou, Z; Anastasiadou, Aggeliki; Theodoratou, Theodora

doi:10.1186/1478-7547-5-9

Cited by 13 publications

(16 citation statements)

References 16 publications

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“…This study also demonstrated the increase in mean cost per admission with level of care and degree of prematurity. This inverse relationship is compatible with literature where studies have shown that increasing prematurity equates to intense resource utilization that translates into higher cost (3–5, 14, 15). Although mean cost per day for a preterm infant increased with the level of care and prematurity in this study, increments in cost per day between levels of care and preterm categories were not pronounced (5% - 10%).…”

Section: Discussionsupporting

confidence: 90%

Cost of preterm birth during initial hospitalization: A care provider’s perspective

Zainal

Dahlui

Soelar

et al. 2019

Preprint

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14Preterm birth incidence has risen globally and remains a major cause of neonatal mortality despite 15 improved survival. The demand and cost of initial hospitalization has also increased. This study 16 assessed care provider cost in neonatal intensive care units of two hospitals in the state of Kedah, 17 Malaysia. It utilized universal sampling and prospectively followed up preterm infants till discharge. 18 Care provider cost was assessed using mixed method of top down approach and activity based 19 costing. A total of 112 preterm infants were recruited from intensive care (93 infants) and minimal 20 care (19 infants). Majority were from the moderate (23%) and late (36%) preterm groups followed 21 by very preterm (32%) and extreme preterm (9%). Mean total cost per infant increased with level of 22 care and degree of prematurity from MYR 2,751 (MYR 374 -MYR 10,103) for preterm minimal care, 23 MYR 8,478 (MYR 817 -MYR 47,354) for late preterm intensive care to MYR 41,598 (MYR 25,351-24 MYR 58,828) for extreme preterm intensive care. Mean cost per infant per day increased from MYR 25 401 (MYR 363-MYR 534), MYR 444 (MYR 354 -MYR 916) to MYR 532 (MYR 443-MYR 939) 26 respectively. Cost was dominated by overhead (fixed) costs for general (hospital), intermediate 27 (clinical support services) and final (NICU) cost centers where it constituted at least three quarters of 157 MYR 2,518 (MYR 362-MYR 9,406) in minimal care to MYR 31,527 (MYR 12,710-MYR 47,268) in 158 extreme preterm intensive care. Breakdown of overhead cost revealed NICU specific overhead as 159 the overwhelming contributor in all categories (69% -89%). Mean total consumables cost per infant 160 ranged from MYR 232 (MYR 12-MYR 697) in minimal care to MYR 10,071 (MYR 7,428-MYR 13,441) 161 in extreme preterm intensive care.

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Section: Discussionsupporting

confidence: 90%

Cost of preterm birth during initial hospitalization: A care provider’s perspective

Zainal

Dahlui

Soelar

et al. 2019

Preprint

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“…3 The ability to coordinate sucking, swallowing, and breathing is evidence of neurodevelopmental maturation. 26 In today's managed care environment, most preterm infants are discharged within 24 to 48 hours of achieving decision-making process. 25 The question that the feeding specialist may ask is: are oral feedings appropriate from a neurodevelopmental, physiological, and organizational perspective for this infant?…”

Section: Invented Casesmentioning

confidence: 99%

Oral Feeding Readiness in Preterm Infants

Kish

2013

Advances in Neonatal Care

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Oral feeding readiness in the neonatal intensive care unit (NICU) population of preterm infants is a complex and multifactorial concept that is encountered on a daily basis. The significance of having an understanding of the concept of oral feeding readiness within the context of prematurity is explored using the Wilsonian approach to concept analysis through the identification of characteristics and case examples of oral feeding readiness in preterm infants as directly observed in a level III NICU. Identification of these essential elements provides clarity for determining oral feeding readiness as well as leading to greater consistency in the provision of evidence-based feeding-related care for the preterm infant hospitalized in the NICU. Outcomes of this analysis demonstrated that oral feeding readiness is affected by a combination of neurodevelopmental maturity, behavioral state organization, and physiologic stability as well as being influenced by caregivers and the environment.

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“…20 Another research conducted in Greece in 2004 verifi ed that the mean cost for the government with newborns weighing between 1001 and 1500g in intensive neonatal care public units was US$10,438. 12 It is not our intention to debate the need of these units, but rather, what could be done at lower costs to avoid the excessive demand of these services. Apart from the higher fi nancial cost, there are intangible costs, as low weight babies present higher risk of avoidable neonatal death, according to the classifi cation of Malta et al, 17 related to failures in prenatal assistance and to the handling of childbirth and of the neonatal period.…”

Section: Discussionmentioning

confidence: 99%

“…12,20 In 2001, a study carried out in the United States compared the mean cost of the hospitalization of preterm/low birth weight children with normal weight newborns, which corresponded to US$15,800 and US$600, respectively. 20 Another research conducted in Greece in 2004 verifi ed that the mean cost for the government with newborns weighing between 1001 and 1500g in intensive neonatal care public units was US$10,438.…”

Section: Discussionmentioning

confidence: 99%

Estudo exploratório de custos e conseqüências do pré-natal no Programa Saúde da Família

et al. 2011

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OBJECTIVE:To assess costs and consequences of prenatal care on perinatal morbidity and mortality. METHODS:Evaluation study using two types of analysis: implementation and effi ciency analysis, carried out at 11 Family Health Units in the Recife, Northeastern Brazil, in 2006. The costs were calculated by means of the activity-based costing technique and the cost-effectiveness ratio was calculated for each consequence. Data sources were information systems of the Ministry of Health and worksheets of costs provided by the Health Department of Recife and Instituto de Medicina Integral Prof. Fernando Figueira. Healthcare units with implemented or partially implemented prenatal care were compared in terms of their cost-effectiveness and perinatal results. RESULTS:In 64% of the units, prenatal care was implemented with a mean total cost of R$ 39,226.88 and variation of R$ 3,841,87 to R$ 8,765.02 per healthcare unit. In the units with partially implemented prenatal care (36%), the mean total cost was R$ 30,092.61 (R$ 4,272.12 to R$ 11,774.68). The mean cost per pregnant woman was R$ 196.13 with implemented prenatal care and R$ 150.46 with partially implemented prenatal care. A higher proportion of low birth weight, congenital syphilis, perinatal and fetal deaths was found in the partially implemented group. CONCLUSIONS:Prenatal care is cost-effective for several studied consequences. The adverse effects measured by the health indicators were lower in the units with implemented prenatal care. The mean cost in the partially implemented group was higher, which suggests a possible waste of resources, as the teams' productivity is insuffi cient for the installed capacity.

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The economic burden of treating neonates in Intensive Care Units (ICUs) in Greece

Cited by 13 publications

References 16 publications

Cost of preterm birth during initial hospitalization: A care provider’s perspective

Cost of preterm birth during initial hospitalization: A care provider’s perspective

Oral Feeding Readiness in Preterm Infants

Estudo exploratório de custos e conseqüências do pré-natal no Programa Saúde da Família

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