Modelling the population-level impact of tai-chi on falls and fall-related injury among community-dwelling older people

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
Lesley DayShahid Ullah

Abstract

To model the population level impact of tai-chi on future rates of falls and fall-related injury in older people as a tool for policy development. An epidemiological and economic model for estimating population-level effectiveness of tai-chi. Australia, 2009. Patients or subjects Australian community-dwelling population aged 70+ years, ambulatory and without debilitating conditions or profound visual defects. Intervention Group-based tai-chi, for 1 h twice weekly for 26 weeks, assuming no sustained effect beyond the intervention period. Main outcome measure Total falls and fall-related hospitalisation prevented in 2009. Population-wide tai-chi delivery would prevent an estimated 5440 falls and 109 fall-related hospitalisations, resulting in a 0.18% reduction in the fall-related hospital admission rate for community-dwelling older people. The gross costs per fall and per fall-related hospital admission prevented were $A4414 (€3013) and $A220,712 (€150,684), respectively. A total investment of $A24.01 million (€16.39 million), equivalent to 4.2% of the cost of fall-related episodes of hospital care in 2003/4, would be required to provide tai-chi for 31,998 people and achieve this effect. Substantial investment in, and high popula...Continue Reading

Citations

Jun 14, 2012·Australian Occupational Therapy Journal·Tuong-Vi Vu, Lynette Mackenzie
Dec 28, 2010·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Lesley DayCatherine Thompson
Oct 12, 2010·Clinics in Geriatric Medicine·Lindy ClemsonGill Lewin
Oct 28, 2011·Journal of Evaluation in Clinical Practice·Terry P HainesAndrew Robinson
Jul 25, 2017·Journal of the American Geriatrics Society·Rafael Lomas-VegaRafael Del-Pino-Casado

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