The Cost-Effectiveness of a Multifactorial Targeted Prevention Program for Falls Among Community Elderly Persons

Medical Care

Volumn 34, Issue 9, 1996, Pages 954-969

  Rizzo, John A ^a   Baker, Dorothy I ^b   Mcavay, Gail ^a   Tinetti, Mary E ^a,c  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE UNIVERSITY SCHOOL OF NURSING   (United States)

^c NONE   (United States)

Author keywords

Cost effectiveness; Elderly persons; Falls; Preventive health care

Indexed keywords

AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; ECONOMICS; ELDERLY CARE; FALLING; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH MAINTENANCE ORGANIZATION; HEALTH SERVICES RESEARCH; HOME CARE; HUMAN; INCIDENCE; PRIMARY PREVENTION; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; SENSITIVITY AND SPECIFICITY; UNITED STATES; UTILIZATION REVIEW;

ACCIDENTAL FALLS; AGED; COST-BENEFIT ANALYSIS; HEALTH CARE COSTS; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH RESOURCES; HEALTH SERVICES FOR THE AGED; HEALTH SERVICES RESEARCH; HOME CARE SERVICES; HUMANS; INCIDENCE; PRIMARY PREVENTION; RISK FACTORS; SENSITIVITY AND SPECIFICITY; UNITED STATES;

EID: 0030240403     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199609000-00007     Document Type: Article

References (31)

1. Sattin RW. Falls among older persons: A public health perspective. Annu Rev Public Health 1992;13:489.
2. Tinetti ME, Speechley M. Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319:1701.
3. Campbell A, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989;44:M112.
4. Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls: A prospective study. JAMA 1989;261:2663.
5. Campbell AJ, Borrie MJ, Spears GF, Jackson SL, Brown JS, Fitzgerald JL. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing 1990;19:136.
6. Tinetti ME, Liu WL, Claus EB. Predictors and prognosis of inability to get up after falls among elderly persons. JAMA 1993;269:65.
7. Kosorok MR, Omenn GS, Diehr P, Koepsell TD, Patrick DL. Restricted activity days among older adults. Am J Public Health 1992;82:1263.
8. Wolinsky FD, Johnson RJ, Fitzgerald JF. Falling, health status, and the use of health services by older adults. Med Care 1992;30:587.
9. Kiel DP, O'Sullivan P, Teno JM, Mor V. Health care utilization and functional status in the aged following a fall. Med Care 1991;29:221.
10. Sattin RW, Lambert Huber DA, DeVito CA, et al. The incidence of fall injury events among the elderly in a defined population. Am J Epidemiol 1990;131:1028.
11. Runge JW. The cost of injury. Emerg Med Clin North Am 1993;11:241.
12. Rice DP, MacKenzie EJ, et al. Cost of injury in the united states: A report to congress. San Francisco, CA: Institute for Health and Aging, University of California, San Francisco; and Baltimore, MD: Injury Prevention Center, The Johns Hopkins University; 1989.
13. Bernstein AM, Schur CL. Expenditures for unintentional injuries among the elderly. J Aging and Health 1990;2:157.
14. Covington DL, Maxwell JG, Clancy TV. Hospital resources used to treat the injured elderly at North Carolina trauma centers. J Am Geriatr Soc 1993;41:847.
15. Grisso JA, Schwarz DF, Wolfson D, Polansky M, LaPenn K. The impact of falls in an inner-city elderly African-American population. J Am Geriatr Soc 1992;40:673.
16. Alexander BA, Rivara FP, Wolf ME. The cost and frequency of fall-related injuries in older adults. Am J Public Health 1992;82:1020.
17. Rubenstein LZ, Robbins AS, Josephson KR, Schulman BL, Osterweil D. The value of assessing falls in an elderly population: A randomized clinical trial. Ann Intern Med 1990;113:308.
18. Reinsch S, MacRae P, Lachenbruch PA, Tobis JS. Attempts to prevent falls and injury: A prospective community study. The Gerontologist 1992;32:450.
19. Vetter NJ, Lewis PA, Ford D. Can health visitors prevent fractures in elderly people? BMJ 1992;308:889.
20. Hornbrook MC, Stevens VJ, Wingfield DJ, Hollis JF, Greenlick MR, Ory MG. Preventing falls among community-dwelling older persons. The Gerontologist 1994;34:8.
21. Mulrow CD, Gerety MB, Kanten D, et al. A randomized trial of physical therapy for very frail nursing home residents. JAMA 1994;271:519.
22. Tinetti ME, Baker DI, McAvay G, et al. A controlled trial of a multifactorial intervention to reduce risk of falls among community elderly persons. N Engl J Med 1994;331:821.
23. Tinetti ME, Baker DI, Garrett PA, Gottschalk M, Koch ML, Horwitz RI. Yale FICSIT: Risk factor abatement strategy for fall prevention. J Am Geriatr Soc 1993;41:315.
24. Koch ML, Gottschalk M, Baker DI, Palumbo S, Tinetti ME. Impairment and disability assessment and treatment protocol for community-living elderly persons. Phys Ther 1994;74:286.
25. Folstein MF, Folstein SE. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189.
26. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. App Psychol Meas 1977;1:385.
27. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179.
28. Bergner M, Bobbitt RA, Carter WB, Gilson BS. The sickness impact profile: Development and final revision of a health status measure. Med Care 1981;19:787.
29. Buchner DM, Hornbrook MC, Kutner NG, et al. Development of the common data base for the FICSIT trials. J Am Geriatr Soc 1993;41:297.
30. Merriam SB. The structure of a simple reminiscence. Gerontologist 1989;29:761.
31. Hall JP, Heller RF, Dobson AJ, Lloyd DM, Sanson-Fisher RW, Leeder SR. A Cost-Effectiveness Analysis of Alternative Strategies for the Prevention of Heart Disease. Medical Journal of Australia 1988;21:273.