Effects of a remote patient monitoring program on cost of care for neonates with inadequate oral feeding.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-06-12 DOI:10.1038/s41372-025-02334-w

Christina R Fisher, Dmitry Dukhovny, Jamie B Warren

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引用次数: 0

Abstract

Objective: Remote patient monitoring (RPM) facilitates early discharge of infants with inadequate oral feeding. We aim to determine the financial impact of discharge with RPM compared to continued hospitalization.

Study design: Patients discharged on RPM between May 2019 and June 2024 were eligible. Days of home nasogastric tube feeds and total physician time per episode were recorded. Direct cost estimates for each aspect of RPM and continued hospitalization were used to calculate cost savings of RPM use from a health care system perspective. One- and two-way sensitivity analyses were performed.

Results: One hundred eighty infants were included. RPM decreased the hospital stay by 9.2 days/patient (mean). An RPM episode cost $1,768.24 (mean), while hypothetical continued hospitalization cost $13,978.32 (mean); a difference of $12,210.08. Sensitivity analyses showed that inpatient hospital cost variations were the primary driver of savings.

Conclusion: RPM programs for neonates with inadequate oral feeding can reduce direct medical costs.

Clinical trial resgistration: None.

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远程患者监测项目对口服喂养不足新生儿护理成本的影响。

目的：远程患者监护（RPM）有助于口腔喂养不足婴儿的早期出院。我们的目的是确定与继续住院相比，RPM出院的财务影响。研究设计：2019年5月至2024年6月期间因RPM出院的患者符合条件。记录家庭鼻胃管喂养的天数和每次发作的总医生时间。从卫生保健系统的角度，使用RPM和持续住院的每个方面的直接成本估算来计算使用RPM的成本节约。进行了单、双向敏感性分析。结果：共纳入180例婴儿。RPM使每位患者的住院时间缩短9.2天（平均）。一次RPM发作的费用为1,768.24美元（平均），而假设的持续住院费用为13,978.32美元（平均）；差额为12,210.08美元。敏感性分析表明，住院费用变化是节约的主要驱动因素。结论：对口服喂养不足的新生儿实施RPM方案可降低直接医疗费用。临床试验注册：无。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.