In-home nursing care for women with high-risk pregnancies: Outcomes and cost
In-home nursing care for women with high-risk pregnancies: Outcomes and cost
复制标题
DOI：
10.1016/s0029-7844(01)01360-6
复制
发表时间：
2001-06-01
影响因子：
7.2
通讯作者：
Mitchell, BF
中科院分区：
文献类型：
--
作者：
Harrison, MJ;Kushner, KE;Mitchell, BF
目的：评估一项为受早产威胁的妊娠妇女提供家庭护理的计划（包括早产、早产胎膜早破和多胎妊娠）和妊娠高血压妇女。来自医院出院总结的数据被用来比较家庭计划中的妇女和接受家庭计划的妇女的出生结局和护理费用。新方案实施前的医院产前保健。出生结果包括母亲和婴儿的数据。样本包括437名先兆早产妇女（n = 228在家里，n = 209在医院）和308名高血压患者（n = 155在家里，n = 153在医院）。每名妇女的成本包括所有的服务费用为母亲和infections.Results：妇女在早产的风险谁收到家庭护理的一半可能有他们的婴儿在新生儿重症监护病房超过48小时（比值比0.53，95%置信区间0.36，0.78）。平均而言，他们的婴儿体重更重（2732 +/- 716 g对2330 +/- 749 g，P
Objective: To evaluate a program that provides in-home care to women with pregnancies threatened by preterm delivery (including preterm labor, preterm premature rupture of membranes, and multiple gestation) and women with pregnancy-related hypertension.Methods: Data from hospital discharge summaries were used to compare birth outcomes and cost of care for women in the in-home program and a cohort of women who received in-hospital antenatal care before the new program. Birth outcomes included data for mothers and infants. The sample included 437 women with threatened preterm delivery (n = 228 in-home, n = 209 in-hospital) and 308 with hypertension (n = 155 in-home, n = 153 in-hospital). The cost per woman included all costs of services for mothers and infants.Results: Women at risk of preterm delivery who received in-home care were half as likely to have their infants in the neonatal intensive care unit more than 48 hours (odds ratio 0.53, 95% confidence interval 0.36, 0.78). On average, their infants weighed more (2732 +/- 716 g versus 2330 +/- 749 g, P