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. 1999 Apr-May;19(3):212-5.
doi: 10.1038/sj.jp.7200142.

Outcomes and resource utilization for newborns with major congenital malformations: the initial NICU admission

J B Lindower  1 , H D Atherton, U R Kotagal
Affiliations

Outcomes and resource utilization for newborns with major congenital malformations: the initial NICU admission

J B Lindower et al. J Perinatol. 1999 Apr-May.

Abstract

Hypothesis: Newborns with major congenital malformations (MCM) have contributed to a significant proportion of resource utilization in a regional referral neonatal intensive care unit (NICU).

Setting: The Children's Hospital Medical Center NICU, Cincinnati, OH.

Subjects: Newborns with and without MCM admitted from August 1, 1993 through July 31, 1994. Total patients studied were 572; 147 with and 385 without MCM. No intervention was performed in this observational study.

Statistics: Statistics were t test, chi-squared, and rank sum analysis.

Results: MCM accounted for 27.6% of NICU referrals, 32.4% of total NICU days, and 39.6% of NICU costs. Both median cost per patient and length of stay were significantly (p < 0.01) higher for patients with MCM than those without MCM. Surgery was more frequent in MCM than non-MCM cases. Thirty-three percent of the newborns with MCM received ongoing medical support at discharge.

Conclusion: Patients with MCM remain as one of the largest and costliest groups hospitalized in a referral NICU.

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