TAILIEUCHUNG - The economic burden of prematurity in Canada

Preterm birth is a major risk factor for morbidity and mortality among infants worldwide, and imposes considerable burden on health, education and social services, as well as on families and caregivers. | Johnston et al. BMC Pediatrics 2014 14 93 http 1471-2431 14 93 BMC Pediatrics RESEARCH ARTICLE Open Access The economic burden of prematurity in Canada I43ricc i K l Inhncfnn1 k TithQrinQ rEmnr-H2 Ellon I6irrj1 PumcilTi n2 nHonn A orio E o A n1 3 Do nolo Rronli 4 Karissa M Johnston Katherine uoucil Ellen Korol rdllieid Vo uyilcliuwcdc Eyawo rdlllcld DldUt and Adrian Levy1 5 Abstract Background Preterm birth is d major risk factor for morbidity and mortality among infants worldwide and imposes considerable burden on health education and social services as well as on families and caregivers. Morbidity and mortality resulting from preterm birth is highest among early 28 weeks gestational age and moderate 28-32 weeks preterm infants relative to late preterm infants 33-36 weeks . However substantial societal burden is associated with late prematurity due to the larger number of late preterm infants relative to early and moderate preterm infants. Methods The aim in this study was to characterize the burden of premature birth in Canada for early moderate and late premature infants including resource utilization direct medical costs parental out-of-pocket costs education costs and mortality using a validated and published decision model from the UK and adapting it to a Canadian setting based on analysis of administrative population-based data from Québec. Results Two-year survival was estimated at for early preterm infants for moderate preterm infants and for late preterm infants. Per infant resource utilization consistently decreased with age. For moderately preterm infants hospital days ranged from at age two to at age ten. Cost per infant over the first ten years of life was estimated to be 67 467 for early preterm infants 52 796 for moderate preterm infants and 10 010 for late preterm infants. Based on population sizes this corresponds to total national costs of million for early preterm infants million for .

• Y khoa - Dược
• BMC Pediatrics
• Preterm birth
• Major risk factor
• Infants worldwide
• Including resource utilization
• Direct medical costs
• Acute otitis media
• Primary care pediatrics
• Pneumatic otoscope
• Educational programmes concerning
• National Institutes of Health
• Pediatric integrative medicine
• Healthcare professionals
• Alternative medicine
• Lumbar puncture
• Early onset neonatal sepsis
• American Academy of Pediatrics
• Group B Streptococcus
• 9 Kids’ Inpatient Database
• Public health
• Tasmanian Law Reform Institute
• Non therapeutic circumcision
• Long QT syndrome
• Standing test
• Pediatric emergency department
• Ventricular arrhythmias
• Acute respiratory infection
• Under five years
• Death especially
• Binary logistic regression analysis
• Pediatrics mortality
• Emergency department
• Tikur Anbessa Specialized Tertiary Hosptal
• Neonatal intensive care unit
• RV infection
• Pediatrics guidelines criteria
• Gynecology hospitals
• Demographic data collection
• Electronic health record
• Health care organizations
• Screen viewing
• Psychological wellbeing
• Moderate to vigorous intensity physical activity
• Child abuse pediatrics
• Social risk indicators
• Non social cues
• CAP risk perception
• Not included in the title
• Quality of health care
• Patient satisfaction
• Emergency medical services
• Isolated unilateral temporalis muscle hypertrophy
• IUTMH in pediatrics
• Masticatory muscle hypertrophies
• Visual disturbances
• Pediatrics antiretroviral market
• Pediatric antiretroviral prices
• Global Price Reporting Mechanism
• Price trends
• Pediatric antiretroviral procurement
• Hospitalized children
• Antimicrobial stewardship
• Prescribing antimicrobials
• Discontinuing empiric antimicrobials
• Pediatric tumors
• Infantile orbital tumors
• Isolated enophthalmos
• Orbital tumors
• Care seeking behavior
• Traditional medicine
• National Hospital of Pediatrics
• Neonatal jaundice
• Transcutaneous bilirubin
• Neonatal hyperbilirubinemia
• Especially kernicterus
• Parental decisions regarding immunization
• Knowledge practices
• Immunization rate
• Knowledge practice
• Factors underlying inadequate
• Unvaccinated children
• Epileptic attack
• School absenteeism
• Childhood epilepsy
• Epilepsy in Ethiopia
• Social media
• Infant care
• Anticipatory guidance
• Preschool teachers
• Knowledge retention
• Pediatric first aid
• Ulcerative colitis
• Inflammatory bowel diseases
• Childhood onset Crohn’s disease
• Histopathological examination
• Intestinal spirochetosis
• Brachyspira aalborgi
• Brachyspira pilosicoli
• Inflammatory bowel disease