title: Direct medical costs of neonatal respiratory distress syndrome in two specialized public hospitals in Mexico.
abstract: OBJECTIVE
  To estimate direct medical costs (DMC) associated with treatment of Respiratory Distress Syndrome (RDS) in newborns (NB) in two specialized public hospitals in Mexico.
  
  
  METHODS
  The perspective used was health care payer. We estimated DMC associated with RDS management. The pattern of resource use was established by reviewing clinical records. Microcosting and bootstrap techniques were used to obtain the DMC. Estimated costs were reported in 2011 US dollars.
  
  
  RESULTS
  Average DMC per RDS event was 14 226 USD. The most significant items that account for this cost were hospitalization (38%), laboratory and diagnostic exams (18%), incubator time (10%), surfactant therapy (7%), and mechanical ventilation (7%).
  
  
  CONCLUSIONS
  Average DMC in NB with RDS fluctuated in relation to gestational age weight at birth and clinical complications presented by patients during their hospitalization.
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, Secretaria de Salud, México, Distrito Federal, México.
authors.forename: Silvia
authors.initials: S
authors.lastname: Martínez-Valverde
authors.affiliation: Unidad de Investigación en Epidemiología Clínica, Unidad Médica de Alta Especialidad Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, Distrito Federal, México.
authors.forename: Angélica
authors.initials: A
authors.lastname: Castro-Ríos
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, Secretaria de Salud, México, Distrito Federal, México.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Salinas-Escudero
authors.affiliation: Unidad de Investigación en Epidemiología Clínica, Unidad Médica de Alta Especialidad Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, Distrito Federal, México.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Villasis-Keever
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, Secretaria de Salud, México, Distrito Federal, México.
authors.forename: Juan
authors.initials: J
authors.lastname: Garduño-Espinosa
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, Secretaria de Salud, México, Distrito Federal, México.
authors.forename: Onofre
authors.initials: O
authors.lastname: Muñoz-Hernández
mesh_terms: D003365:Costs and Cost Analysis; D005260:Female; D017048:Health Care Costs; D005102:Health Expenditures; D017721:Hospital Costs; D006779:Hospitals, Public / Q000191:economics*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000191:economics*; D007348:Insurance, Health; D007363:Intensive Care Units, Neonatal / Q000191:economics; D008297:Male; D008800:Mexico; D012127:Respiratory Distress Syndrome, Newborn / Q000191:economics*; D012189:Retrospective Studies