Citation

Barragán-Hervella R, Montiel-Jarquín Á, Limón-Serrano I, Escobedo-Sosa V, Loria-Castellanos J. Gac. Med. Mex. 2016; 152(6): 755-760.

Vernacular Title

Costo directo de la atención primaria del traumatismo craneoencefálico (TCE) leve en adultos mediante grupos relacionados por el diagnóstico (GRD) en el tercer nivel de atención médica.

Affiliation

División de Proyectos Especiales en Salud del IMSS, Ciudad de México, México.

Copyright

(Copyright © 2016, Academia Nacional De Medicina de Mexico)

DOI

unavailable

PMID

27861473

Abstract

OBJECTIVE: To describe the direct cost of primary health care for patients with mild traumatic head injury in a third level medical facility.

DESIGN: Cross-sectional study in 219 patients with mild traumatic brain injury (GRD 090 S06.0 ICD-10 including uncomplicated concussion without complication and increased comorbidity). LOCATION: A medical unit of tertiary care in the State of Puebla, Mexico. MAIN MEASUREMENTS: Direct costs were taken from ACDO.AS3.HCT.280115 / 7.P.DF Agreement and its annexes in Mexican pesos, the variables analyzed were age, gender, shift attention, laboratory, radiographic and tomographic studies, length of stay, specialist consultations, emergency care, medicines, and treatment materials. Descriptive statistics on SPSS program IBM v22.

RESULTS: 53.4% male, 46.6% female; average age 31.9 years; morning shift attention 58.4%, evening 23.3%, and nightly 18.3%. The cost: $ 1,755 laboratory, plain radiographs $ 202,794, tomographic studies $ 26,720, consultation with neurosurgeon $ 279,174, emergency care $ 501,510; curing material: single steri drape $8,326.38, Micropore $1,307.43, infusion equipment $790.59, venipuncture needle $7,408.77; drugs: diclofenac $946.08, Ketorolac $724.89, 1000 ml. intravenous solution $1,561.47, total cost $ 1,032,293.72, average/patient: 4,713.66 Mexican pesos.

CONCLUSION: The direct cost of primary health care of patients with mild traumatic head injury is high; sticking to the correct handling decreases the cost of attention.

Language: es