USE OF SCREENING TOOLS AND PATTERNS OF HEALTHCARE UTILIZATION AMONG PREGNANT WOMEN DIAGNOSED WITH PRETERM LABOR IN THE U.S. EMERGENCY DEPARTMENT SETTING
Author(s)
Sullivan E1, Shen X1, Petrilla A1, Troeger KA2, Byrne J3
1Avalere Health LLC, Washington, DC, USA, 2Hologic, Inc., Marlborough, MA, USA, 3Santa Clara Valley Medical Center, San Jose, CA, USA
OBJECTIVES: Fetal fibronectin (fFN) testing and transvaginal ultrasound (TVUS) are tools used to assess risk of preterm delivery among women with symptoms of preterm labor (PTL). Objectives were to assess patterns of care and timing of delivery among a cohort of pregnant women with symptomatic PTL; evaluate use of fFN testing and TVUS during the 5-months prior to delivery; and identify patient characteristics associated with utilization of fFN testing. METHODS: Retrospective cohort study using the MORERegistry®, a nationwide multi-payer claims database covering 139 million lives. Study cohort included women who presented at the emergency department (ED) and were diagnosed with PTL from 6/1/2012–11/30/2015. Exclusion criteria: premature rupture of membranes, pre-eclampsia, viral infection, no record of infant delivery, and <5 months insurance coverage. Patient characteristics associated with use of fFN testing were identified using logistic regression modeling. RESULTS:
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PMD90
Topic
Economic Evaluation, Health Service Delivery & Process of Care
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies, Treatment Patterns and Guidelines
Disease
Reproductive and Sexual Health
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