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  • Title: The economic consequences of preterm birth during the first 10 years of life.
    Author: Petrou S.
    Journal: BJOG; 2005 Mar; 112 Suppl 1():10-5. PubMed ID: 15715587.
    Abstract:
    OBJECTIVE: To examine the association between gestational age at the time of birth and long-term use and cost of hospital inpatient services. DESIGN: Multi-level modelling of the hospital service utilisation and cost profile of each child born in hospital during 1978-1988 in two areas covered by the Oxford Record Linkage Study. SETTING: Oxfordshire and West Berkshire. POPULATION: 117,212 children divided into four subgroups by gestational age at birth: <28 weeks, 28-31 weeks, 32-36 weeks, 37 weeks or greater. MAIN OUTCOME MEASURES: Number and duration of hospital admissions during the first 10 years of life. Costs, expressed in pound sterling and valued at 1998-1999 prices, of hospital inpatient services. RESULTS: The cumulative cost of hospital inpatient admissions incurred during the first 10 years of life, including the initial birth admission, averaged 17,819.94 [22,322.87 UK pounds] for children born at <28 weeks gestation, 17,751.00 [19,055.53 UK pounds] for children born at 28-31 weeks gestation, 5,376.39 [7,393.78 UK pounds] for children born at 32-36 weeks gestation, and 1,658.63 [3,409.14 UK pounds] for children born at 37 weeks gestation or greater. The adjusted number of hospital inpatient admissions, inpatient days and costs, respectively, over the first 10 years of life was 130%, 77% and 443% higher for children born at <28 weeks gestation than for children born at term. CONCLUSION: The adverse sequelae of preterm birth are likely to have considerable long-term economic consequences for the health services and for society as a whole.
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