Abstract
HYPOTHESIS:
Newborns with major congenital malformations (MCM) have contributed to a significant proportion of resource utilization in a regional referral neonatal intensive care unit (NICU).
SETTING:
The Children’s Hospital Medical Center NICU, Cincinnati, OH.
SUBJECTS:
Newborns with and without MCM admitted from August 1, 1993 through July 31, 1994. Total patients studied were 572; 147 with and 385 without MCM. No intervention was performed in this observational study.
STATISTICS:
Statistics were t test, chi-squared, and rank sum analysis.
RESULTS:
MCM accounted for 27.6% of NICU referrals, 32.4% of total NICU days, and 39.6% of NICU costs. Both median cost per patient and length of stay were significantly (p < 0.01) higher for patients with MCM than those without MCM. Surgery was more frequent in MCM than non-MCM cases. Thirty-three percent of the newborns with MCM received ongoing medical support at discharge.
CONCLUSION:
Patients with MCM remain as one of the largest and costliest groups hospitalized in a referral NICU.
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Lindower, J., Atherton, H. & Kotagal, U. Outcomes and Resource Utilization For Newborns with Major Congenital Malformations: The Initial NICU Admission. J Perinatol 19, 212–215 (1999). https://doi.org/10.1038/sj.jp.7200142
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DOI: https://doi.org/10.1038/sj.jp.7200142