TY  - JOUR
PY  - 2013//
TI  - The high cost to health and social care of managing falls in older adults living in the community in Scotland
JO  - Scottish medical journal
A1  - Burleigh, L.
A1  - Mitchell, S.
A1  - Saunders, L.
A1  - Clark, S.
A1  - Murray, A.
A1  - Craig, J.
SP  - 198
EP  - 203
VL  - 58
IS  - 4
N2  - BACKGROUND AND AIMS: Estimate costs for health and social care services in managing older people in the community who fall. METHOD AND RESULTS: Analyses of predominantly national databases using cost of illness methodologies. In Scotland, 294,000 (34%) of people over 65 years and living in the community fall at least once a year. Of these 20%, almost 60,000 people contacted a medical service for assistance. There were almost 30,000 attendances at GP practices, over 36,100 calls to the Scottish Ambulance Service and 46,816 people presenting at A&E, with 16,549 admitted, 30% with a hip fracture. Mortality was high, 7% during the hospital stay, rising to over 12% at 1 year. Over 20% of patients were unable to return to their homes. Associated costs were over £470 million, with 60% incurred by social services, mainly providing long-term care. Cost per person falling was over £1720, rising to over £8600 for those seeking medical assistance. A hip fracture admission cost £39,490, compared with £21,960 for other falls-related admissions. CONCLUSIONS: Transparent, robust cost information demonstrates the substantial burden of falls for health and social care services and should be a driver for implementing evidence-based interventions to reduce falls.<p />  <p>Language: en</p>
LA  - en
SN  - 0036-9330
UR  - http://dx.doi.org/10.1177/0036933013507848
ID  - ref1
ER  -