Observational studyIndian journal of pediatrics2014
The unforeseen toll of birth defects and their economic burden at a tertiary care public institute in Mumbai.
Observational study in Indian journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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2 authors.
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Abstract
objectivesTo determine the proportion of patients with birth defects receiving indoor medical care and the economic burden incurred by the Institution in terms of cost of hospitalization.
methodsThis single center, prospective, observational study recruited children>28 d and <12 y of age with birth defect(s) not attributable to an acquired disease. Demographic data, maternal and antenatal data, nature of the defect and information about current and past hospitalization were recorded. Economic burden was estimated by computing bed charges and daily costs incurred by the Institution.
resultsNinety-eight children (mean age was 3.18 y, M : F ratio was 2.4:1) with 268 birth defects represented 13% of indoor admissions. The cardiovascular system was involved in 42.9%. The defect was isolated in 58.2% of cases and 41.8% (9.2% having Down syndrome) had multiple defects. Mean duration of hospital stay (11.23 d) of the birth defect cohort was significantly more (p value=0.0005) than other children (7.81 d). Average cost of stay for those with birth defects (18.3% of the total cost) and other indoor patients was INR 23,481 and INR 16,328 respectively.
conclusionsBirth defects are an emerging burden in referral centers, incurring one-fifth of the hospital expenditure, partly due to increased length of stay. The figure is an underestimate as the expenses are highly subsidized in a Public health facility.
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