Non-accidental head injury in children: Medical care direct economic cost in a tertiary care hospital
Por:
Loredo-Abdalá A., Casas-Muñoz A., González-Garay G.A., Ortiz-Hernandez R., González-Corona J.M., Ramírez-Angoa L.V.
Publicada:
1 ene 2018
Categoría:
Medicine (miscellaneous)
Resumen:
Introduction: Abusive head trauma (AHT) is an extreme form of physical abuse that is produced by abruptly shaking an infant or toddler. Objective: To describe the direct economic cost of care during hospitalization of 14 children with confirmed diag-nosis of AHT in a pediatric hospital. Method: Analysis of the cost of disease in patients with AHT attended to between 2001and 2010. Partial direct economic cost of medical care (days of hospital stay, laboratory tests and imaging studies, surgical proce-dures and subspecialist consultations) was calculated adjusting for inflation, with year 2001 taken as base year. Patients were classified in three groups (moderate, severe and fatal AHT). Descriptive and sensitivity analysis was carried out. Results: Patients with severe AHT generated higher medical care costs ($105,794.88 ± 33,201.91) in comparison with the group of moderate ($37,012.95, ± 7,154.87) and fatal AHT ($18,595.04 ± 6424.47) (p <0.05). Total cost was $665,467.98 Mexican pesos ($71,249.25 international dollars). Conclusions: Total cost for the 14 patients was an elevated figure, as in other parts of the world. The direct economic cost is closely related to the severity of the clinical presentation. © 2018, Academia Nacional de Medicina. All rights reserved.
Filiaciones:
Loredo-Abdalá A.:
Coordination of Advanced Studies on Child Abuse and its Prevention, Instituto Nacional de Pediatría, Ciudad de México, Mexico
Casas-Muñoz A.:
Coordination of Advanced Studies on Child Abuse and its Prevention, Instituto Nacional de Pediatría, Ciudad de México, Mexico
González-Garay G.A.:
Department of Research Methodology, Instituto Nacional de Pediatría, Ciudad de México, Mexico
Ortiz-Hernandez R.:
Directorate of Planning. Secretaría de Salud, Instituto Nacional de Pediatría, Ciudad de México, Mexico
González-Corona J.M.:
Coordination of Advanced Studies on Child Abuse and its Prevention, Instituto Nacional de Pediatría, Ciudad de México, Mexico
Ramírez-Angoa L.V.:
Coordination of Advanced Studies on Child Abuse and its Prevention, Instituto Nacional de Pediatría, Ciudad de México, Mexico
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