{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:40:26Z","timestamp":1768282826995,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,2,14]],"date-time":"2018-02-14T00:00:00Z","timestamp":1518566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate whether adherence to a cervical length\u2010based protocol can reduce both unnecessary admissions and the socioeconomic costs associated with inappropriately admitted patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present retrospective observational study included women admitted for threatened preterm labor (<jats:styled-content style=\"fixed-case\">TPL<\/jats:styled-content>) at 24\u201334\u00a0weeks of pregnancy to a tertiary hospital in the Canary Islands, 2009\u20132014. Data were reviewed from all patients admitted for <jats:styled-content style=\"fixed-case\">TPL<\/jats:styled-content>. Those with a long cervix (&gt;25\u00a0mm) were classified as \u201cinappropriate admissions\u201d, and both the economic burden based on diagnosis\u2010related group (<jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>) and the social costs associated with sick leave for these women were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the 6\u2010year study period, 430 women were admitted for <jats:styled-content style=\"fixed-case\">TPL<\/jats:styled-content>. The rate of inappropriate hospital admissions was 45% in the first year, but was reduced to 23% in the final year (<jats:italic>P<\/jats:italic>&lt;0.001); the premature delivery rates in these years did not differ (<jats:italic>P<\/jats:italic>=0.224). The mean <jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>\u2010based cost of the admission per patient with a long cervix was <jats:styled-content style=\"fixed-case\">EU<\/jats:styled-content> euros \u20ac2099. The total annual costs from inappropriate admission (both social security sick leave costs and hospital costs) were estimated to be up to \u20ac571\u00a0047.37 during the 6\u2010year study period, and reduced from \u20ac60\u00a0420.76 in 2009 to \u20ac29\u00a0998.04 in 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Reductions in inappropriate admissions from applying cervical length\u2010based management protocol could reduce healthcare costs without increasing the incidence of premature delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12450","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T11:53:05Z","timestamp":1516881185000},"page":"200-205","source":"Crossref","is-referenced-by-count":9,"title":["Economic consequences of over\u2010diagnosis of threatened preterm labor"],"prefix":"10.1002","volume":"141","author":[{"given":"Marta","family":"Coloma","sequence":"first","affiliation":[{"name":"Servicio de Ginecolog\u00eda y Obstetricia Complejo Hospitalario Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Kang","sequence":"additional","affiliation":[{"name":"Servicio de Ginecolog\u00eda y Obstetricia Complejo Hospitalario Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Vallejo\u2010Torres","sequence":"additional","affiliation":[{"name":"Servicio de Evaluaci\u00f3n del Servicio Canario de la Salud Fundaci\u00f3n Canaria de Investigaci\u00f3n Sanitaria  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paloma","family":"D\u00edaz","sequence":"additional","affiliation":[{"name":"Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yurena","family":"M\u00e9ndez","sequence":"additional","affiliation":[{"name":"Servicio de Ginecolog\u00eda y Obstetricia Complejo Hospitalario Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarita","family":"\u00c1lvarez de la Rosa","sequence":"additional","affiliation":[{"name":"Servicio de Ginecolog\u00eda y Obstetricia Complejo Hospitalario Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,14]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"ElixhauserA WierLM.Complicating Conditions of Pregnancy and Childbirth 2008: Statistical Brief #113. 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