Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial
Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial
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).
Accidental Falls/economics, Aged, Aged, 80 and over, Ambulances/economics, Cost-Benefit Analysis, Costs and Cost Analysis, Emergency Medical Services/economics, Humans, Longitudinal Studies, Middle Aged, Quality-Adjusted Life Years, State Medicine, United Kingdom
635-41
Sach, Tracey H
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Logan, Philippa A
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Coupland, Carol A C
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Gladman, John R F
89788999-01d4-4bd1-adb0-d96b68f2f270
Sahota, Opinder
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Stoner-Hobbs, Valarie
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Robertson, Kate
3a838e5e-73fc-4f22-b413-8c7c98d10d9f
Tomlinson, Vicki
87b072f6-d5eb-4e62-8f4c-aac4bfe2d3fc
Ward, Marie
0390ce16-496e-4b4b-864a-11bd4dd7ae7d
Avery, Anthony J
ba667df1-c7e8-4812-855c-8f5d8c37ed86
September 2012
Sach, Tracey H
5c09256f-ebed-4d14-853a-181f6c92d6f2
Logan, Philippa A
c982c4fe-dff1-413f-b0ba-b3de40890c4c
Coupland, Carol A C
a2faba84-be62-47ba-930d-c31c7cb21fa4
Gladman, John R F
89788999-01d4-4bd1-adb0-d96b68f2f270
Sahota, Opinder
1816e216-bea1-412c-948d-1c1ab8fdbc28
Stoner-Hobbs, Valarie
6a67395a-92a8-42dc-9638-f5f1fc7c7a1d
Robertson, Kate
3a838e5e-73fc-4f22-b413-8c7c98d10d9f
Tomlinson, Vicki
87b072f6-d5eb-4e62-8f4c-aac4bfe2d3fc
Ward, Marie
0390ce16-496e-4b4b-864a-11bd4dd7ae7d
Avery, Anthony J
ba667df1-c7e8-4812-855c-8f5d8c37ed86
Sach, Tracey H, Logan, Philippa A, Coupland, Carol A C, Gladman, John R F, Sahota, Opinder, Stoner-Hobbs, Valarie, Robertson, Kate, Tomlinson, Vicki, Ward, Marie and Avery, Anthony J
(2012)
Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial.
Age and Ageing, 41 (5), .
(doi:10.1093/ageing/afs071).
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).
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More information
Published date: September 2012
Keywords:
Accidental Falls/economics, Aged, Aged, 80 and over, Ambulances/economics, Cost-Benefit Analysis, Costs and Cost Analysis, Emergency Medical Services/economics, Humans, Longitudinal Studies, Middle Aged, Quality-Adjusted Life Years, State Medicine, United Kingdom
Identifiers
Local EPrints ID: 480803
URI: http://eprints.soton.ac.uk/id/eprint/480803
ISSN: 0002-0729
PURE UUID: bcfaa39d-eff7-464b-bb1c-9a64b20cb522
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Date deposited: 09 Aug 2023 17:14
Last modified: 17 Mar 2024 04:20
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Contributors
Author:
Tracey H Sach
Author:
Philippa A Logan
Author:
Carol A C Coupland
Author:
John R F Gladman
Author:
Opinder Sahota
Author:
Valarie Stoner-Hobbs
Author:
Kate Robertson
Author:
Vicki Tomlinson
Author:
Marie Ward
Author:
Anthony J Avery
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