Evidence-Based Fetal Referrals for Congenital Heart Surgery

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dc.contributor.author Battiste, Cynthia Elaine
dc.contributor.author O’Hara, Margaret Helen
dc.contributor.author Allen, Steven Wayne
dc.date.accessioned 2012-02-28T19:55:06Z
dc.date.available 2012-02-28T19:55:06Z
dc.date.issued 2012-02-28
dc.identifier.uri http://hdl.handle.net/2271/1065
dc.description.abstract Background. The outcomes of fetal referrals to congenital heart disease centers for delivery and postnatal surgery prior to discharge over a two-year period were reviewed. Cost differences between fetal referrals and neonatal transports were investigated. Methods. A retrospective chart review was conducted on 17 fetal referrals to two congenital heart disease centers from 01/01/2007 to 12/31/2008. The two centers were contacted to obtain their neonatal transport charges. Results. Of the 17 fetal referrals, 10 patients underwent congenital heart surgery prior to postnatal discharge. Only one patient who underwent surgery died. Third party payers saved approximately $13,600 or $36,600 in neonatal transport costs to these centers. Conclusions. There was only one death of a patient with hypoplastic left heart syndrome and a restrictive atrial septum, which has a poor prognosis. There was a significant cost differential between fetal referral and neonatal transport. en_US
dc.subject.mesh fetal heart
dc.subject.mesh referral and consultation
dc.subject.mesh cardiac surgical procedures
dc.subject.mesh outcome assessment
dc.subject.mesh costs and cost analysis
dc.title Evidence-Based Fetal Referrals for Congenital Heart Surgery en_US
dc.type Article en_US
rft.spage 1 en_US
dc.contributor.organization Institution:The University of Kansas Medical Center:KU School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214-3199, USA. en_US
dc.ispartof.issn 1948-2035
dc.ispartof.issue 1 en_US
dc.ispartof.title Kansas Journal of Medicine en_US
dc.ispartof.volume 5 en_US

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