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Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial.
- Source :
- Age & Ageing; Sep2012, Vol. 41 Issue 5, p635-641, 7p, 2 Charts, 1 Graph
- Publication Year :
- 2012
-
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 trialSetting: 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) [ABSTRACT FROM AUTHOR]
- Subjects :
- ACCIDENTAL fall prevention
COMMUNITY health services
CONFIDENCE intervals
COST effectiveness
RESEARCH funding
RANDOMIZED controlled trials
QUALITY-adjusted life years
EARLY medical intervention
EVALUATION of human services programs
DATA analysis software
DIARY (Literary form)
DESCRIPTIVE statistics
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 41
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 79306589
- Full Text :
- https://doi.org/10.1093/ageing/afs071