Antecedentes: Las úlceras crónicas de miembros inferiores (UCMI) representan un gran problema para los pacientes y los sistemas de salud. Objetivo: Determinar el número y el costo de consultas e internaciones asociadas a las UCMI en un hospital público en Tucumán, Argentina. Métodos: Estudio retrospectivo observacional. La estimación del costo se calculó basada en los días de internación, número de consultas, tratamientos realizados y análisis de laboratorio.Resultados: En el periodo 2013-2014, se identificaron 7224 consultas y 359 internados con códigos CIE-10 relacionados a UCMI. La estancia media fue de 22.88 días. Se observó una media de 0.41 cirugías por pacientes, donde el 25% fueron amputaciones. El costo anual asociado al tratamiento de UCMI en pacientes internados fue US$ 4.053,65, mientras que en pacientes ambulatorios fue US$ 3.589,24. Conclusión: Las UCMI generan una gran carga económica para el Sistema de Salud público en Argentina. Por tanto, es necesario un cambio en la forma de registro de las UCMI en los hospitales, que permita al Sistema de Salud público tomar conciencia del problema y generar las políticas necesarias para resolverlo.
Background: Chronic lower limb ulcers (CLLU) have an important burden to the individual and the healthcare system. However, there is a lack of information about the cost of CLLU in Argentina.Objective: To determinate the number and cost of consultation and hospitalization associated to CLLU in a public hospital in Argentina. Methods: Retrospective observational study. Cost estimation were calculated based on days of stay, treatments and laboratory tests in a inpatient population and the number of consultations, treatments and laboratory tests, in a outpatient population. Results: In 2013 and 2014, the overall number of consultation with ICD-10 codes was 7,224 and the number of inpatient was 359. The mean age for male and female outpatient consultations was 59.53(±13.06) years and 59.04(±10.93), respectively. For CLLU male and female inpatient, the mean age was 63.9(±10.4) years and 54.5(±8.6) years, respectively. The length of stay was 22.88 days. There was a mean of 0.41 surgeries per patient where 25% were amputations. The mean annual cost in a single public hospital was US$4,053.65 per inpatient and US$3,589.24 per outpatient. Conclusion: Cost information allows new public health policies to reduce socioeconomic burden due to CLLU.
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