TY - JOUR
T1 - Hospitalization costs associated with bronchopulmonary dysplasia in the first year of life
AU - Lapcharoensap, Wannasiri
AU - Bennett, Mihoko V.
AU - Xu, Xiao
AU - Lee, Henry C.
AU - Dukhovny, Dmitry
N1 - Publisher Copyright:
© 2019, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Objective: To determine costs of hospitalization associated with bronchopulmonary dysplasia (BPD) during the first year in very low birth weight infants. Study design: Retrospective cohort study of California births from 2008 to 2011 linking birth certificate, discharge records, and clinical data from California Perinatal Quality Care Collaborative. Inclusion: birth weight 401–1500 g, gestational age < 30 weeks, inborn or transferred within 2 days, alive at 36 weeks corrected, and without major congenital anomalies. Outcomes included cost and length of stay of initial hospitalization and rehospitalizations. Result: Out of 7998 eligible infants, 2696 (33.7%) developed BPD. Median hospitalization cost in the first year was $377,871 per infant with BPD compared with $175,836 per infant without BPD (adjusted cost ratio 1.54, 95% confidence interval (CI) 1.49–1.59). Infants with BPD also had longer length of stay and a higher likelihood of rehospitalization. Conclusion: BPD is associated with substantial resource utilization. Prevention strategies could help conserve healthcare resources.
AB - Objective: To determine costs of hospitalization associated with bronchopulmonary dysplasia (BPD) during the first year in very low birth weight infants. Study design: Retrospective cohort study of California births from 2008 to 2011 linking birth certificate, discharge records, and clinical data from California Perinatal Quality Care Collaborative. Inclusion: birth weight 401–1500 g, gestational age < 30 weeks, inborn or transferred within 2 days, alive at 36 weeks corrected, and without major congenital anomalies. Outcomes included cost and length of stay of initial hospitalization and rehospitalizations. Result: Out of 7998 eligible infants, 2696 (33.7%) developed BPD. Median hospitalization cost in the first year was $377,871 per infant with BPD compared with $175,836 per infant without BPD (adjusted cost ratio 1.54, 95% confidence interval (CI) 1.49–1.59). Infants with BPD also had longer length of stay and a higher likelihood of rehospitalization. Conclusion: BPD is associated with substantial resource utilization. Prevention strategies could help conserve healthcare resources.
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U2 - 10.1038/s41372-019-0548-x
DO - 10.1038/s41372-019-0548-x
M3 - Article
C2 - 31700090
AN - SCOPUS:85074812460
SN - 0743-8346
VL - 40
SP - 130
EP - 137
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 1
ER -