Resource utilization patterns using non-invasive ventilation in neonates with respiratory distress syndrome.
J Perinatol
; 38(7): 850-856, 2018 07.
Article
em En
| MEDLINE
| ID: mdl-29795324
ABSTRACT
OBJECTIVES:
To describe the frequency of non-invasive ventilation (NIV) and endotracheal intubation use in neonates diagnosed with respiratory distress syndrome (RDS); to describe resources utilization (length of stay (LOS), charges, costs) among NIV and intubated RDS groups. STUDYDESIGN:
Retrospective study from the national Kid's Inpatient Database of the Healthcare Cost and Utilization Project, for the years 1997-2012. Propensity scoring and multivariate regression analysis used to describe differences.RESULTS:
A total of 595,254 out of 42,912,090 cases were identified with RDS. There was an increase in NIV use from 6% in 1997 to 17% in 2012. After matching, patients receiving NIV only were associated with shorter LOS (95%CI) 25 (25.3,25.7) vs. 35 (34.2,34.9) days, decreased costs ($/1k) 46.1 (45.5,46.8) vs. 65.0 (64.1,66.0), decreased charges 130.3 (128.6,132.1) vs. 192.1 (189.5,194.6) compared to intubated neonates.CONCLUSION:
There was a three-fold increase in NIV use within the 15-year study period. NIV use was associated with decreased LOS, charges and costs compared to intubated patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Desconforto Respiratório do Recém-Nascido
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Recém-Nascido Prematuro
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Custos Hospitalares
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Ventilação não Invasiva
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Intubação Intratraqueal
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article