Cost comparison of mechanically ventilated patients across the age span. J Perinatol 2015 Dec;35(12):1020-6
Date
10/16/2015Pubmed ID
26468935Pubmed Central ID
PMC4821466DOI
10.1038/jp.2015.131Scopus ID
2-s2.0-84948106515 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
OBJECTIVE: To compare the use of mechanical ventilation and hospital costs across ventilated patients of all ages, preterm through adults, in a nationally representative sample.
STUDY DESIGN: Secondary analysis of the 2009 Agency for Healthcare Research and Quality National Inpatient Sample.
RESULTS: A total of 1 107 563 (2.8%) patients received mechanical ventilation. For surviving ventilated patients, median costs for infants ⩽32 weeks' gestation were $51000 to $209 000, whereas median costs for older patients were lower from $17 000 to $25 000. For non-surviving ventilated patients, median costs were $27 000 to $39 000 except at the extremes of age; the median cost was $10 000 for <24 week newborns and $14 000 for 91+ year adults. Newborns of all gestational ages had a disproportionate share of hospital costs relative to their total volume.
CONCLUSION: Most intensive care unit resources at the extremes of age are not directed toward non-surviving patients. From a perinatal perspective, attention should be directed toward improving outcomes and reducing costs for all infants, not just at the earliest gestational ages.
Author List
Hayman WR, Leuthner SR, Laventhal NT, Brousseau DC, Lagatta JMAuthors
Joanne M. Lagatta MD Professor in the Pediatrics department at Medical College of WisconsinSteven R. Leuthner MD Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Age Distribution
Aged
Aged, 80 and over
Child
Child, Preschool
Databases, Factual
Female
Gestational Age
Hospital Costs
Humans
Infant
Infant, Newborn
Intensive Care Units
Length of Stay
Male
Middle Aged
Respiration, Artificial
United States
Young Adult
