Journal article
Healthcare expenses associated with multiple vs singleton pregnancies in the United States
American Journal of Obstetrics and Gynecology, Vol.209(6), pp.586.e1-586.e11
12/2013
DOI: 10.1016/j.ajog.2013.10.005
PMID: 24238479
Abstract
The purpose of this study was to document cost that is associated with multiple births vs singleton births in the United States. This was a retrospective cohort study that used a claims database. Women 19-45 years old with live-born infants from 2005-2010 were identified. Infant deliveries were identified by International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes. The cost entailed all payment made by insurers and patients. For mothers, the cost included expenses from 27 weeks before delivery to 1 month after delivery. For infants, the cost contained all expenses until their first birthday. Adjusted cost was estimated by generalized linear models after adjustment for the potential confounding variables with a gamma distribution and a log link. The analysis included 437,924 eligible deliveries. Of them, 97.02% were singletons; 2.85% were twins, and 0.13% was triplets or more. Women with multiple pregnancies had higher systemic and localized comorbidities compared with women with singleton pregnancies (P < .0001). Twins and triplets or more were more likely to have stayed in a neonatal intensive care unit than were singletons (P < .0001). On average, adjusted total all-cause health care cost was $21,458 (95% confidence interval [CI], $21,302–21,614) per delivery with singletons, $104,831 (95% CI, $103,402–106,280) with twins, and $407,199 (95% CI, $384,984–430,695) with triplets or more. Pregnancies with the delivery of twins cost approximately 5 times as much when compared with singleton pregnancies; pregnancies with delivery of triplets or more cost nearly 20 times as much.
Details
- Title: Subtitle
- Healthcare expenses associated with multiple vs singleton pregnancies in the United States
- Creators
- Elkin V Lemos - Philadelphia College of Pharmacy, University of the Sciences in Philadelphia, Philadelphia, PADongmu Zhang - Global Health Outcomes, Merck & Co, Inc., West Point, PABradley J Van Voorhis - Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, IAX. Henry Hu - Global Health Outcomes, Merck & Co, Inc., West Point, PA
- Resource Type
- Journal article
- Publication Details
- American Journal of Obstetrics and Gynecology, Vol.209(6), pp.586.e1-586.e11
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajog.2013.10.005
- PMID
- 24238479
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983931741202771
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