Determinantes de los costos de la atención y la rehabilitación de personas lesionadas en accidentes de tránsito en Medellín, Colombia

Abstract

Luz Helena Lugo-Agudelo** Paula Andrea Castro-García*** Aurelio Mejía-Mejía**** Blanca Cecilia Cano-Restrepo***** Deisy Alejandra Vélez-Jaramillo****** Héctor Iván García-García******* * Palabras clave: accidentes de tránsito; costos y análisis de costo; gastos en salud; gravedad de la lesión; New Injury Severity Score, NISS AbstractObjective: estimating the determinants of the costs of care and rehabilitation of people injured in traffic accidents in Medellin, Colombia. Materials and Methods: follow-up study for a year on 483 patients treated due to moderate and severe injuries. We included medical costs calculated based on the hospital billing systems and indirect costs associated to the incapacity for patients and caregivers. The determinants of the total cost were estimated by means of a generalized linear model. Results: the costs for severely injured patients were, on average, higher by US $2,152 than those of patients with moderate injuries. Those who were interned in the intensive and special care units generated additional costs amounting to US $29,362 and US $5,746 in comparison to those who were not interned there. Indirect costs amounted to 3% of the total cost. Conclusions: the severity of the injuries and the type of care were the factors that influenced the most the cost of care and rehabilitation.Keywords: traffic accidents; cost and cost analysis; health expenses; severity of the injury; New Injury Severity Score, NISS

Factores asociados al requerimiento de rehabilitación física en los peatones sobrevivientes de atropello en Perú, 2016 - 2021

“…Los ocupantes de los automóviles fueron las víctimas más frecuentemente afectadas; sin embargo, los peatones representan el 22% (2) . Las personas que sufren traumatismos no mortales y culminan en una discapacidad son aproximadamente entre 20 y 50 millones de personas, lo cual genera repercusiones sociales, económicas y de salud en los diferentes países, llegando a tener un gasto de hasta el 3% de su producto bruto interno (PBI) (3) , de acuerdo con la gravedad de las lesiones (4) . En el Perú, entre 2016 y 2020, se registraron más de 420 mil AT, que generaron 14 mil fallecimientos y 272 mil personas en situación de discapacidad (5) .…”