TY - JOUR
T1 - Length of stay and cost of birth hospitalization
T2 - effects of subfertility and ART
AU - Dukhovny, Dmitry
AU - Hwang, Sunah S.
AU - Gopal, Daksha
AU - Cabral, Howard
AU - Missmer, Stacey
AU - Diop, Hafsatou
AU - Declercq, Eugene
AU - Stern, Judy E.
N1 - Funding Information:
Funding This study was supported by the National Institutes of Health R01HD067270.
Publisher Copyright:
© 2018, Springer Nature America, Inc.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Objective: The objective of this study is to measure delivery length of stay (LOS) and cost as proxies for infant morbidity in assisted reproductive technology (ART) and subfertile deliveries. Study Design: Massachusetts singleton births, ≥ 23 weeks gestational age (GA) between 2004 and 2010, were linked with ART data, vital records, and hospital discharges. LOS and costs (2010 US dollars) of infants born to fertile (no ART or indicators of infertility), subfertile (indicators of infertility but no ART), and ART-treated (linked to ART data) deliveries were compared. Least-square means and SE were calculated. Results: Of 345,756 singletons (fertile n = 332,481, subfertile n = 4987, and ART-treated n = 8288), overall LOS was 3.79 ± 0.01, 4.32 ± 0.15, and 4.90 ± 0.04 days, and costs were $2980 ± 6, $3217 ± 58, and $4483 ± 62, respectively. GA and birthweight predicted much of the intergroup difference. Conclusion: Maternal fertility group was not an independent predictor of infant LOS and costs. Prematurity and birthweight were driving factors in resource utilization.
AB - Objective: The objective of this study is to measure delivery length of stay (LOS) and cost as proxies for infant morbidity in assisted reproductive technology (ART) and subfertile deliveries. Study Design: Massachusetts singleton births, ≥ 23 weeks gestational age (GA) between 2004 and 2010, were linked with ART data, vital records, and hospital discharges. LOS and costs (2010 US dollars) of infants born to fertile (no ART or indicators of infertility), subfertile (indicators of infertility but no ART), and ART-treated (linked to ART data) deliveries were compared. Least-square means and SE were calculated. Results: Of 345,756 singletons (fertile n = 332,481, subfertile n = 4987, and ART-treated n = 8288), overall LOS was 3.79 ± 0.01, 4.32 ± 0.15, and 4.90 ± 0.04 days, and costs were $2980 ± 6, $3217 ± 58, and $4483 ± 62, respectively. GA and birthweight predicted much of the intergroup difference. Conclusion: Maternal fertility group was not an independent predictor of infant LOS and costs. Prematurity and birthweight were driving factors in resource utilization.
UR - http://www.scopus.com/inward/record.url?scp=85053331515&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053331515&partnerID=8YFLogxK
U2 - 10.1038/s41372-018-0205-9
DO - 10.1038/s41372-018-0205-9
M3 - Article
C2 - 30166621
AN - SCOPUS:85053331515
SN - 0743-8346
VL - 38
SP - 1457
EP - 1465
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 11
ER -