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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Study comparing 'Kangaroo Ward Care' with 'Intermediate Intensive Care' for improving the growth outcome and cost effectiveness: randomized control trial
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Study comparing 'Kangaroo Ward Care' with 'Intermediate Intensive Care' for improving the growth outcome and cost effectiveness: randomized control trial

机译：“袋鼠病房护理”与“中间重症监护”进行比较，以提高增长成果及成本效益：随机控制试验

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Aims: The aim of this study was to compare growth outcome and cost effectiveness of "Kangaroo ward care" (KWC) with "Intermediate intensive care" (IIC) in stable infants with birth weight 1000g to <1100g. Material and methods: In this secondary analysis, we included 79 infants, with birth weight lOOOg to <1100g. Thirty-eight were randomized to KWC and 41 to IIC group once the infant reached a weight of 1150g. Infants in the KWC group were shifted to Kangaroo ward immediately after randomization and in the IIC group received IIC care till they attained a weight of 1250g before shifting to Kangaroo Ward. After shifting to Kangaroo ward, infants in the IIC group received equivalent care to KWC group infants. Results: There was significant better weight gain post-randomization during hospital stay and better length gain till 40 weeks of gestational age in intervention arm. There was reduction of post-randomization hospital stay by 2 d in the KWC group. The infants in the KWC group were shifted 6 d earlier to Kangaroo ward from IIC when compared with the IIC group. The cost-effective analysis that used "top-down" and "bottom-up" accounting method showed significant reduction of hospital and parents expenditure in the KWC group (p<.001) with saving of 570 USD per patient in the KWC group. Conclusion: Early shifting of infants to Kangaroo ward with birth weight lOOOg to <1100g leads to better growth and is cost effective (CTRI/2014/05/004625).
机译：目的：本研究的目的是将“袋鼠病房护理”（KWC）的增长结果和成本效益与出生体重1000g至<1100g的稳定婴儿中的“中间重症监护”（IIC）进行比较。材料和方法：在这种二级分析中，我们包括79名婴儿，出生体重池<1100g。一旦婴儿达到1150克，将三十八次被随机随机分配到KWC和41至IIC组。在随机化之后，KWC集团的婴儿在随机化后立即转向袋鼠病房，并在IIC集团接受IIC护理，直到它们在转向袋鼠病房之前达到1250克的重量。在转向袋鼠病房后，IIC集团的婴儿收到了对KWC集团婴儿的等效护理。结果：在医院住宿期间随机后性能显着更高，并在干预臂中妊娠期妊娠期40周的长度增益。在KWC集团中，随机后病院后停留后，减少了2天。与IIC集团相比，KWC集团婴儿在袋鼠病房之前向袋鼠病房转移了6天。使用“自上而下”和“自下而上”核算方法的经济效益分析表明，KWC集团（P <.001）中的医院和父母支出的显着减少（P <.001），每位患者在KWC集团节省570美元。结论：早期将婴儿转移到袋鼠病房，出生体重池至1100克导致更好的增长，成本效益（Ctri / 2014/05 / 004625）。

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