A Cost-Effectiveness Analysis of a Randomized Control Trial of a Tailored, Multifactorial Program to Prevent Falls Among the Community-Dwelling Elderly

Archives of Physical Medicine and Rehabilitation
David B MatcharMarcus Eng Hock Ong

Abstract

To perform a cost-effectiveness analysis of a multifactorial, tailored intervention to reduce falls among a heterogeneous group of high-risk elderly people. Randomized control trial. Communities. Adults aged at least 65 years (N=354) seen at the emergency department (ED) for a fall or fall-related injury and discharged home. The intervention group received a tailored program of physical therapy focused on progressive training in strength, balance, and gait for a period of 3 months. They also received screening and referrals for low vision, polypharmacy, and environmental hazards. The Short Physical Performance Battery (SPPB) test was assessed at regular intervals to allocate participants into either a home-based or group center-based program. The control group received usual care prescribed by a physician and educational materials on falls prevention. The incremental cost-effectiveness ratio (ICER) over the 9-month study period based on intervention costs and utility in terms of quality-adjusted life years (QALYs) calculated from EuroQol-5D scores. The ICER was 120,667 Singapore dollars (S$) per QALY gained (S$362/0.003 QALYs), above benchmark values (S$70,000). However, the intervention was more effective and cost-saving among...Continue Reading

Associated Clinical Trials

Citations

Jun 25, 2020·Journal of Clinical and Experimental Neuropsychology·Hannah HobsonNele Demeyere
Feb 7, 2021·Journal of the American Medical Directors Association·Berber G DorhoutLisette C P G M de Groot
May 13, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nada HammoudaUNKNOWN GEAR Network
Aug 19, 2021·Archives of Physical Medicine and Rehabilitation·Neil Jordan, Anne Deutsch

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