{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:53:35Z","timestamp":1767833615047,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>BACKGROUND:<\/jats:bold>Health care use and costs for children with spina bifida (SB) are significantly greater than those of unaffected children. Little is known about hospital use and costs across health insurance payer types. We examined hospitalizations and associated costs by sociodemographic characteristics and payer type during the first year of life among children with SB. We also examined changes in health insurance payer status.<jats:bold>METHODS:<\/jats:bold>This study was a retrospective, statewide population\u2010based analysis of infants with SB without anencephaly born in Florida during 1998\u20132007. Infants were identified by the Florida Birth Defects Registry and linked to hospital discharge records. Descriptive statistics on number of hospitalizations, length of stay, and estimated hospital costs per hospitalization and per infant were calculated during the first year of life. Results were stratified by selected sociodemographic variables and health insurance payer type.<jats:bold>RESULTS:<\/jats:bold>Among 615 infants with SB, mean and median numbers of hospitalizations per infant were 2.4 and 2.0, respectively. Mean and median total days of hospitalization per infant were 25.2 and 14.0 days, respectively. Approximately 18% of infants were hospitalized more than three times. Among infants with multiple hospitalizations, 16.7% had a mix of public and private health insurance payers. Almost 60% of hospitalizations for infants were paid by public payer sources. Mean and median estimated hospital costs per infant were $39,059 and $21,937, respectively.<jats:bold>CONCLUSIONS:<\/jats:bold>Results suggest a small percentage of infants with SB have multiple hospitalizations with high costs. Further analysis on factors associated with length of stay, hospitalizations, and costs is warranted. Birth Defects Research (Part A), 2012. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/bdra.23084","type":"journal-article","created":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T05:16:13Z","timestamp":1351746973000},"page":"1044-1053","source":"Crossref","is-referenced-by-count":28,"title":["Hospital use, associated costs, and payer status for infants born with spina bifida"],"prefix":"10.1002","volume":"94","author":[{"given":"Elizabeth","family":"Radcliff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia H.","family":"Cassell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Paul","family":"Tanner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell S.","family":"Kirby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Watkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Correia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cora","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott D.","family":"Grosse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Agency for Health Care Administration (AHCA).2011. Florida Agency for Health Care Administration. Available at:http:\/\/ahca.myflorida. com. Accessed November 20 2011."},{"key":"e_1_2_6_3_1","unstructured":"Agency for Healthcare Research and Quality (AHRQ).2009. MEPS Topics: Health Care Costs and Expenditures. Available at:http:\/\/meps.ahrq.gov\/mepsweb\/data_stats\/MEPS_topics.jsp?topicid=5Z\u20101. Accessed February 20 2012."},{"key":"e_1_2_6_4_1","unstructured":"Agency for Healthcare Research and Quality (AHRQ).2009. Health Care Utilization Project (HCUP). Kids Inpatient Dataset (KID). Cost\u2010to\u2010Charge Ratio Files. Available at:http:\/\/www.hcup\u2010us.ahrq.gov\/db\/state\/CCR2009KIDUserGuide.pdf. 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Accessed December 1 2011."},{"key":"e_1_2_6_26_1","first-page":"xiv","volume-title":"The cost of birth defects: estimates of the value of prevention","author":"Waitzman N","year":"1996"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/tera.10060"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0592"}],"container-title":["Birth Defects Research Part A: Clinical and Molecular Teratology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbdra.23084","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bdra.23084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T23:19:00Z","timestamp":1714519140000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/bdra.23084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":27,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1002\/bdra.23084"],"URL":"https:\/\/doi.org\/10.1002\/bdra.23084","archive":["Portico"],"relation":{},"ISSN":["1542-0752","1542-0760"],"issn-type":[{"value":"1542-0752","type":"print"},{"value":"1542-0760","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11]]}}}