TY  - JOUR
PY  - 2010//
TI  - Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls
JO  - Age and ageing
A1  - Irvine, Linda
A1  - Conroy, Simon P.
A1  - Sach, Tracey H.
A1  - Gladman, John R. F.
A1  - Harwood, Rowan H.
A1  - Kendrick, Denise
A1  - Coupland, Carol A. C.
A1  - Drummond, Avril
A1  - Barton, G.
A1  - Masud, Tahir
SP  - 710
EP  - 716
VL  - 39
IS  - 6
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-0729
UR  - http://dx.doi.org/10.1093/ageing/afq108
ID  - ref1
ER  -