The impact of transfers from neonatal intensive care to paediatric intensive care.
Costs and Cost Analysis
Gestational Age
Hospital Costs
/ statistics & numerical data
Hospitalization
/ economics
Humans
Infant
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
/ statistics & numerical data
Intensive Care Units, Pediatric
/ economics
Intensive Care, Neonatal
/ methods
Length of Stay
/ statistics & numerical data
Male
Patient Transfer
/ economics
United Kingdom
/ epidemiology
chronic lung disease
cost of care
neonatal intensive care
paediatric intensive care
prematurity
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
25 Jun 2021
25 Jun 2021
Historique:
received:
15
01
2021
accepted:
21
01
2021
pubmed:
6
2
2021
medline:
27
11
2021
entrez:
5
2
2021
Statut:
epublish
Résumé
Infants receiving care from neonatal intensive care unit (NICU) can develop chronic problems and be transferred to a paediatric intensive care unit (PICU) for on-going care. There is concern that such infants may take up a large amount of PICU resource, but this is not evidence based. We determined the impact of such transfers. We reviewed 10 years of NICU admissions to two tertiary PICUs, which had approximately 12,000 admissions during that period. Sixty-seven infants, gestational age at birth 34.7 (IQR 27.1-38.8) weeks and postnatal age on transfer 81 (IQR 9-144) days were admitted from NICUs. The median (IQR) length of stay was 12 (4-41) days. The 19 infants born <28 weeks of gestation had a greater median length of stay (32, range IQR 10-93 days) than more mature born infants (7.5, IQR 4-26 days) (p=0.003). The median cost of PICU stay for NICU transfers was £23,800 (range 1,205-1,034,000) per baby. The total cost of care for infants transferred from NICUs was £6,457,955. Infants transferred from NICUs were a small proportion of PICU admissions but, particularly those born <28 weeks of gestation, had prolonged stays which needs to be considered when determining bed capacity.
Identifiants
pubmed: 33544995
pii: jpm-2021-0022
doi: 10.1515/jpm-2021-0022
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
630-631Subventions
Organisme : Medical Research Council
ID : MC_PC_14105
Pays : United Kingdom
Informations de copyright
© 2021 Emma E. Williams et al., published by De Gruyter, Berlin/Boston.
Références
Young Seideman, R, Watson, MA, Corff, KE, Odle, P, Haase, J, Bowerman, JL. Parent stress and coping in NICU and PICU. J Pediatr Nurs 1997;12:169–77.
PICANet: a decade of data [Internet]. 2008–2017. [Accessed 10 Jan 2018].
Department of Health: reference costs guidance 2015–2016; National schedule of reference costs – main schedule. Department of Health and Social Care; 2016 Dec 15: 1–59pp.