Hospital Use, Associated Costs, and Payer Status for Infants Born with Spina Bifida

Details

• Alternative Title:
  Birth Defects Res A Clin Mol Teratol
• Personal Author:
  Radcliff, Elizabeth ; Cassell, Cynthia H. ; Tanner, Jean Paul ; Kirby, Russell S. ; Watkins, Sharon ; Correia, Jane ; Peterson, Cora ; Grosse, Scott D.
• Description:
  BACKGROUND
  
  Health care use and costs for children with spina bifida (SB) are significantly greater than those of unaffected children. Little is known about hospital use and costs across health insurance payer types. We examined hospitalizations and associated costs by sociodemographic characteristics and payer type during the first year of life among children with SB. We also examined changes in health insurance payer status.
  
  METHODS
  
  This study was a retrospective, statewide population-based analysis of infants with SB without anencephaly born in Florida during 1998–2007. Infants were identified by the Florida Birth Defects Registry and linked to hospital discharge records. Descriptive statistics on number of hospitalizations, length of stay, and estimated hospital costs per hospitalization and per infant were calculated during the first year of life. Results were stratified by selected sociodemographic variables and health insurance payer type.
  
  RESULTS
  
  Among 615 infants with SB, mean and median numbers of hospitalizations per infant were 2.4 and 2.0, respectively. Mean and median total days of hospitalization per infant were 25.2 and 14.0 days, respectively. Approximately 18% of infants were hospitalized more than three times. Among infants with multiple hospitalizations, 16.7% had a mix of public and private health insurance payers. Almost 60% of hospitalizations for infants were paid by public payer sources. Mean and median estimated hospital costs per infant were $39,059 and $21,937, respectively.
  
  CONCLUSIONS
  
  Results suggest a small percentage of infants with SB have multiple hospitalizations with high costs. Further analysis on factors associated with length of stay, hospitalizations, and costs is warranted.
  
  
• Subjects:
  Adult Child Female Hospital Costs Hospitalization Humans Infant Insurance, Health Insurance Coverage Length Of Stay Male Retrospective Studies Socioeconomic Factors Spinal Dysraphism Young Adult

  More +
• Source:
  Birth Defects Res A Clin Mol Teratol. 2012; 94(12):1044-1053.
• Pubmed ID:
  23115108
• Pubmed Central ID:
  PMC4507424
• Document Type:
  Journal Article
• Funding:
  IVV7/Intramural CDC HHS/United States
• Place as Subject:
  Florida
• Volume:
  94
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bd4ec3a7ce46124e94e5d7285bd1d45913a623a73b11647ae044bac101028cd5
• Download URL:
  https://stacks.cdc.gov/view/cdc/33826/cdc_33826_DS1.pdf
• File Type:
  [PDF - 287.91 KB ]