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

T Sach, Philippa A Logan, Carol A C Coupland, John R F Gladman, Opinder Sahota, Valarie Stoner-Hobbs, Kate Robertson, Vicki Tomlinson, Marie Ward, Anthony J Avery

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24 Citations (Scopus)


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
Original languageEnglish
Pages (from-to)635-641
Number of pages7
JournalAge and Ageing
Issue number5
Publication statusPublished - Sep 2012

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