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Prenatal and post-natal cost of small for gestational age infants: a national study

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Názov: Prenatal and post-natal cost of small for gestational age infants: a national study
Autori: Marzouk, Alicia, Filipovic-Pierucci, Antoine, Baud, Olivier, Tsatsaris, Vassilis, Ego, Anne, Charles, Marie-Aline, Goffinet, François, Evain-Brion, Danièle, Durand-Zaleski, Isabelle
Prispievatelia: BMC, BMC, PremUp Foundation, Institut de Recherche pour le Développement (IRD)-Université Paris-Sud - Paris 11 (UP11)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris Diderot - Paris 7 (UPD7)-CHI Créteil-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Unité de recherche clinique en économie de la santé d'Ile-de-France (URC Eco), Hôpital Hôtel-Dieu Paris, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Neuroprotection du Cerveau en Développement / Promoting Research Oriented Towards Early Cns Therapies (PROTECT), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Robert Debré, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM), Physiopathologie et Pharmacotoxicologie Placentaire Humaine (U1139), Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes 2016-2019 (UGA 2016-2019 ), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Equipe 1 : EPOPé - Épidémiologie Obstétricale, Périnatale et Pédiatrique (CRESS - U1153), Université Paris Descartes - Paris 5 (UPD5)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables (ECEVE (U1123 / UMR_S_1123)), Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AP-HP Hôpital universitaire Robert-Debré Paris, Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), PREMUP foundation, a non-profit organisation. AM, OB, VT, MAC, FG, and IDZ are members of the PREMUP foundation. DEB is the director of the PREMUP foundation.
Zdroj: BMC Health Serv Res
BMC Health Services Research, Vol. 17, No 1 (2017) P. 221
Informácie o vydavateľovi: Springer Science and Business Media LLC, 2017.
Rok vydania: 2017
Predmety: Length of Stay/economics, Adult, Male, Diseases/economics/therapy, [SDV]Life Sciences [q-bio], Mothers, Mothers/statistics & numerical data, Gestational Age, Infant, Premature, Diseases, Database, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Pregnancy, Birth Weight, Humans, Economic cost, Obstetric/economics, Premature, 2. Zero hunger, ddc:618, Health Policy, Infant, Newborn, Infant, Small for gestational age, Length of Stay, Newborn, Delivery, Obstetric, 3. Good health, [SDV] Life Sciences [q-bio], Perinatal Care, Cross-Sectional Studies, Infant, Small for Gestational Age, Costs and Cost Analysis, Small for Gestational Age, Female, Perinatal Care/economics, France, Morbidity, Prematurity, Delivery, Infant, Premature, Research Article
Popis: Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to evaluate the costs of SGA versus appropriate for gestational age (AGA) infants in France from pregnancy through the first year of life and separate the contributions of prematurity from the contribution of foetal growth on costs.This is a cross-sectional population-based study using national hospital discharge data from French public and private hospitals. SGA infants were defined as newborns with a birth weight below the 10th percentile of French intrauterine growth curves adjusted for foetal sex. AGA infants were defined as newborns with a birth weight between the 25th and the 75th. All births were selected between January 1st, 2011 and December 31st, 2011. Costs were calculated from the hospital perspective for both mothers and children using their diagnostic related group and the French national cost study. Hospital outcomes were extracted from the database and compared by gestational age and mode of delivery.Of 777,720 total births in 2011, 84,688 SGA births (10.9%) and 395,760 AGA births (50.8%) were identified. After adjustment for gestational age, the cost for an SGA infant was €2,783 higher than for an AGA infant. The total maternal and infant hospital cost of SGA in France was estimated at 23% the total cost for deliveries. The high cost is explained by higher complication rates, more frequent hospital readmissions and longer lengths of stay.Being small for gestational age is an independent contributor to 1-year hospital costs for both mothers and infants.
Druh dokumentu: Article
Conference object
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 1472-6963
DOI: 10.1186/s12913-017-2155-x
Prístupová URL adresa: https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-017-2155-x
https://pubmed.ncbi.nlm.nih.gov/28320392
https://core.ac.uk/display/81190292
https://archive-ouverte.unige.ch/unige:107446/ATTACHMENT01
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2155-x
https://www.ncbi.nlm.nih.gov/pubmed/28320392
https://link.springer.com/article/10.1186/s12913-017-2155-x
https://www.hal.inserm.fr/inserm-01493136/document
https://inserm.hal.science/inserm-01493136v1/document
https://doi.org/10.1186/s12913-017-2155-x
https://inserm.hal.science/inserm-01493136v1
https://archive-ouverte.unige.ch/unige:107446
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....7335b11d5c6b43f9650b3bf73f4ce263
Databáza: OpenAIRE
Popis
Abstrakt:Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to evaluate the costs of SGA versus appropriate for gestational age (AGA) infants in France from pregnancy through the first year of life and separate the contributions of prematurity from the contribution of foetal growth on costs.This is a cross-sectional population-based study using national hospital discharge data from French public and private hospitals. SGA infants were defined as newborns with a birth weight below the 10th percentile of French intrauterine growth curves adjusted for foetal sex. AGA infants were defined as newborns with a birth weight between the 25th and the 75th. All births were selected between January 1st, 2011 and December 31st, 2011. Costs were calculated from the hospital perspective for both mothers and children using their diagnostic related group and the French national cost study. Hospital outcomes were extracted from the database and compared by gestational age and mode of delivery.Of 777,720 total births in 2011, 84,688 SGA births (10.9%) and 395,760 AGA births (50.8%) were identified. After adjustment for gestational age, the cost for an SGA infant was €2,783 higher than for an AGA infant. The total maternal and infant hospital cost of SGA in France was estimated at 23% the total cost for deliveries. The high cost is explained by higher complication rates, more frequent hospital readmissions and longer lengths of stay.Being small for gestational age is an independent contributor to 1-year hospital costs for both mothers and infants.
ISSN:14726963
DOI:10.1186/s12913-017-2155-x