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Resource utilization patterns using non-invasive ventilation in neonates with respiratory distress syndrome.
Chavez, Thomas A; Lakshmanan, Ashwini; Figueroa, Lizzette; Iyer, Narayan; Stavroudis, Theodora A; Garingo, Arlene; Friedlich, Philippe S; Ramanathan, Rangasamy.
Afiliação
  • Chavez TA; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Lakshmanan A; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. alakshmanan@chla.usc.edu.
  • Figueroa L; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States. alakshmanan@chla.usc.edu.
  • Iyer N; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, United States. alakshmanan@chla.usc.edu.
  • Stavroudis TA; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Garingo A; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Friedlich PS; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Ramanathan R; Division of Neonatology, Department of Pediatrics, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
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. STUDY

DESIGN:

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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Síndrome do Desconforto Respiratório do Recém-Nascido / Recém-Nascido Prematuro / Custos Hospitalares / Ventilação não Invasiva / Intubação Intratraqueal Idioma: En Ano de publicação: 2018 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Síndrome do Desconforto Respiratório do Recém-Nascido / Recém-Nascido Prematuro / Custos Hospitalares / Ventilação não Invasiva / Intubação Intratraqueal Idioma: En Ano de publicação: 2018 Tipo de documento: Article