Portal de Periódicos da CAPES

Costs of Neonatal Intensive Care for Canadian Infants with Preterm Birth

2020; Elsevier BV; Volume: 229; Linguagem: Inglês

10.1016/j.jpeds.2020.09.045

1097-6833

Juan David Ríos, Prakesh S. Shah, Marc Beltempo, Deepak Louis, Amit Mukerji, Shahirose Sadrudin Premji, Vibhuti Shah, Shoo K. Lee, Petros Pechlivanoglou, Haim A. Abenhaim, Jehier Afifi, Ruben Alvaro, James E. Andrews, Anthony Armson, François Audibert, Khalid Aziz, Marilyn Ballantyne, Jon Barrett, Anick Bérard, Valérie Bertelle, Lucie Blais, Alan Bocking, Jaya Bodani, Jason Burrows, Kimberly Butt, Roderick Canning, George Carson, Nils Chaillet, Sue Chandra, Paige Church, Zenon Cieslak, Joan Crane, Dianne Creighton, Orlando da Silva, Thierry Daboval, Leanne Dahlgren, Sibasis Daspal, Cecilia de Cabo, Akhil Deshpandey, Kimberly Dow, Christine Drolet, Michael Dunn, Salhab el Helou, Darine El‐Chaâr, Walid El‐Naggar, Carlos Fajardo, Robert Gagnon, Rob Gratton, Victor K. M. Han, Adele Harrison, Shabih U. Hasan, Michael Helewa, Matthew Hicks, K.S. Joseph, Andrzej Kajetanowicz, Zarin Kalapesi, May Khairy, Thierry Lacaze‐Masmonteil, Kyong‐Soon Lee, Brigitte Lemyre, Abhay Lodha, Thuy Mai Luu, Linh Ly, Annette Majnemer, Hala Makary, Isabelle Marc, Édith Massé, Sarah D. McDonald, Doug McMillan, Nir Melamed, Amy Metcalfe, Diane Moddemann, Luis Monterrosa, Michelle Morais, William Mundle, Kellie E. Murphy, Kellie E. Murphy, Anne Monique Nuyt, Chuks Nwaesei, Karel O’Brien, Martin Offringa, Cecil Ojah, Annie Ouellet, Jean‐Charles Pasquier, Ermelinda Pelausa, Bruno Piedbœuf, Élodie Portales-Casamar, Pramod Puligandla, Eleanor Pullenayegum, Amber Reichert, Kate Robson, Carol Schneider, Mary Seshia, Prakesh S. Shah, Rebecca Sherlock, Sandesh Shivananda, Nalini Singhal, Erik D. Skarsgard, Amanda Skoll, Graeme N. Smith, Anne Synnes, Katherine Thériault, Joseph Ting, Suzanne Tough, Jennifer Toye, Jagdeep Ubhi, Michael Vincer, Wendy Whittle, Hilary Whyte, Doug Wilson, Stephen Wood, Xiang Y. Ye, Wendy Yee, Jill G. Zwicker, Jaideep Kanungo, Joseph Ting, Zenon Cieslak, Rebecca Sherlock, Ayman Abou Mehrem, Jennifer Toye, Carlos Fajardo, Zarin Kalapesi, Jaya Bodani, Koravangattu Sankaran, Sibasis Daspal, Mary Seshia, Ruben Alvaro, Orlando da Silva, Mohammad Adie, Kyong‐Soon Lee, Michael Dunn, Brigitte Lemyre, Faiza Khurshid, Ermelinda Pelausa, Keith J. Barrington, Anie Lapoint, Guillaume Éthier, Christine Drolet, Bruno Piedbœuf, Martine Claveau, Valérie Bertelle, Édith Massé, Roderick Canning, Hala Makary, Cecil Ojah, Luis Monterrosa, Julie Emberley, Jehier Afifi, Andrzej Kajetanowicz,

Congenital Heart Disease Studies

To develop and validate an itemized costing algorithm for in-patient neonatal intensive care unit (NICU) costs for infants born prematurely that can be used for quality improvement and health economic analyses.We sourced patient resource use data from the Canadian Neonatal Network database, with records from infants admitted to 30 tertiary NICUs in Canada. We sourced unit cost inputs from Ontario hospitals, schedules of benefits, and administrative sources. Costing estimates were generated by matching patient resource use data to the appropriate unit costs. All cost estimates were in 2017 Canadian dollars and assigned from the perspective of a provincial public payer. Results were validated using previous estimates of inpatient NICU costs and hospital case-cost estimates.We assigned costs to 27 742 infants born prematurely admitted from 2015 to 2017. Mean (SD) gestational age and birth weight of the cohort were 31.8 (3.5) weeks and 1843 (739) g, respectively. The median (IQR) cost of hospitalization before NICU discharge was estimated as $20 184 ($9739-51 314) for all infants; $11 810 ($6410-19 800) for infants born at gestational age of 33-36 weeks; $30 572 ($16 597-$51 857) at gestational age of 29-32 weeks; and $100 440 ($56 858-$159 3867) at gestational age of <29 weeks. Cost estimates correlated with length of stay (r = 0.97) and gestational age (r = -0.65). The estimates were consistent with provincial resource estimates and previous estimates from Canada.NICU costs for infants with preterm birth increase as gestation decreases and length of stay increases. Our cost estimates are easily accessible, transparent, and congruent with previous cost estimates.