Evidence map›Paper›PMID 36759168›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2023

Gestational age and hospital admission costs from birth to childhood: a population-based record linkage study in England.

Xinyang Hua, Stavros Petrou, Victoria Coathup, Claire Carson, Jennifer J Kurinczuk, Maria A Quigley, Elaine Boyle, Samantha Johnson, Alison Macfarlane, Oliver Rivero-Arias

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In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xinyang HuaCentre for Health Policy, Melbourne School for Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-2102-5461
Stavros PetrouNuffield Department of Primary Care Health, University of Oxford, Oxford, UK.
Victoria CoathupNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Claire CarsonNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-5490-699X
Jennifer J KurinczukNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Maria A QuigleyNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Elaine BoyleDepartment of Health Sciences, University of Leicester, Leicester, UK.
Samantha JohnsonDepartment of Health Sciences, University of Leicester, Leicester, UK.
Alison MacfarlaneCentre for Maternal and Child Health Research, City, University of London, London, UK.
Oliver Rivero-AriasNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK oliver.rivero@npeu.ox.ac.uk.ORCID http://orcid.org/0000-0003-2233-6544

Funding

Medical Research Council MR/M01228X/1
6 · The paper itself

Abstract

objectiveTo examine the association between gestational age at birth and hospital admission costs from birth to 8 years of age.

designPopulation-based, record linkage, cohort study in England.

settingNational Health Service (NHS) hospitals in England, UK.

participants1 018 136 live, singleton births in NHS hospitals in England between 1 January 2005 and 31 December 2006.

main outcome measuresHospital admission costs from birth to age 8 years, estimated by gestational age at birth (<28, 28-29, 30-31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41 and 42 weeks).

resultsBoth birth admission and subsequent admission hospital costs decreased with increasing gestational age at birth. Differences in hospital admission costs between gestational age groups diminished with increasing age, particularly after the first 2 years following birth. Children born extremely preterm (<28 weeks) and very preterm (28-31 weeks) still had higher average hospital admission costs (£699 (95% CI £419 to £919) for <28 weeks; £434 (95% CI £305 to £563) for 28-31 weeks) during the eighth year of life compared with children born at 40 weeks (£109, 95% CI £104 to £114). Children born extremely preterm had the highest 8-year cumulative hospital admission costs per child (£80 559 (95% CI £79 238 to £82 019)), a large proportion of which was incurred during the first year after birth (£71 997 (95% CI £70 866 to £73 097)).

conclusionsThe association between gestational age at birth and hospital admission costs persists into mid-childhood. The study results provide a useful costing resource for future economic evaluations focusing on preventive and treatment strategies for babies born preterm.

Indexed as

Premature BirthState MedicineChildChild, PreschoolCohort StudiesEnglandFemaleGestational AgeHospitalsHumansInfantInfant, NewbornChild HealthHealth Care Economics and OrganizationsHealth services researchNeonatology

Identifiers

PMID36759168
PMCPMC10447377

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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.