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Table 3 Total direct costs (in USD) of DM/ACSC hospitalizations in Mexico by complication and institution, 2016

From: Hospital care direct costs due to ambulatory care sensitive conditions related to diabetes mellitus in the Mexican public healthcare system

DM/ACSC complication

(ICD-10 code)

Mexican Public Healthcare Institutions

TOTAL

MoH

IMSS

ISSSTE

n

n%

Cost

n

n%

Cost

n

n%

Cost

n

n%

Cost

Peripheral circulatory complications

(E1X.5)

17,868

34.6

$34,904,069

20,390

38.6

$46,471,959

3600

31.4

$8,229,369

41,858

36.1

$89,605,397

Renal complications

(E1X.2)

11,180

21.6

$11,929,065

14,611

27.7

$18,039,100

3096

27.0

$3,303,434*

28,887

24.9

$33,271,599

Complications not specified

(E1X.8)

7,021

13.6

$3,394,636

2,544

4.8

$1,230,018*

1470

12.8

$710,741*

11,035

9.5

$5,335,395

Multiple complications

(E1X.7)

3,405

6.6

$3,411,518§

3,054

5.8

$4,199,523§

1260

11.0

$1,385,849§

7,719

6.7

$8,996,890§

Ketoacidosis

(E1X.1)

3,971

7.7

$4,956,649

3,162

6.0

$4,206,321

452

3.9

$544,295

7,585

6.5

$9,707,265

Other specific complications

(E1X.6)

3,054

5.9

$3,206,735*

2,536

4.8

$7,537,358

911

8.0

$956,561

6,501

5.6

$11,700,654

Diabetes T2 without expressed complication (E13.9, E14.9)

2,900

5.6

$1,983,2745

2,264

4.3

$2,764,035

228

2.0

$155,926*

5,392

4.7

$4,903,236

Ophthalmic complications

(E1X.3)

610

1.2

$247,3145

3,048

5.8

$4,668,727

34

0.3

$3,533

3,692

3.2

$4,919,575

Coma

(E1X.0)

1,173

2.3

$725,403

465

0.9

$287,564*

209

1.8

$129,249*

1,847

1.6

$1,142,216

Neurological complications

(E1X.4)

477

0.9

$424,545

710

1.3

$533,887

188

1.6

$86,555

1,375

1.2

$1,044,987

TOTAL

51,659

100

$73,450,568

52,784

100

$84,466,713

11,448

100

$19,882,401

115,891

100

$177,798,682

  1. USD = United States dollar; DM/ACSC = diabetes mellitus-related ambulatory care sensitive condition; ICD-10 = International Classification of Diseases Tenth Revision; MoH = Ministry of Health, IMSS = Mexican Social Security Institute; ISSSTE = Institute of Social Security and Services for State Workers; E1X.0 = E10.0, E11.0, E12.0, E13.0, E14.0; E1X.1 = E10.1, E11.1, E12.1, E13.1, E14.1; E1X.2 = E10.2, E11.2, E12.2, E13.2, E14.2; E1X.3 = E10.3, E11.3, E12.3, E13.3, E14.3; E1X.14 = E10.4, E11.4, E12.4, E13.4, E14.4; E1X.5 = E10.5, E11.5, E12.5, E13.5, E14.5; E1X.6 = E10.6, E11.6, E12.6, E13.6, E14.6; E1X.7 = E10.7, E11.7, E12.7, E13.7, E14.7; E1X.8 = E10.8, E11.8, E12.8, E13.8, E14.8.
  2. *Cost estimated using the more conservative cost from other institutions for the condition; § Cost estimated using the weighted average cost of ACSC in each institution