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Arch Pediatr Adolesc Med. 2010 Jul;164(7):657-63. doi: 10.1001/archpediatrics.2010.99.

Hospital costs and quality of life during 4 years after very preterm birth.

Author information

1
Department of Pediatrics, Turku University Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland. emmi.korvenranta@utu.fi

Abstract

OBJECTIVE:

To evaluate the effect of gestational age and prematurity-related morbidities on hospital costs and cost per quality-adjusted life-year (QALY) during the first 4 years of life.

DESIGN:

Population-based study using national register data and parental questionnaires.

SETTING:

Finland.

PARTICIPANTS:

All 2064 very preterm children (gestational age <32 weeks or birth weight <1501 g) and all 200 609 full-term control individuals (mean [SD] gestational age, 37 [0] to 41 [6] weeks) born from January 1, 2000, through December 31, 2003.

MAIN EXPOSURE:

Prematurity.

MAIN OUTCOME MEASURES:

Costs of hospital care and cost per QALY at 4 years of age according to gestational age and prematurity-related morbidities.

RESULTS:

By 4 years of age, the cost per QALY for full-term controls (in 2008 currency) was euro1181 (US$1736). In very preterm children, the average cost per QALY was euro19 245 ($28 290), ranging from euro11 824 to euro54 324 ($17 381 to $79 856) and increasing with decreasing gestational age. The cost per QALY was euro14 368 ($21 121) for those without any of the studied morbidities and euro36 110 ($53 082) for those with 2 or more morbidities. The costs of the initial hospital stay comprised 79.5% of the total 4-year hospital costs in very preterm children.

CONCLUSIONS:

We conclude that the cost per QALY in this patient group is at an acceptable level by 4 years of age. Because the initial hospital care episode accounted for most of the costs, the cost per QALY will decrease with each additional follow-up year.

PMID:
20603467
DOI:
10.1001/archpediatrics.2010.99
[Indexed for MEDLINE]

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