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  • Title: Hospital costs and quality of life during 4 years after very preterm birth.
    Author: Korvenranta E, Linna M, Rautava L, Andersson S, Gissler M, Hallman M, Häkkinen U, Leipälä J, Peltola M, Tammela O, Lehtonen L, Performance, Effectiveness, and Cost of Treatment Episodes (PERFECT) Preterm Infant Study Group.
    Journal: Arch Pediatr Adolesc Med; 2010 Jul; 164(7):657-63. PubMed ID: 20603467.
    Abstract:
    OBJECTIVE: To evaluate the effect of gestational age and prematurity-related morbidities on hospital costs and cost per quality-adjusted life-year (QALY) during the first 4 years of life. DESIGN: Population-based study using national register data and parental questionnaires. SETTING: Finland. PARTICIPANTS: All 2064 very preterm children (gestational age <32 weeks or birth weight <1501 g) and all 200 609 full-term control individuals (mean [SD] gestational age, 37 [0] to 41 [6] weeks) born from January 1, 2000, through December 31, 2003. MAIN EXPOSURE: Prematurity. MAIN OUTCOME MEASURES: Costs of hospital care and cost per QALY at 4 years of age according to gestational age and prematurity-related morbidities. RESULTS: By 4 years of age, the cost per QALY for full-term controls (in 2008 currency) was euro1181 (US$1736). In very preterm children, the average cost per QALY was euro19 245 ($28 290), ranging from euro11 824 to euro54 324 ($17 381 to $79 856) and increasing with decreasing gestational age. The cost per QALY was euro14 368 ($21 121) for those without any of the studied morbidities and euro36 110 ($53 082) for those with 2 or more morbidities. The costs of the initial hospital stay comprised 79.5% of the total 4-year hospital costs in very preterm children. CONCLUSIONS: We conclude that the cost per QALY in this patient group is at an acceptable level by 4 years of age. Because the initial hospital care episode accounted for most of the costs, the cost per QALY will decrease with each additional follow-up year.
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