The effect of severe maternal morbidity on infant costs and lengths of stay.

The effect of severe maternal morbidity on infant costs and lengths of stay.
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DOI:
10.1038/s41372-022-01343-3
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发表时间:
2022-05
影响因子:
2.9
通讯作者:
Phibbs, Ciaran S.
Phibbs, Ciaran S.
中科院分区:
医学3区
文献类型:
--
作者:
Phibbs, Claire M.;Kozhimannil, Katy B.;Leonard, Stephanie A.;Lorch, Scott A.;Main, Elliott K.;Schmitt, Susan K.;Phibbs, Ciaran S.

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使用额外的婴儿成本和住院时间(LOS)作为增加的临床复杂性的标记,以检查严重的母体发病率(SMM)与婴儿健康之间的关联。 使用加利福尼亚州的二级数据分析2009 - 2011年(n = 1,260,457)用于估计SMM与婴儿成本和LOS之间的关联。 1687名暴露于SMM的婴儿的成本增加了6,550美元(33%),LOS的婴儿增加了0.7(18%)。 SMM与婴儿成本增加和LOS有关,这表明SMM对婴儿的健康影响可能不利,包括婴儿对成本的相对影响,这表明治疗强度(临床严重程度)大于其他LOS。
To examine the association between severe maternal morbidity (SMM) and infant health using the additional infant costs and length of stay (LOS) as markers of added clinical complexity. Secondary data analysis using California linked birth certificate-patient discharge data for 2009–2011 (N=1,260,457). Regression models were used to estimate the association between SMM and infant costs and LOS. The 16,687 SMM-exposed infants experienced a $6,550 (33%) increase in costs and a 0.7 (18%) day increase in LOS. Preterm infants had ($11,258 (18%) added costs and 1.3 days (8.1%) longer LOS) than term infants ($2,539 (38%) added costs and 0.5 days (22%) longer LOS). SMM was associated with increased infant costs and LOS, suggesting that SMM may have adverse health effects for infants, including term infants. The relatively larger effect on costs indicates an increase in treatment intensity (clinical severity) greater than additional LOS.
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期刊: HEALTH AFFAIRS
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通讯作者: Phibbs, Ciaran S.