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A treatment program for failure to thrive: a cost/effectiveness analysis.

W Karniski, L Van Buren, J M Cupoli

    Child Abuse & Neglect
    |January 1, 1986
    PubMed
    Summary
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    Medical placement homes (MPH) offer a cost-effective alternative to traditional hospitalization for infants with failure to thrive (FTT). MPHs facilitate superior catch-up growth, demonstrating a more efficient approach to managing infant FTT.

    Area of Science:

    • Pediatrics
    • Growth and Development
    • Child Health

    Background:

    • Failure to thrive (FTT) is a common reason for infant hospitalization, often incurring significant costs without clarifying etiology.
    • Organic causes of FTT are typically excluded by initial clinical assessments.
    • Traditional diagnostic hospitalizations for FTT are lengthy and expensive.

    Purpose of the Study:

    • To compare the effectiveness and cost-efficiency of medical placement homes (MPH) versus traditional diagnostic hospitalization for infants with FTT.
    • To evaluate catch-up growth rates and weight gain in infants managed in MPH settings.

    Main Methods:

    • A study compared 17 infants in MPHs with 18 infants in traditional hospital settings.
    • Infants in both groups were under one year of age and similar in pre-admission characteristics.

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  • Weight gain and cost per 100 grams were analyzed for both groups.

    • Main Results:

    • The MPH group exhibited significantly greater weight gain (362g in hospital + 1270g in MPH) compared to the hospital-only group (276g).
    • MPH infants showed accelerated catch-up growth (29 gms/day above expectation) versus the comparison group (16 gms/day).
    • Weight gain was substantially more cost-effective in MPHs (+308 per 100g) compared to traditional hospitalization (+1,635 per 100g).

    Conclusions:

    • Medical placement homes provide a more effective and economical approach for managing infant failure to thrive.
    • MPHs promote superior catch-up growth compared to traditional hospitalizations.
    • The cost-effectiveness of MPHs suggests a potential shift away from lengthy hospital stays for FTT workups.