Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls.
Age Ageing
; 39(6): 710-6, 2010 Nov.
Article
em En
| MEDLINE
| ID: mdl-20833862
ABSTRACT
BACKGROUND:
multifactorial falls prevention programmes for older people have been proved to reduce falls. However, evidence of their cost-effectiveness is mixed.DESIGN:
economic evaluation alongside pragmatic randomised controlled trial. INTERVENTION randomised trial of 364 people aged ≥70, living in the community, recruited via GP and identified as high risk of falling. Both arms received a falls prevention information leaflet. The intervention arm were also offered a (day hospital) multidisciplinary falls prevention programme, including physiotherapy, occupational therapy, nurse, medical review and referral to other specialists. MEASUREMENTS self-reported falls, as collected in 12 monthly diaries. Levels of health resource use associated with the falls prevention programme, screening (both attributed to intervention arm only) and other health-care contacts were monitored. Mean NHS costs and falls per person per year were estimated for both arms, along with the incremental cost-effectiveness ratio (ICER) and cost effectiveness acceptability curve.RESULTS:
in the base-case analysis, the mean falls programme cost was £349 per person. This, coupled with higher screening and other health-care costs, resulted in a mean incremental cost of £578 for the intervention arm. The mean falls rate was lower in the intervention arm (2.07 per person/year), compared with the control arm (2.24). The estimated ICER was £3,320 per fall averted.CONCLUSIONS:
the estimated ICER was £3,320 per fall averted. Future research should focus on adherence to the intervention and an assessment of impact on quality of life.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
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Terapia Ocupacional
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Modalidades de Fisioterapia
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Hospital Dia
Tipo de estudo:
Clinical_trials
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Etiology_studies
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Evaluation_studies
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Health_economic_evaluation
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Prognostic_studies
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Screening_studies
Limite:
Aged
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Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article