ReviewTranslational pediatrics2019
Economic assessment of neonatal intensive care.
Review in Translational pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Do Antenatal Interventions Improve Maternal and Perinatal Outcomes for Migrant Women Living in High-Income Countries and What Guidelines Exist for Migrant Women? A Systematic Review and Meta-Analysis.Birth (Berkeley, Calif.) · 2025Pooled it
- Perinatal outcomes for infants exposed to systemic cancer treatment during gestation: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Pooled it
- Continuous glucose monitoring in early gestational diabetes improves maternal and neonatal outcomes-The Steady Sugar trial.Diabetes, obesity & metabolism · 2026Trial
- Who pays the most for neonatal intensive care? An analysis of the out-of-pocket cost burden borne by NICU families.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Hospital Padrino Strategy associated with reductions in perinatal mortality in Colombia's Pacific region: addressing public health challenges.Pediatric research · 2026Article
- Impact of small for gestational age on length of hospital stay and hospitalization costs in very preterm infants: a single-center retrospective cohort study.BMC pediatrics · 2026Article
- Immersive physical and occupational therapy in the neonatal intensive care unit: a non-randomized comparative cohort trial protocol.Pilot and feasibility studies · 2026Article
- Epigenetic consequences of toxic stress in preterm infants and their mothers: protocol for the premature infants, moms, and the social determinants of health-an epigenetic investigation study.Frontiers in pediatrics · 2026Article
- Variation in NICU utilization: a narrative review and path forward.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Nurses' Views on the Competence of Registered Nurses Working in the Neonatal Intensive Care Units: A Qualitative Descriptive Study.Journal for specialists in pediatric nursing : JSPN · 2025Article
- Evaluation of First-Week Fluid Intake and Maximal Weight Loss Percentage with In-Hospital Adverse Outcomes Among Moderately and Very Preterm Newborns in Ethiopia.Children (Basel, Switzerland) · 2025Article
- Implementation of an Opt-Out and Rapid Point-of-Care Syphilis Testing Program for Pregnant Patients Presenting to the Emergency Department.Sexually transmitted diseases · 2025Article
- Debate: Should Parents be able to Request Non-Resuscitation for All Extremely Premature Newborn Infants?Asian bioethics review · 2025Article
- Adverse obstetric and perinatal outcomes among Palestinian adolescent mothers in the West Bank: a retrospective cohort study.Frontiers in global women's health · 2025Article
- The budget impact of patterned frequency-modulated oral stimulation to promote non-nutritive sucking in preterm infants in the United States.Frontiers in pediatrics · 2025Article
- Acute kidney injury associated with increased costs in the neonatal intensive care unit: analysis of Pediatric Health Information System database.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Exposure to acute ambient temperature extremes and neonatal intensive care unit admissions: A case-crossover study.The Science of the total environment · 2024Article
- Regional variations in morbidity and mortality among neonates with intraventricular hemorrhage: a national database analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Preterm birth risk stratification through longitudinal heart rate and HRV monitoring in daily life.Scientific reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Most of the studies on the costing of neonatal intensive care has concentrated on the costs associated with preterm infants which takes up more than half of neonatal intensive care unit (NICU) costs. The focus has been on determining the cost-effectiveness of extreme preterm infants and those at threshold of viability. While the costs of care have an inverse relationship with gestational age (GA) and the lifetime medical costs of the extreme preterm can be as high as $450,000, the total NICU expenditure are skewed towards the care of moderate and late preterm infants who form the main bulk of patients. Neonatal intensive care, has been found to be very cost-effective at $1,000 per term infant per QALY and $9,100 for extreme preterm survivor per QALY. For low and LMIC, where NICU resources are limited, the costs of NICU care is lower largely due to a patient profile of more term and preterm of greater GAs and correspondingly less intensity of care. Public health measures, neonatal resuscitation training, empowerment of nurses to do resuscitation, increasing the accessibility to essential newborn care are recommended cheaper cost-effective measures to reduce neonatal mortality in countries with high neonatal mortality rate, whilst upgraded neonatal intensive care services are needed to further reduce neonatal mortality rate once below 15 per 1,000 livebirths. Economic evaluation of neonatal intensive care should also include post discharge costs which mainly fall on the health, social and educational sectors. Strategies to reduce neonatal intensive care costs could include more widespread implementation of cost-effective methods of improving neonatal outcome and reducing neonatal morbidities, including access to antenatal care, perinatal interventions to delay preterm delivery wherever feasible, improving maternal health status and practising cost saving and effective neonatal intensive care treatment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.