TY - JOUR PY - 2011// TI - An economic evaluation of community and residential aged care falls prevention strategies in NSW JO - New South Wales public health bulletin A1 - Church, Jody A1 - Goodall, Stephen A1 - Norman, Richard A1 - Haas, Marion SP - 60 EP - 68 VL - 22 IS - 3-4 N2 - Aim: To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities. Methods: A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in a decision analytic model that combined a Markov model and decision tree to estimate the costs and outcomes of potential interventions and/or strategies. The resulting cost per quality-adjusted life year was estimated. Results: The most cost-effective falls prevention strategy in community-dwelling older people was Tai Chi. Expedited cataract surgery and psychotropic medication withdrawal were also found to be cost-effective; however, the effectiveness of these interventions is less certain due to small numbers of trials and participants. The most cost-effective falls prevention strategies in residential aged-care facilities were medication review and vitamin D supplementation.
Language: en
LA - en SN - 1034-7674 UR - http://dx.doi.org/10.1071/NB10051 ID - ref1 ER -