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Cost Analysis of Mandibular Distraction Versus Tracheostomy for Infants with Pierre Robin Sequence and Upper Airway Obstruction: A One-Year Analysis

Karlea, Audrey

Abstract Details

2007, MS, University of Cincinnati, Allied Health Sciences : Genetic Counseling.
Infants with Pierre Robin Sequence (PRS) often experience moderate to severe upper airway obstruction which can be treated with tracheostomy or mandibular. The purpose of this study was to compare the costs associated with two procedures. Total charges associated with each procedure were collected for 37 patients undergoing either mandibular distraction (n=12) or tracheostomy (n=25) at Cincinnati Children’s Hospital Medical Center over their first year of life. The median cost for mandibular distraction ($114,265) was significantly less than tracheostomy ($197,231) (p<0.001). The median cost over the first three months of life was not significantly different between treatment groups but tracheostomy was significantly more expensive than mandibular distraction for the remainder of the year (p<0.001). This study demonstrates a significantly higher average cost associated tracheostomy when compared to mandibular distraction indicating that the long-term care necessary for maintaining a tracheostomy makes it a significantly more expensive treatment for PRS.
Dr. Robert Hopkin (Advisor)
32 p.

Recommended Citations

Citations

  • Karlea, A. (2007). Cost Analysis of Mandibular Distraction Versus Tracheostomy for Infants with Pierre Robin Sequence and Upper Airway Obstruction: A One-Year Analysis [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1179503013

    APA Style (7th edition)

  • Karlea, Audrey. Cost Analysis of Mandibular Distraction Versus Tracheostomy for Infants with Pierre Robin Sequence and Upper Airway Obstruction: A One-Year Analysis. 2007. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1179503013.

    MLA Style (8th edition)

  • Karlea, Audrey. "Cost Analysis of Mandibular Distraction Versus Tracheostomy for Infants with Pierre Robin Sequence and Upper Airway Obstruction: A One-Year Analysis." Master's thesis, University of Cincinnati, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1179503013

    Chicago Manual of Style (17th edition)