Economic costs associated with moderate and late preterm birth: a prospective population‐based study

• DOI: 10.1111/1471-0528.13515
• Publication Date: 2015-07-29T05:17:25Z
• Authors: KA Khan; S Petrou; M Dritsaki; SJ Johnson; B Manktelow; ES Draper; LK Smith; SE Seaton; N Marlow; J Dorling; DJ Field; EM Boyle
• Keywords: economic; 330; Child Health Services; 610; Gestational Age; Drug Costs; 618; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; cost; Humans; Community Health Services; Prospective Studies; Hospital Costs; prematurity; moderately preterm; Infant, Newborn; Infant; Family Leave; Length of Stay; resource use; 3. Good health; England; Case-Control Studies; Child, Preschool; Premature Birth; Female; late preterm

Objective We sought to determine the economic costs associated with moderate and late preterm birth. Design An study was nested within a prospective cohort study. Sample Infants born between 32 +0 36 +6 weeks of gestation in East Midlands England. A sample infants at ≥37 acted as controls. Methods Data on resource use, estimated from National Health Service (NHS) personal social services perspective, separately societal were collected birth 24 months corrected age (or death), valued pounds sterling, 2010–11 prices. Descriptive statistics multivariable analyses used estimate relationship gestational costs. Main outcome measures Cumulative use over first two years life. Results Of all eligible births, 1146 (83%) 1258 (79%) term recruited. Mean (standard error) total £12 037 (£1114) £5823 (£1232) for children moderately (32 –33 gestation) (34 –36 gestation), respectively, compared £2056 (£132) term. The mean cost difference £4657 (bootstrap 95% confidence interval, CI £2513–6803; P < 0.001). Multivariable regressions revealed that, after controlling clinical sociodemographic characteristics, increased by £7583 (£874) £1963 (£337), full Conclusions Moderate is significantly 2 Our estimates can be inform budgetary service planning decision‐makers, evaluations interventions aimed preventing or alleviating its adverse consequences. Tweetable abstract