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Cost analysis of a brief intervention for the prevention of falls after discharge from an emergency department.
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- Author(s): Harper KJ;Harper KJ; Arendts G; Arendts G; Geelhoed EA; Geelhoed EA; Barton AD; Barton AD; Celenza A; Celenza A
- Source:
Journal of evaluation in clinical practice [J Eval Clin Pract] 2019 Apr; Vol. 25 (2), pp. 244-250. Date of Electronic Publication: 2018 Sep 26.- Publication Type:
Comparative Study; Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract
- Publication Information: Original Publication: Oxford, England : Wiley-Blackwell, c1995-
- Subject Terms:
- Abstract: Rationale, Aims and Objectives: There is considerable uncertainty around the cost-effectiveness of interventions for preventing secondary falls in older people presenting to emergency departments (ED). The objective was to complete an economic evaluation of a brief educational ED intervention aimed at preventing falls in older people post discharge.
Methods: A net cost analysis was completed from the health system perspective, using data from a controlled clinical trial, where an education intervention was compared to standard care. Patients aged 65 and older presenting to the ED with any diagnosis were enrolled. The costs, using Australian dollars (A$) at 2015 values, included resources required for the intervention and any health care cost incurred in the 6-month follow-up period (time horizon). Cost data were sourced through institutional billing records and liaison with the patient and their general practitioner. Mean costs and differences were analysed through nonparametric bootstrapping.
Results: The total costs in the control group (n = 201) were A$1 576 496 compared to A$1 292 130 in the intervention group (n = 211). The mean net cost per patient was A$7749 and A$6187 (P = 0.68) respectively resulting in a mean difference of A$1580 per patient in the intervention group (95% CI: A$-2806 to A$6150). Patients who presented to the ED with a fall diagnosis were reviewed through subgroup analysis. Total costs for patients who presented with a fall in the control group (n = 69) were A$708 995 compared to A$512 874 in the intervention group (n = 97). The mean net cost per patient was A$10 326 and A$5343 respectively (P = 0.33) with an overall saving of A$4624 per patient in the intervention group (95% CI: A$-2868 to A$15 426).
Conclusions: A brief intervention had no net cost benefit across the whole study population, but is more cost effective in older people presenting to the ED with a fall.
(© 2018 John Wiley & Sons, Ltd.) - Contributed Indexing: Keywords: evidence-based medicine; health care; health economics; medical education
- Publication Date: Date Created: 20180928 Date Completed: 20190730 Latest Revision: 20190730
- Publication Date: 20231215
- Accession Number: 10.1111/jep.13041
- Accession Number: 30259596
- Source:
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