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To compare cost effectiveness of ‘Kangaroo Ward Care’ with ‘Intermediate intensive care’ in stable very low birth weight infants (birth weight < 1100 grams): a randomized control trial

Overview of attention for article published in Italian Journal of Pediatrics, July 2016
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Title
To compare cost effectiveness of ‘Kangaroo Ward Care’ with ‘Intermediate intensive care’ in stable very low birth weight infants (birth weight < 1100 grams): a randomized control trial
Published in
Italian Journal of Pediatrics, July 2016
DOI 10.1186/s13052-016-0274-3
Pubmed ID
Authors

Deepak Sharma, Srinivas Murki, Tejo Pratap Oleti

Abstract

To compare cost effectiveness of 'Kangaroo Ward Care' with 'Intermediate Intensive Care' in stable very low birth weight infants (birth weight < 1100 g). This is the secondary analysis of the study in which we have analysed the cost effectiveness of 'Kangaroo ward care' (KWC) with 'Intermediate Intensive Care' (IIC). In this randomized control trial 141 infants (less than 1100 g and ≤ 32 weeks at birth) were enrolled, 71 were randomized to KWC group and 70 to IIC group, once the infant reached a weight of 1150 g. Infants randomized to KWC group were shifted to the Kangaroo ward immediately after randomization. Infants randomized to IIC group were shifted to the Kangaroo ward once the infant reached 1250 g. Cost incurred by the patient in both the groups from the time of randomization to hospital discharge was calculated. The hospital costs were determined by "top-down" accounting methods and out of pocket expenditure of parents from standard "bottom-up" cost-accounting methods. There was significant reduction in neonatal charges in KWC group post-randomization {41591.9 ± 21712.8 INR vs 75388.8 ± 25532.2 INR; p < 0.001}). The separate "top-down" and "bottom-up" cost analysis showed that there was significant reduction of hospital and parents expenditure in KWC group when compared to IIC group (p < 0.001). There was significant saving of around 33800 INR (USD) in the KWC group for each patient. Initiating early shifting to Kangaroo ward is cost effective intervention and have huge monetary implication in resource poor countries. (CTRI/2014/05/004625, retrospectively registered, Registered on: 26/05/2014). Clinical trial registry of India CTRI/2014/05/004625 ( http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=7640&EncHid=&userName=CTRI/2014/05/004625 ) Registered on: 26/05/2014. Date of enrolment of the first participant to the trial: 13/11/2013.

Mendeley readers

The data shown below were compiled from readership statistics for 103 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 103 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 15 15%
Researcher 14 14%
Student > Master 14 14%
Student > Ph. D. Student 9 9%
Other 5 5%
Other 20 19%
Unknown 26 25%
Readers by discipline Count As %
Medicine and Dentistry 28 27%
Nursing and Health Professions 24 23%
Economics, Econometrics and Finance 4 4%
Agricultural and Biological Sciences 3 3%
Psychology 3 3%
Other 14 14%
Unknown 27 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 January 2017.
All research outputs
#20,402,251
of 22,952,268 outputs
Outputs from Italian Journal of Pediatrics
#770
of 948 outputs
Outputs of similar age
#309,207
of 355,145 outputs
Outputs of similar age from Italian Journal of Pediatrics
#11
of 11 outputs
Altmetric has tracked 22,952,268 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 948 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.