Burden of Comorbidities and Healthcare Resource Utilization Among Medicaid-Enrolled Extremely Premature Infants

نویسندگان

چکیده

Background: The effect of gestational age (GA) on comorbidity prevalence, healthcare resource utilization (HCRU), and all-cause costs is significant for extremely premature (EP) infants in the United States. Objectives: To characterize real-world patient characteristics, prevalence comorbidities, rates HCRU, direct charges societal among US Medicaid programs, with respect to GA presence respiratory comorbidities. Methods: Using International Classification Diseases, Ninth/Tenth Revision, Clinical Modification codes, diagnosis medical claims data from 6 state databases (1997-2018) born at less than 37 weeks (wGA) were collected retrospectively. Data index date (birth) up 2 years corrected or death, stratified by (EP, ≤28 wGA; very [VP], >28 <32 moderate late [M-LP], ≥32 <37 wGA), compared using unadjusted adjusted generalized linear models. Results: Among 25 573 (46.1% female; 4462 [17.4%] EP; 2904 [11.4%] VP; 18 207 [71.2%] M-LP), increased decreasing highest EP. Total charges, excluding hospitalization (US dollars), 3 times higher EP M-LP (EP $74 436 vs $27 541 $28 504 $15 892, respectively). Conclusions: Complications preterm birth, including costs, during first this analysis.

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ژورنال

عنوان ژورنال: Journal of health economics and outcomes research

سال: 2022

ISSN: ['2326-697X', '2327-2236']

DOI: https://doi.org/10.36469/jheor.2022.38847