Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants
Abstract
:1. Introduction
2. Methods
2.1. Data Source
2.2. Study Sample Identification
2.3. Outcomes
2.4. Statistical Analysis
3. Results
3.1. Birth Hospitalization Characteristics
3.2. Birth Hospitalization Cost
3.3. Readmissions Rates and Costs
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Term (N = 1,977,942) | Late Preterm (N = 145,201) | |
---|---|---|
Birth year | ||
2005 | 92,483 (4.7%) | 6690 (4.6%) |
2006 | 139,575 (7.1%) | 9736 (6.7%) |
2007 | 159,278 (8.1%) | 11,434 (7.9%) |
2008 | 180,230 (9.1%) | 13,482 (9.3%) |
2009 | 178,219 (9.0%) | 12,662 (8.7%) |
2010 | 189,559 (9.6%) | 14,402 (9.9%) |
2011 | 211,864 (10.7%) | 15,734 (10.8%) |
2012 | 220,843 (11.2%) | 15,938 (11.0%) |
2013 | 171,590 (8.7%) | 12,921 (8.9%) |
2014 | 180,984 (9.2%) | 13,994 (9.6%) |
2015 | 132,868 (6.7%) | 9774 (6.7%) |
2016 | 120,449 (6.1%) | 8434 (5.8%) |
Delivery | ||
Vaginal | 1,284,880 (65.0%) | 66,794 (46.0%) |
Cesarean | 693,062 (35.0%) | 78,407 (54.0%) |
Multiple birth | ||
No | 1,945,008 (98.3%) | 112,575 (77.5%) |
Yes | 32,934 (1.7%) | 32,626 (22.5%) |
Transfer | ||
No | 1,970,651 (99.6%) | 140,852 (97.0%) |
Yes | 7291 (0.4%) | 4349 (3.0%) |
NICU stay | ||
No | 1,834,790 (92.8%) | 62,832 (43.3%) |
Yes | 143,152 (7.2%) | 82,369 (56.7%) |
LOS, days | ||
Median | 2 | 4 |
Interquartile range | 2, 3 | 2, 9 |
LOS, days (group) | ||
≤3 days | 1,816,309 (91.8%) | 66,273 (45.6%) |
4–7 days | 144,338 (7.3%) | 34,160 (23.5%) |
8–30 days | 15,993 (0.8%) | 40,910 (28.2%) |
≥31 days | 1302 (0.1%) | 3858 (2.7%) |
Summary of Birth Hospitalization Costs (USD) | |||
---|---|---|---|
Term (N = 1,977,942) | Late Preterm (N = 145,201) | Total (N = 2,123,143) | |
Cost of birth hospitalization | |||
Mean (SD) | 3300 (4400) | 25,700 (41,400) | 4800 (13,000) |
Median | 2200 | 9600 | 2300 |
Interquartile range | (1600–3200) | (3500–30,200) | (1600–3400) |
Parameter | Birth Hospitalization Costs CR (95% CI) | Readmission Costs CR (95% CI) | p Value |
---|---|---|---|
Late preterm vs. term by year | |||
2005 | 8.94 (8.64–9.25) | 1.72 (1.36–2.18) | <0.001 |
2006 | 8.76 (8.52–9.01) | 1.80 (1.48–2.20) | <0.001 |
2007 | 8.28 (8.07–8.49) | 2.00 (1.65–2.42) | <0.001 |
2008 | 8.07 (7.88–8.27) | 1.59 (1.33–1.90) | <0.001 |
2009 | 7.85 (7.66–8.05) | 1.83 (1.53–2.19) | <0.001 |
2010 | 7.84 (7.66–8.02) | 1.71 (1.44–2.03) | <0.001 |
2011 | 8.37 (8.18–8.55) | 1.82 (1.54–2.15) | <0.001 |
2012 | 8.02 (7.85–8.20) | 1.92 (1.64–2.26) | <0.001 |
2013 | 7.88 (7.69–8.07) | 1.65 (1.38–1.97) | <0.001 |
2014 | 7.24 (7.07–7.41) | 1.62 (1.36–1.93) | <0.001 |
2015 | 6.89 (6.70–7.09) | 1.77 (1.44–2.17) | <0.001 |
2016 | 6.73 (6.53–6.94) | 2.04 (1.64–2.53) | <0.001 |
Odds Ratios (OR) from Fitted Regression Model for Readmissions from 2005 to 2016 | |
---|---|
Parameter | OR (95% CI) |
Late preterm vs. term by year | |
2005 | 1.77 (1.57–2.00) |
2006 | 1.90 (1.72–2.11) |
2007 | 1.75 (1.58–1.93) |
2008 | 1.94 (1.77–2.13) |
2009 | 2.07 (1.88–2.27) |
2010 | 2.01 (1.84–2.20) |
2011 | 1.95 (1.79–2.12) |
2012 | 2.12 (1.95–2.30) |
2013 | 2.17 (1.98–2.38) |
2014 | 2.19 (2.00–2.40) |
2015 | 2.13 (1.92–2.37) |
2016 | 2.33 (2.09–2.61) |
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Speer, R.R.; Schaefer, E.W.; Aholoukpe, M.; Leslie, D.L.; Gandhi, C.K. Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants. Children 2021, 8, 127. https://doi.org/10.3390/children8020127
Speer RR, Schaefer EW, Aholoukpe M, Leslie DL, Gandhi CK. Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants. Children. 2021; 8(2):127. https://doi.org/10.3390/children8020127
Chicago/Turabian StyleSpeer, Rebecca R., Eric W. Schaefer, Mahoussi Aholoukpe, Douglas L. Leslie, and Chintan K. Gandhi. 2021. "Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants" Children 8, no. 2: 127. https://doi.org/10.3390/children8020127