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Cost of Neonatal Intensive Care in Private Sector Jordan Hospital and Medical Center. Y. K. Abu-Osba MD. R. A. Jarad MD., A.Y. Khmour MD. Neonatal Intensive Care Unit Jordan Hospital, Amman, Jordan. Cost of Neonatal Intensive Care Major Neurodevelopmental Sequelae of Prematures.
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Cost of Neonatal Intensive Care in Private Sector Jordan Hospital and Medical Center Y. K. Abu-Osba MD. R. A. Jarad MD., A.Y. Khmour MD. Neonatal Intensive Care Unit Jordan Hospital, Amman, Jordan
Cost of Neonatal Intensive CareMajor Neurodevelopmental Sequelae of Prematures Major complications which may be evident at 1-2 years of age: • Cerebral palsy • Developmental retardation • Sensorineural hearing loss • Blindness • Hydrocephalus
Cost of Neonatal Intensive CareIncidence ofMajor Neurodevelopmental Sequelae of Prematures • Infants weighing < 1,500 gm ranges from 5% to 10%. • Infants weighing < 1,000 gm ranges from 10% to 20%. • Infants weighing < 750-800 gm ranges from 10% to 40%. • 80-95% of infants weighing < 1,500 gm are free of major sequelae. • 70-80% of infants weighing < 1,000 gm are free of major sequelae. • Less than 50% of infants weighing < 600 gm or 23-24 weeks gestation are free of major sequelae.
Cost of Neonatal Intensive CareNICU Charges for Prematures In USA • Mean charges per survivor for infants weighing < 500 gm US $ 250,654. • Mean charges per survivor for infants weighing 1,000 -1,500 gm $ 74,101. • Nonsurvivors median charges $ 10,706 with a median stay of 2 days; $5,353 per day.
Cost of Neonatal Intensive CareNICU Charges for Prematures In USA
Cost of Neonatal Intensive CareSummary of Survival-Cost • Survival rate for all resuscitated infants with birth weight 500-1250 gm was 65%. Survivors mean charges 7632 JD, nonsurvivor mean charges 5736 JD. All inborn. • Two infants not resuscitated initially, but were managed later on parents request, both died, mean charges 11617 JD. • Non corrected survival rate for all infants with birth weight 500-1250 gm was 54%.
Cost of Neonatal Intensive CareSummary of Survival-Cost • Survival rate for all infants with birth weight 1000-1500 gm was 86%. Outborn survival was 50% compared to 92% for inborn infants. Survivors mean charges 4272 JD, nonsurvivor mean charges 6048 JD. Average per day 166 JD. • Survival rate for infants with birth weight 1500-2000 & 2000-2500 gm was 100%. Mean charges was 2443 JD, and 998 JD respectively. Average per day 129 JD, and 86 JD respectively.
Cost of Neonatal Intensive CareSummary of Survival-Cost • Survival rate for all infants admitted to NICU was 96%. Survivors mean charges 1649 JD, nonsurvivor mean charges 5835 JD. • Average charges for all patients was 139 JD per day, and average total charges was 1046 JD. • Average hospital stay for all patients was 5.7 days.
Cost of Neonatal Intensive CareAffordable Price for Jordan • 150,000 newborns are delivered in Jordan. • About 15,000 infants will require intensive/ intermediate care. • Estimated national cost for NICU care for all infants is about 15,000 X 1,046 = 15,690,000 JD. A cheap and affordable price for giving optimal care for our future generations. Any community can determine its own death rate.
Jordan Hospital NICUSurvival Rate by Birth Weight ( < 2500 gm )
Jordan Hospital NICUSurvival Rate by Birth Weight( > 2500 gm )
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