Outcome and cost of intensive care for very low birth weight infants.

Y. F. Lin, C. H. Lin, Y. J. Lin, T. F. Yeh

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Very low birth weights (VLBW) remain the major factor contributing to neonatal mortality and morbidity. The development of Neonatal Intensive Care Units (NICU) has improved the outcome for the VLBW infants. However, outborn VLBW infants may have different outcomes, and different medical costs than those born intramurally. This study compared the mortality, morbidity and costs of inborn and outborn VLBW infants cared in the NICU of a tertiary care center. A total of 176 VLBW infants (inborn 83, outborn 93) were examined over the three years period June 1990 to May 1993. The birth weights (1131 +/- 244 g vs 1133 +/- 255 g) and gestational ages (29.0 +/- 4.0 wk vs 28.9 +/- 3.0 wk) were not different between the two groups. However, the age of admission to our wards was significantly different between the inborn infants (5.0 +/- 3.2 hr.) and outborn infants (53.6 +/- 26.8 hr.). There was no difference in mortality rates between the outborn infants (35.7%) and the inborn infants (32.9%), nor in the incidence of intraventricular hemorrhage, respiratory distress syndrome, sepsis, necrotizing enterocolitis, retinopathy of prematurity or abnormal auditory brainstem response. However the incidence of patent ductus arteriosus and chronic lung disease of the outborn infants was higher than those of the inborn (47% vs 32%, 51% vs 29% respectively). The mean duration of hospitalization and cost seemed to be longer and higher in the outborn VLBW infants. It was concluded that outborn VLBW infants have higher rates of morbidity, longer hospitalization and cost more than inborn infants.(ABSTRACT TRUNCATED AT 250 WORDS)

Original languageEnglish
Pages (from-to)266-270
Number of pages5
JournalActa Paediatrica Sinica
Volume36
Issue number4
Publication statusPublished - Jul 1 1995
Externally publishedYes

Fingerprint

Very Low Birth Weight Infant
Critical Care
Costs and Cost Analysis
Neonatal Intensive Care Units
Morbidity
Hospitalization
Systemic Inflammatory Response Syndrome
Retinopathy of Prematurity
Necrotizing Enterocolitis
Patent Ductus Arteriosus
Brain Stem Auditory Evoked Potentials
Mortality
Incidence
Infant Mortality
Tertiary Care Centers
Birth Weight
Lung Diseases
Gestational Age
Chronic Disease
Hemorrhage

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Outcome and cost of intensive care for very low birth weight infants. / Lin, Y. F.; Lin, C. H.; Lin, Y. J.; Yeh, T. F.

In: Acta Paediatrica Sinica, Vol. 36, No. 4, 01.07.1995, p. 266-270.

Research output: Contribution to journalArticle

Lin, Y. F. ; Lin, C. H. ; Lin, Y. J. ; Yeh, T. F. / Outcome and cost of intensive care for very low birth weight infants. In: Acta Paediatrica Sinica. 1995 ; Vol. 36, No. 4. pp. 266-270.
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