Economic considerations at the threshold of viability.
Semin Perinatol
; 46(2): 151547, 2022 03.
Article
em En
| MEDLINE
| ID: mdl-34887108
ABSTRACT
Neonatal intensive care for infants born at 22-24 weeks has become more prevalent in the past three decades, but outcomes remain highly variable between centers, in part due to different approaches in management. With this increased frequency of intervention, there has been concern for a concurrent increase in costs of care for survivors. This article reviews the direct medical, direct non-medical, and indirect costs of care for periviable infants and their families, as well as the current limitations of published data. In addition, we highlight the cost-effectiveness of neonatal intensive care and various therapies offered to extremely preterm infants, while also considering the ethical dilemmas inherently tied to periviable decision-making. Strategies to improve the gaps in knowledge on the economic impact of the smallest infants are discussed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Terapia Intensiva Neonatal
/
Lactente Extremamente Prematuro
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article