Costes directos de atención médica del pie diabético en el segundo nivel de atención médica

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Abstract

Introduction Diabetic foot is one of the common complications of diabetes mellitus, early management defines the functional future of the patient and reduces the cost in attention. Objective To analyze the direct costs of patients diagnosed with diabetic foot based on Wagner Scale. Material and methods Cross-sectional study, in patients with diabetic foot; direct costs of medical care were evaluated: days of hospitalization, laboratory and imaging tests, surgical debridations, minor and major amputations were evaluated. At all times the anonymity of the participants was preserved. Results There were 68 patients with diabetic foot, of these 22 were removed for having incomplete medical records, being included 46 patients: 33(72%) men, mean age 59 years-old. Ascending increase in average and total costs was observed, from 1 to 5 Wagner Classification. Direct costs were higher in day hospitalization and debridations compared to others. Conclusions This study is a starting point for the quantification of the economic burden of diabetic foot in Social Security Institutions. A guide based treatment for diabetic foot whould lower direct costs for these patients. Medical attention costs in these patients are less in I Level Medical Facility compared with II Level.

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Montiel-Jarquín, Á. J., García Villaseñor, A., Castillo Rodríguez, C., Romero-Figueroa, M. S., Etchegaray-Morales, I., García-Cano, E., & Arévalo-Ramírez, M. (2017). Costes directos de atención médica del pie diabético en el segundo nivel de atención médica. Revista Chilena de Cirugia, 69(2), 118–123. https://doi.org/10.1016/j.rchic.2016.09.009

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