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Age Ageing. 2012 Sep;41(5):635-41. doi: 10.1093/ageing/afs071. Epub 2012 Jun 13.

Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial.

Author information

  • 1Health Economics Group, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK. t.sach@uea.ac.uk

Abstract

OBJECTIVE:

we estimated the cost-effectiveness of a community falls prevention service compared with usual care from a National Health Service and personal social services perspective over the 12 month trial period.

DESIGN:

a cost-effectiveness and cost utility analysis alongside a randomised controlled trial

SETTING:

community.

PARTICIPANTS:

people over 60 years of age living at home or in residential care who had fallen and called an emergency ambulance but were not taken to hospital.

INTERVENTIONS:

referral to community fall prevention services or usual health and social care.

MEASUREMENTS:

incremental cost per fall prevented and incremental cost per Quality-Adjusted Life Years (QALYs)

RESULTS:

a total of 157 participants (82 interventions and 75 controls) were used to perform the economic evaluation. The mean difference in NHS and personal social service costs between the groups was £-1,551 per patient over 1 year (95% CI: £-5,932 to £2,829) comparing the intervention and control groups. The intervention patients experienced on average 5.34 fewer falls over 12 months (95% CI: -7.06 to -3.62). The mean difference in QALYs was 0.070 (95% CI: -0.010 to 0.150) in favour of the intervention group.

CONCLUSION:

the community falls prevention service was estimated to be cost-effective in this high-risk group. Current Controlled Trials ISRCTN67535605. (controlled-trials.com).

PMID:
22695789
[PubMed - indexed for MEDLINE]
PMCID:
PMC3424053
Free PMC Article
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