Community falls prevention for people who call an emergency ambulance after a fall: an economic evaluation alongside a randomised controlled trial.

Sach, T, 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). pp. 635-641. ISSN 0002-0729

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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

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Tracey Sach
Date Deposited: 29 Apr 2013 15:52
Last Modified: 21 Apr 2020 16:12
URI: https://ueaeprints.uea.ac.uk/id/eprint/42167
DOI: 10.1093/ageing/afs071

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