Table 1 Description of the variables referring to the healthcare costs tracked during the follow-up: type of healthcare service, time window considered, name, definition and diagnostic/therapeutic codes. Time window labelled as “pre” refers to the period from the conception to the delivery; “Post” refers to the period from the delivery to the year after. ATC: anatomical therapeutic chemical classification system. ED: emergency department. ICD-9-CM: international classification of Disease, Ninth Revision, clinical modification
From: Determinants of the economic burden of ART on the Italian NHS: insights from the Lombardy region
Category | Healthcare service | Time window (delivery) | Name | Definition | Diagnostic and therapeutic codes |
|---|---|---|---|---|---|
General | Specialistic services | Pre | General_visits_pre | Total cost of all outpatient visits during pregnancy | All codes |
Post | General_visits_post | Total cost of all outpatient visits after delivery | All codes | ||
Pharmaceutical prescriptions | Pre | General_drugs_pre | Total cost of all drugs prescribed during pregnancy | All codes | |
Post | General_drugs_post | Total cost of all drugs prescribed used after delivery | All codes | ||
Hospital admissions | Pre | General_hospital_pre | Total cost of all hospital admissions experienced during pregnancy | All codes | |
Post | General_hospital_post | Total cost of all hospital admissions experienced after delivery | All codes | ||
ED admissions | Pre | General_ED_pre | Total cost of all ED admissions experience during pregnancy | All codes | |
Post | General_ED_post | Total cost of all ED admissions experiences after delivery | All codes | ||
Pregnancy | Specialistic services | Pre | Pregnancy_visits_pre | Total cost of outpatient visits related to pregnancy (e.g., amniocentesis, obstetric ultrasound, prenatal training, etc.) | ICD-9-CM codes: 75.10.1, 75.10.2, 75.10.3, 75.33.1, 75.34.1, 88.78, 88.75.2, 89.26.4, 93.37 |
Post | Pregnancy_visits_post | Total cost of outpatient visits related to the post-partum state (i.e., gynecological visits) | ICD-9-CM codes: 88.78.2, 88.79.7, 89.26.1, 89.26.2 | ||
Pharmaceutical prescriptions | Pre | Pregnancy_drugs_pre | Total cost of acid folic prescriptions during pregnancy | ATC codes: B03BB | |
Hospital admissions | Post | Pregnancy_hospital_post | Total cost of the hospital admission related to the delivery | ICD-9-CM diagnostic codes: V27, 640.−676., ICD-9-CM procedures codes: 72., 732.,735.,736., 738.−742., 744., 749.9 DRG codes: 370–375 | |
Complications | Hospital admissions | Pre | Complications_hospital_pre | Total cost of the hospital admission for complications related to pregnancy (e.g., antepartum haemorrhage, hypertension disorders, gestation diabetes, etc.) | ICD-9-CM diagnostic codes: 640.−649. |
Post | Complications_hospital_post | Total cost of the hospital admission for complications related to post-partum state (e.g., major puerperal infection, complications of venous thromboembolism, etc.) | ICD-9-CM diagnostic codes: 670.−677. | ||
Specialistic services | Post | Complications_visits_post | Total cost of outpatient visits related to complications of the post-partum state (e.g., other dilation or curettage of the uterus, etc.) | ICD-9-CM codes: 75.8, 68.12.1, 69.09 | |
Pharmaceutical prescriptions | Pre | Complications_drugs_diabetes_pre | Total cost of antidiabetic drugs prescribed during pregnancy | ATC codes: A10 | |
Complications_drugs_hypertension_pre | Total cost of antihypertensive drugs prescribed during pregnancy | ATC codes: C02 | |||
Complications_drugs_heparin_pre | Total cost of heparin drugs prescribed during pregnancy | ATC codes: B01 | |||
Complications_drugs_antibiotics_pre | Total cost of antibiotics drugs prescribed during pregnancy | ATC codes: J01 | |||
Post | Complications_drugs_hypertension_post | Total cost of antihypertensive drugs prescribed after delivery | ATC codes: C02 | ||
Complications_drugs_heparin_post | Total cost of heparin drugs prescribed after delivery | ATC codes: B01 | |||
Complications_drugs_antibiotics_post | Total cost of antibiotics drugs prescribed after delivery | ATC codes: J01 | |||
Practices | Pharmaceutical prescriptions | Pre | Practices_progestogen_pre | Total cost of progestogen prescribed after the third month of pregnancy | ATC codes: G03D |
Practices_cardioaspirin_pre | Total cost of cardioaspirin prescribed before delivery | ATC codes: B01AC06, B01AC56 |