OBJECTIVE: To perform a cost-effective analysis on the care of infants between 1000 and 1500 g birthweight (the study group), where outcomes are measured as survival to 1 year of age. METHODOLOGY: This was a multicenter observational study to determine the outcome, cost and cost-effectiveness of neonatal intensive care provided by Ministry of Health (MOH) Pediatric services. A total of 333 patients enrolled were eligible for analysis according to the inclusion and exclusion criteria of this study. RESULTS: Overall survival probability of the study group infants at 1 year of age was 78%. Survival at 1-year of age was 77% for infants with birth weight 1000 to 1249 g, 79% for 1250 to 1499 g. Survival at 1 year of age for the sample group was 53% for 22 to 27 weeks gestation, 80% for 28 to 36 weeks. The average cost-effectiveness ratio (CER) of neonatal intensive care for the study group infants was US$3979 [corrected] per survivor at 1 year of age (95% confidence interval US$3411, 5160). CONCLUSION: There was variability in the outcome and cost-effectiveness between the neonatal units, which need to be further assessed. However, neonatal intensive care services provided for the study group infants were cost-effective compared to that in developed countries.
OBJECTIVE: To perform a cost-effective analysis on the care of infants between 1000 and 1500 g birthweight (the study group), where outcomes are measured as survival to 1 year of age. METHODOLOGY: This was a multicenter observational study to determine the outcome, cost and cost-effectiveness of neonatal intensive care provided by Ministry of Health (MOH) Pediatric services. A total of 333 patients enrolled were eligible for analysis according to the inclusion and exclusion criteria of this study. RESULTS: Overall survival probability of the study group infants at 1 year of age was 78%. Survival at 1-year of age was 77% for infants with birth weight 1000 to 1249 g, 79% for 1250 to 1499 g. Survival at 1 year of age for the sample group was 53% for 22 to 27 weeks gestation, 80% for 28 to 36 weeks. The average cost-effectiveness ratio (CER) of neonatal intensive care for the study group infants was US$3979 [corrected] per survivor at 1 year of age (95% confidence interval US$3411, 5160). CONCLUSION: There was variability in the outcome and cost-effectiveness between the neonatal units, which need to be further assessed. However, neonatal intensive care services provided for the study group infants were cost-effective compared to that in developed countries.
Authors: Ciaran S Phibbs; Susan K Schmitt; Matthew Cooper; Jeffrey B Gould; Henry C Lee; Jochen Profit; Scott A Lorch Journal: J Pediatr Date: 2018-10-05 Impact factor: 4.406
Authors: Amelie O von Saint André-von Arnim; Jonah Attebery; Teresa Bleakly Kortz; Niranjan Kissoon; Elizabeth M Molyneux; Ndidiamaka L Musa; Katie R Nielsen; Ericka L Fink Journal: Front Pediatr Date: 2017-12-22 Impact factor: 3.418
Authors: Qalab Abbas; Adrian Holloway; Paula Caporal; Eliana López-Barón; Asya Agulnik; Kenneth E Remy; John A Appiah; Jonah Attebery; Ericka L Fink; Jan Hau Lee; Shubhada Hooli; Niranjan Kissoon; Erika Miller; Srinivas Murthy; Fiona Muttalib; Katie Nielsen; Maria Puerto-Torres; Karla Rodrigues; Firas Sakaan; Adriana Teixeira Rodrigues; Erica A Tabor; Amelie von Saint Andre-von Arnim; Matthew O Wiens; William Blackwelder; David He; Teresa B Kortz; Adnan T Bhutta Journal: Front Pediatr Date: 2022-01-28 Impact factor: 3.418