Acta Ortopédica Mexicana

Jiménez-Ávila JM, Álvarez-Garnier JC, Bitar-Alatorre WE
Direct cost of complete cervical spinal cord injury
Acta Ortop Mex 2012; 26 (1)

Language: Español
References: 30
Page: 10-14
PDF: 46.80 Kb.

[Fulltext - PDF]

ABSTRACT

Objective: To determine the direct cost of complete cervical spinal cord injury. Material and methods: 34 patients over 16 years of age with a diagnosis of complete cervical spinal cord injury. The cost calculation was done considering nine groups: bed days, specialty consultation, laboratory, X-rays, computed axial tomography, magnetic resonance imaging, anterior surgery, posterior surgery, anterior and posterior surgery. The micro costing technique was used and the mean cost per patient was obtained. Results: 41% of patients had injury at C4-C5; mean age was 36 years; total cost was $8,622,793.00 mexican pesos, and the mean cost in patients who survived was $2,536,115.59 mexican pesos, which represented 29.4% of the total cost; the cost for the patients who died was $6,086,677.41 mexican pesos (70.6%). The percent distribution of the different components analyzed clearly shows that 51% of the total cost corresponded to hospitalization. The estimated annual cost of caring for these patients is $2,155,905.70 Mexican pesos, with an annual increase of $819,905.53 Mexican pesos. Conclusions: The major cost was hospitalization, so specific clinical management guidelines should be used to optimize economic resources and prevent complications that may increase the costs.


Key words: spine, cervical, spinal cord, wound and injury, cost.


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