[Health care expenditures among the offspring of cocaine base paste consumers].
BACKGROUND
Health care costs of the offspring of mothers addicted to cocaine are three times higher than those of children not exposed to cocaine during gestation.


OBJECTIVE
To calculate the health care costs of the offspring of addict mothers that consumed cocaine during gestation. To verify the diseases or health conditions in these children, that generated the expenses.


METHODS
One hundred offspring of addict women consuming cocaine base paste were studied. The health care expenses generated by hospital admissions and ambulatory follow up were calculated. Expenses were expressed in Chilean pesos, according to the value at June, 2000. The fares of the South Orient Metropolitan Health Service were used as a reference.


RESULTS
Twenty four of the 100 children were lost from follow up. Among the 76 followed children, 48 were admitted to hospitals in 2.3 (range 1.2) occasions. Mean hospital stay was 21.7 days (range 1-186) and hospital mortality was 4%. Mean expense per hospital discharge was $1,556,098 and per patient was $3,457,995. The monthly expenses per children during ambulatory follow up were $120,372 that increased to $395,200 if family placing was added.


CONCLUSIONS
These figures confirm that health care expenses of cocaine addicts offspring are more than three times the cost of a normal child. Primary and secondary prevention of cocaine addiction is urgently needed.
Mena
María
M
Servicio de Pediatría, Unidad de Informática Maternidad, Hospital Sótero del Río, Servicio de Salud Metropolitano Sur-Oriente.
Corvalán
Sergio
S
Bedregal
Paula
P
D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000191:economics; D001724:Birth Weight; D016241:Child of Impaired Parents; D019970:Cocaine-Related Disorders / Q000191:economics*; D005260:Female; D005500:Follow-Up Studies; D005102:Health Expenditures; D017721:Hospital Costs; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000139:chemically induced* / Q000191:economics; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced / Q000191:economics; D011297:Prenatal Exposure Delayed Effects