Navigation Links
Better access to cool caps improves outcomes, lowers cost of treating asphyxia in newborns
Date:1/7/2008

BOSTON, Jan. 7, 2008 When newborns suffering from a form of asphyxia at birth have better access to head cooling devices, fewer will face a lifetime of debilitating and costly health complications, according to researchers at Beth Israel Deaconess Medical Center (BIDMC).

The findings, which appear today in the January 2008 issue of Pediatrics, demonstrate through a computer-based modeling technique, that better availability and placement of CoolCaps within a regional healthcare system could lead to a 23 percent reduction in the number of newborns likely to develop permanent damage from hypoxic-ischemic encephalopathy (HIE), a form of asphyxia that damages the central nervous system. In Massachusetts, this would produce estimated annual savings of $4.4 million.

Our analyses confirm that making more cooling caps more available in hospitals can save lives and achieve significant reductions in severe neurodevelopment impairment in babies, said study co-author James Gray, MD, MS, Department of Neonatology at BIDMC, and the Division of Newborn Medicine at Harvard Medical School. Importantly, these improvements can be achieved while lowering the costs of care for this group of critically ill infants."

Of the more than four million newborns treated in neonatal intensive care units (NICUs) each year, one in 1,000 suffer from HIE. This condition is caused by a lack of oxygen and blood flow to the brain and can lead to cerebral palsy, mental retardation, blindness or deafness. By using a selective head cooling (SHC) device within a few hours of birth, newborns body temperature can be decreased by three to four degrees Celsius, thereby limiting or even eliminating damage to the newborns brain.

The research team, led by Gray and John Zupancic, MD, ScD, Department of Neonatology at BIDMC and Division of Newborn Medicine, Harvard Medical School, used a computer-based industrial modeling technique known as discrete event simulation to examine potential health benefits of making the cooling devices more widely available.

Currently used in other industries, such as manufacturing, airport and shipping operations, the simulation has only recently been applied to healthcare. Researchers modeled the care and subsequent outcomes of all infants born in Massachusetts over a one-year period (approximately 76,000) and assessed how best to distribute the devices to the 24 NICUs throughout the area.

Neonatal intensive care is highly regionalized, and as a result of the increased distances, access to life-saving technology may not be timely for all patients, explained Zupancic. By borrowing innovative problem-solving techniques from other industries, we can establish how to achieve improved efficiency and decreased costs across complex health care systems, he said.

The Harvard researchers used estimates showing that the treatment of HIE-related disabilities costs the health care system $900,000 per patient, including medical and non-medical costs associated with children requiring assistance for the rest of their lives. Several scenarios were tested varying the location and number of SHC devices across the state. The team plugged in specific data on ambulance transportation times and infant health, as well as economic data on hospital, physician, and treatment costs from the 2006 Center for Medicare and Medicaid Services Hospital Cost Report


'/>"/>

Contact: Zineb Marchoudi
zmarchou@bidmc.harvard.edu
617-667-7305
InHealth: The Institute for Health Technology Studies
Source:Eurekalert

Related medicine news :

1. Conventional prognostic factors fail to explain better prostate cancer survival in most Asian men
2. Waist-to-hip ratio may better predict cardiovascular risk than body mass index
3. Informational handout key to giving parents a better understanding of CT radiation risks
4. Children of depressed moms do better when dad is involved, SLU researcher finds
5. Struggling male readers respond better to female teachers
6. Physician Skin Care Specialist Says Proposed New Rules for Sunscreen Products Will Better Protect the Public
7. Mothers Know Best: NFL Moms Team With Eddie George to Showcase a Better Way to a Healthier Lifestyle
8. Researchers Find Better Way to Deliver Blood Thinner
9. Clinical trials present better alternatives for dialysis patients
10. New nurses report job stress, need for better management
11. Hispanics hypertension better controlled with equal access to care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... ... 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned ... the David Geffen School of Medicine at UCLA. He trained in Internal Medicine at ... fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Those who ... with these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, ... Marne, Michigan, has released tools for healthy coping following a traumatic event. , Trauma ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of ... AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the ... in the world, and the most handsome men, look naturally attractive. Plastic surgery ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... a startling report released today, National Safety Council research ... proven plan to eliminate prescription opioid overdoses. Prescription Nation ... tackling the worst drug crisis in recorded U.S. history, assigned a ... , New Mexico , Tennessee ... failing states, three – Michigan , ...
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Medical Market Analysis 2016 - Forecast to 2022" report ... The report contains up to date financial data derived from ... of major trends with potential impact on the market during ... market segmentation which comprises of sub markets, regional and country ...
(Date:6/23/2016)... -- Research and Markets has announced the addition ... to their offering. The ... commercial environment for MedImmune to enter. The US ageing population ... to drive considerable growth for effective anti-influenza medications. The introduction ... considerably, but development is still in its infancy. ...
Breaking Medicine Technology: