Hospital Costs Associated with Stillbirth Delivery
Hospital Costs Associated with Stillbirth Delivery
复制标题
DOI：
10.1007/s10995-012-1203-8
复制
发表时间：
2013-12-01
影响因子：
2.3
通讯作者：
Xu, Xiao
中科院分区：
文献类型：
--
作者：
Gold, Katherine J.;Sen, Ananda;Xu, Xiao
在美国，胎儿死亡几乎占所有出生人数的百分之一。与胎儿死亡相关的医院护理费用可能很高。然而，关于胎儿死亡的经济负担的数据非常有限。我们对密歇根州三家大医院十年来的死胎进行了回顾性病历审查，并确定了这些分娩的医疗并发症、住院费用和住院时间。死产的母亲与同年在同一家医院分娩活产婴儿的同龄母亲相匹配。我们的最终样本包括533例死产和1,053例匹配的活产。死产的平均住院费用为7，495美元（+/-7，015），平均住院时间为2.8天（+/- 2.8）。有一个严重的产妇医疗并发症与较高的成本和长期停留的死产妇女。胎龄20 ~ 28周的早期死产、硬膜外/脊髓/全身麻醉和剖宫产也与住院时间较长相关。死产妇女的平均住院费用比活产妇女高出750美元以上，但两者之间的住院时间没有显着差异。这项研究表明，死产与大量的孕产妇住院费用。未来的研究将审查死产对分娩和分娩以外的经济影响，例如与后续怀孕中的额外检测和护理相关的成本增加，这将有助于更好地了解死产的整体经济影响。
Fetal deaths account for nearly one percent of all births in the United States. The cost of hospital care associated with fetal deaths may be substantial. However, there is very limited data on the economic burden of fetal death. We conducted a retrospective medical chart review of stillbirths at three large hospitals in Michigan over a ten-year period and identified medical complications, hospital costs, and length of stay for these deliveries. Mothers with stillbirth were matched with mothers of the same age who delivered a live-born infant at the same hospital during the same year. Our final sample was comprised of 533 stillbirths and 1,053 matched live births. Average hospital cost for stillbirth was $7,495 (+/- 7,015) and the average length of stay was 2.8 days (+/- 2.8). Having a serious maternal medical complication was associated with higher costs and longer length of stay among women with stillbirth. Early stillbirths between 20 and 28 weeks gestational age, epidural/spinal/general anesthesia, and cesarean delivery were also associated with longer length of stay. Average hospital costs for women with stillbirth were more than $750 higher than women with live births but length of stay was not significantly different between the two. This study suggests that stillbirths were associated with substantial maternal hospital costs. Future research examining the economic impact of stillbirths beyond labor and delivery such as increased costs associated with additional testing and care in subsequent pregnancies will help better understand the overall economic impact of stillbirths.