Costo de la Atención Hospitalaria y Años de Vida Perdidos por la Muerte Materna

Background: Maternal mortality is accepted as a key indicator of health and socioeconomic status. Health indicators reflect not only the general state of the health system, but also various aspects of the structure of a country. Objective: To determine the cost of hospital care and years of life lost due to maternal death. Material and Methods: Retrospective study of cost analysis carried out from 2011 to 2014 at Maternal Prenatal Hospital “Monica Pretelini Saenz” in Toluca, State of Mexico. We included 91 clinical files classified into 2 groups. The first group with a diagnosis of maternal death (MM) (n = 49) and the second group with maternal survival (SM) (n = 42), with prenatal control that culminated their pregnancy without complications. The prenatal control, resolution path and hospitalization in Mexican pesos were paid at the time of the study. Results: Of the variables studied, the mean age was 27 ± 6 years with MM and 28 ± 5 years with MS. The years of life lost due to maternal death (AVP) were 1,535.51, the average was 31.33 with MM. The MM group obtained 62% less prenatal control than the SM group ($ 1,591.23* MM vs. $ 4,190.48 SM, p <0.0001). The resolution path increased 12% for the MM group ($ 8,114.92 MM vs. $ 7,222.00 SM, p < 0.0001) and the cost of hospitalization increased 1584%, ($ 34,313.72 MM vs. $ 2,037.14 SM, p <0.0006). The total cost increased 227% for the MM group ($ 44,019.86 MM vs. $ 13,449.62 SM, p <0.001). Conclusion: The total costs of maternal mortality were increased by complications during delivery and puerperium that required specialized attention, medications and high-cost supplies.*The amounts have been estimated in Mexican pesos at the time of the study.