The neonatal costs of maternal cocaine use.
The neonatal costs of maternal cocaine use.
复制标题
母亲使用可卡因的新生儿成本。
DOI：
--
复制
发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Rachel M. Schwartz
中科院分区：
文献类型：
--
作者：
C. Phibbs;David A. Bateman;Rachel M. Schwartz
目标
--检查与胎儿可卡因接触相关的增加的新生儿费用和住院时间。
设计
——研究人群中所有接触过可卡因的婴儿 (n = 355) 与未接触过可卡因的婴儿的随机样本 (n = 199) 进行了比较。回归分析用于控制母亲年龄、吸烟、饮酒、产前护理、种族、妊娠和婴儿性别的独立影响。
设置
——1985 年至 1986 年对一家大型公立市中心医院进行了研究。
患者
——对所有婴儿进行常规非法物质检测，审查母亲滥用药物史的记录，并包括所有已知接触过可卡因的单胎婴儿。
主要成果指标
--每个婴儿经医疗许可出院之前的费用和住院时间，以及每个婴儿实际出院之前的费用和住院时间。
结果
-- 接触可卡因的婴儿在医疗许可出院之前的新生儿住院费用比未接触可卡因的婴儿高 5200 美元（差异为 7957 美元与 2757 美元 [P = .003]）。婴儿留在托儿所等待家庭和社会评估或寄养安置的费用使这一差异增加了 3500 美元以上（P 小于 0.0001）。与其他形式的可卡因相比，胎儿接触可卡因会导致更大的成本增加（6735 美元 vs 1226 美元）。除可卡因外，接触其他非法物质也与更大的成本增加有关（8450 美元 vs 1283 美元）。
结论
——在国家层面，我们估计这些个人医疗费用加起来约为 5 亿美元。这些巨大的费用表明，针对孕产妇可卡因滥用者的有效治疗方案可以在实施的第一年内节省成本。
OBJECTIVE
--To examine the added neonatal cost and length of hospital stay associated with fetal cocaine exposure.
DESIGN
--All cocaine-exposed infants in the study population (n = 355) were compared with a random sample of unexposed infants (n = 199). Regression analysis was used to control for the independent effects of maternal age, smoking, alcohol consumption, prenatal care, race, gravidity, and sex of the infant.
SETTING
--A large, public, inner-city hospital studied from 1985 to 1986.
PATIENTS
--All infants were routinely tested for illicit substances, records were reviewed for maternal histories of substance abuse, and all known cocaine-exposed singleton infants were included.
MAIN OUTCOME MEASURES
--Cost and length of stay until each infant was medically cleared for hospital discharge and cost and length of stay until each infant was actually discharged from the hospital.
RESULTS
--Neonatal hospital costs until medically cleared for discharge were $5200 more for cocaine-exposed infants than for unexposed infants (a difference of $7957 vs $2757 [P = .003]). The costs of infants remaining in the nursery while awaiting home and social evaluation or foster care placement increased this difference by more than $3500 (P less than .0001). Compared with other forms of cocaine, fetal exposure to crack was associated with much larger cost increases ($6735 vs $1226). Exposure to other illicit substances in addition to cocaine was also associated with much larger cost increases ($8450 vs $1283).
CONCLUSIONS
--At the national level, we estimate that these individual medical costs add up to about $500 million. The large magnitude of these costs indicates that effective treatment programs for maternal cocaine abusers could yield savings within their first year of operation.
可卡因和低出生体重的风险。
影响因子：
12.7
作者：
Petitti,DB;Coleman,C
通讯作者：
Coleman,C
新生儿重症监护诊断相关组的替代方案。
影响因子：
8
作者：
Phibbs,CS;Phibbs,RH;Pomerance,JJ;Williams,RL
通讯作者：
Williams,RL