Despite intense interest in allocation of resources to neonatal intensive care, no description exists of resource use by the large numbers of newborns admitted for triage, the process of short-term evaluation and management of infants after delivery.
This study characterized the triage phase of neonatal care with respect to infant demographics, risk factors for illness, and the course of the hospital admission.
We hypothesized that triage infants were responsible for a significant fraction of total intensive care resource utilization, and that patterns of use were predictable.
Cross-sectional cost analysis of prospectively collected data.
Data were collected prospectively on 2486 inborn infants admitted to two neonatal intensive care units (NICUs) for<24 hours and subsequently discharged to routine care.
Over the 11-month study period, these two hospitals delivered 15 097 live births and admitted a further 1837 infants for nontriage NICU care.
On a 50% random subsample, we calculated severity of illness using the Score for Neonatal Acute Physiology (SNAP) and applied a NICU resource checklist.
Daily NICU workload was estimated according to the number and labor intensity of NICU admissions using Medicus and SNAP.
Charges were obtained from patient-level item charge records and converted to costs using Medicare ratios of costs to charges. (...)
Mots-clés Pascal : Unité soin intensif, Admission hôpital, Prospective, Etude transversale, Analyse coût, Economie santé, Nouveau né, Homme, Triage
Mots-clés Pascal anglais : Intensive care unit, Hospital admission, Prospective, Cross sectional study, Cost analysis, Health economy, Newborn, Human, Sorting
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0043114
Code Inist : 002B30A04B. Création : 31/05/1999.