Methodology of the decision tree for assessing the economic burden in determining the risk factors for disability and mortality in premature babies
https://doi.org/10.34020/2073-6495-2022-4-190-207
Abstract
The problem of prematurity remains one of the most important in modern neonatology. The article provides an assessment of the economic costs for the care, nursing and rehabilitation of premature babies, and using the machine learning method, the lower limit of the gestational age for nursing and active treatment of this category of children is determined, taking into account the influence of the main risk factors for such outcomes as death and disability. The results obtained will reduce the economic burden of the state on the treatment of infants born with extremely low body weight.
About the Authors
B. R. SultanovRussian Federation
B.R. Sultanov – Graduate Student, Department of Digital Economy and Communications, Institute of Economics, Finance and Business
Ufa
R. Kh. Bakhitova
Russian Federation
R.H. Bakhitova – Doctor of Economics, Associate Professor, Head of the Department of Digital Economy and Communications, Institute of Economics, Finance and Business
Ufa
I. A. Laсhman
Russian Federation
I.A. Lakman – Candidate of Technical Sciences, Associate Professor, Head of the Laboratory for the Study of Socio-Economic Problems of Regions, Institute of Economics, Finance and Business
Ufa
O. A. Bryukhanova
Russian Federation
O.A. Bryukhanova – Candidate of Medical Sciences, Associate Professor, Department of Hospital Pediatrics
Ufa
References
1. Bajbarina E.N., Degtjarev D.N., Shirokova V.I. Intensivnaja terapija i principy vyhazhivanija detej s jekstremal’no nizkoj i ochen’ nizkoj massoj tela pri rozhdenii. Metodicheskoe pis’mo Ministerstva zdravoohranenija i social’nogo razvitija Rossii [Intensive care and nursing principles for children with extremely low and very low birth weight]. FGU «NC akusherstva, ginekologii i perinatologii im. akademika V.I. Kulakova ». Moscow, 2011. 71 p.
2. Bahitova R.H., Lakman I.A., Maksimenko Z.V., Brjuhanova O.A., Shangareeva R.H. Ocenka vyzhivaemosti gluboko nedonoshennyh detej v neonatal’nom, postnatal’nom i detskom periodah [Evaluation of the survival rate of deeply premature infants in the neonatal, postnatal and childhood periods], Zdravoohranenie Rossijskoj Federacii [Healthcare of the Russian Federation], 2020, no. 64 (1), pp. 29–35. https://doi.org/10.18821/0044-197X-2020-64-1-29-35
3. Gluhovec N.I., Belousova N.A., Popov G.G. Osnovnye prichiny smerti novorozhdennyh s jekstremal’no nizkoj massoj tela [The main causes of death in extremely low birth weight infants], Rossijskij vestnik perinatologii i pediatrii [Russian Vestnik of Perinatology and Pediatrics], 2004, no. 5, pp. 61.
4. Maksimenko Z.V., Bahitova R.H., Brjuhanova O.A. Metodika ocenki jekonomicheskoj nagruzki dlja informacionno-analiticheskoj sistemy monitoringa i planirovanija rashodov po vyhazhivaniju i lecheniju novorozhdennyh, rodivshihsja s ONMT i JeNMT [Methodology for assessing the economic burden for an information-analytical system for monitoring and planning costs for nursing and treating newborns born with VLBW and ENMT]. Informacionnye tehnologii i sistemy: tr. Vos’moj Mezhdunar. nauch. konf., Hanty-Mansijsk, Rossija, 17–21 marta 2020 g. (ITiS – 2020): nauch. jelektron. izd. (1 fajl 12 Mb) / otv. red. Ju.S. Popkov, A.V. Mel’nikov. Hanty-Mansijsk, 2020. Pp. 103–108.
5. Pavlov O.G. Vlijanie nasledstvennoj predraspolozhennosti k somatopatologii i medikosocial’nyh faktorov na techenie beremennosti i ishod rodov s pozicij sistemnogo analiza [The influence of hereditary predisposition to somatopathology and medical and social factors on the course of pregnancy and the outcome of childbirth from the standpoint of system analysis]. Kurskij gos. tehnicheskij un-t. Kursk, 2006. 236 p.
6. Pavlov O.G. Sistemnoe vlijanie nasledstvennoj predraspolozhennosti k somatopatologii i mediko-social’nyh faktorov na techenie beremennosti i ishod rodov [Systemic influence of hereditary predisposition to somatopathology and medical and social factors on the course of pregnancy and the outcome of childbirth]. Dissertation of the doctor of medical sciences. Tula: GOUVPO “Tul’skij gosudarstvennyj universitet”, 2006. 295 p.
7. Pavlov O.G., Mart’janov D.V. Sistemoobrazujushhie faktory razvitija rannih poslerodovyh infekcij [System-forming factors in the development of early postpartum infections], Vestnik novyh medicinskih tehnologij [ Vestnik of new medical technologies], 2011, vol. 18, no. 1, pp. 23–25.
8. Sorokina Z.H. Centralizacija pomoshhi novorozhdennym: znachimost’ i metod ocenki [Centralization of newborn care: relevance and assessment method], Voprosy prakticheskoj pediatrii [Practical issues of pediatrics], 2008, vol. 3, no. 6, pp. 59–62.
9. Fatyhova N.R., Gamirova R.G., Prusakov V.F. Otdalennye rezul’taty vyhazhivanija detej s jekstremal’no nizkoj massoj tela [Long-term results of nursing children with extremely low body weight], Obshhestvennoe zdorov’e i zdravoohranenie [Public health and healthcare], 2014, no. 2, pp. 31–34.
10. Lebedeva O.V. Zabolevaemost’ i smertnost’ detej s ochen’ nizkoj i jekstremal’no nizkoj massoj tela pri rozhdenii: faktory riska i puti snizhenija [Morbidity and mortality in children with very low and extremely low birth weight: risk factors and ways of reduction], Vestnik novyh medicinskih tehnologij. Jelektronnyj zhurnal [Vestnik of new medical technologies. Electronic edition], 2015, no. 2. Available at: https://cyberleninka.ru/article/n/zabolevaemost-i-smertnost-detey-s-ochen-nizkoy-i-ekstremalno-nizkoymassoy-tela-pri-rozhdenii-faktory-riska-i-puti-snizheniya/viewer
11. Abolfotouh M.A., Al Saif S., Altwaijri W.A., Al Rowaily M.A. Prospective study of early and late outcomes of extremely low birthweight in Central Saudi Arabia. BMC Pediatrics. 2018; 18 (1). Paper number 280. Available at: https://doi.org/10.1186/s12887-018-1248-y
12. García-Muñoz Rodrigo F., García Hernández J.Á., García-Alix A. Characterization of mothers at risk of delivery at the limit of viability and factors related to infant survival. Journal of Maternal-Fetal and Neonatal Medicine. 2017; 30 (18): 2198–2203. Available at: https://doi.org/10.1080/14767058.2016.1243095
13. Inoue H., Ochiai M., Yasuoka K. Early Mortality and Morbidity in Infants with Birth Weight of 500 Grams or Less in Japan. Journal of Pediatrics. 2017; 190: 112–117. Available at: https://doi.org/10.1016/j.jpeds.2017.05.017
14. Källén K., Serenius F., Westgren M., Maršál K. Impact of obstetric factors on outcome of extremely preterm births in Sweden: prospective population-based observational study (EXPRESS). Acta Obstetriciaet Gynecologica Scandinavica, 94 (11), 1203–1214. Available at: https://doi.org/10.1111/aogs.12726
15. Santhakumaran S., Statnikov Y., Gray D., Battersby C., Ashby D., Modi N. Survival of very preterm infants admitted to neonatal care in England 2008-2014: time trends and regional variation. Archives of disease in childhood. Fetal and neonatal edition. 2018; 103 (3): F208–F215. Available at: https://doi.org/10.1136/archdischild-2017-312748
16. Stephens A.S., Lain S.J., Roberts C.L., Bowen J.R., Nassar N. Association of Gestational Age and Severe Neonatal Morbidity with Mortality in Early Childhood. Pediatricand Perinatal Epidemiology. 2016; 30 (6): 583–593. Available at: https://doi.org/10.1111/ppe.12323
Review
For citations:
Sultanov B.R., Bakhitova R.Kh., Laсhman I.A., Bryukhanova O.A. Methodology of the decision tree for assessing the economic burden in determining the risk factors for disability and mortality in premature babies. Vestnik NSUEM. 2022;(4):190-207. (In Russ.) https://doi.org/10.34020/2073-6495-2022-4-190-207