The Economic Impact of Donor Milk in the Neonatal Intensive Care Unit.

The Journal of Pediatrics
Tricia J JohnsonAloka L Patel

Abstract

To assess the cost-effectiveness of mother's own milk supplemented with donor milk vs mother's own milk supplemented with formula for infants of very low birth weight in the neonatal intensive care unit (NICU). A retrospective analysis of 319 infants with very low birth weight born before (January 2011-December 2012, mother's own milk + formula, n = 150) and after (April 2013-March 2015, mother's own milk + donor milk, n = 169) a donor milk program was implemented in the NICU. Data were retrieved from a prospectively collected research database, the hospital's electronic medical record, and the hospital's cost accounting system. Costs included feedings and other NICU costs incurred by the hospital. A generalized linear regression model was constructed to evaluate the impact of feeding era on NICU total costs, controlling for neonatal and sociodemographic risk factors and morbidities. An incremental cost-effectiveness ratio was calculated for each morbidity that differed significantly between feeding eras. Infants receiving mother's own milk + donor milk had a lower incidence of necrotizing enterocolitis (NEC) than infants receiving mother's own milk + formula (1.8% vs 6.0%, P = .048). Total (hospital + feeding) median costs (20...Continue Reading

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Citations

Jan 12, 2021·Seminars in Perinatology·Rebecca HobanAloka L Patel
Feb 25, 2021·International Journal of Pediatrics·Pasqua Anna QuitadamoAntonio Villani
Jul 13, 2021·Journal of Midwifery & Women's Health·Yeon Bai, Jennifer Kuscin
Aug 7, 2021·Clinics in Perinatology·Isabelle Von Kohorn, Valerie Flaherman

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