Cost analysis of a falls-prevention program in an orthopaedic setting.

2.50
Hdl Handle:
http://hdl.handle.net/10147/240012
Title:
Cost analysis of a falls-prevention program in an orthopaedic setting.
Authors:
Galbraith, John G; Butler, Joseph S; Memon, Adeel R; Dolan, Mark A; Harty, James A
Affiliation:
Department of Trauma & Orthopaedic Surgery, St Mary's Orthopaedic Hospital, Gurranabraher, Cork, Ireland. johng442@hotmail.com
Citation:
Cost analysis of a falls-prevention program in an orthopaedic setting. 2011, 469 (12):3462-8 Clin. Orthop. Relat. Res.
Journal:
Clinical orthopaedics and related research
Issue Date:
Dec-2011
URI:
http://hdl.handle.net/10147/240012
DOI:
10.1007/s11999-011-1932-9
PubMed ID:
21643923
Abstract:
Falls by orthopaedic patients may lead to negative outcomes such as injury, prolonged hospitalization, delayed rehabilitation, and increased costs.; We examined the impact of a multidisciplinary Falls-prevention Program (FPP) on the incidence of inpatient falls and fall-related injuries in an orthopaedic hospital during a 6-year period.; Patient data and fall incident report data were reviewed to identify risk factors associated with falls and fall-related injuries. A cost analysis was performed to calculate costs incurred as a result of falls.; A total of 415 falls occurred during a 5-year period preintervention. The fall rate preintervention was significantly higher than the fall rate postintervention (3.49 versus 2.68 per 1000 bed days). Eighty-five falls occurred in the 12 months preintervention. A total of 15.29% (13 of 85) of falls resulted in minor injuries, and 9.42% (eight of 85) resulted in major injuries. The total cost incurred during this period as a result of falls was $117,754.12. Of this, 95.5% resulted from patients who sustained a hip fracture (n = 4). The total cost of implementing the FPP was $15,694.46. In the 12 months postintervention, 52 falls occurred. Twenty-five percent (13 of 52) of falls resulted in minor injuries, and 5.76% (two of 52) resulted in major injuries (no hip fractures). The total costs accrued during this period as a result of falls was $811.70.; After implementation of a FPP, there were significant decreases in fall incidence, fall-related morbidity, and consequent costs.; Level III, economic and decision analyses. See the Guidelines for Authors for a complete description of levels of evidence.
Item Type:
Article
Language:
en
MeSH:
Accidental Falls; Aged; Aged, 80 and over; Bones of Lower Extremity; Cost of Illness; Costs and Cost Analysis; Female; Fractures, Bone; Hip Fractures; Hospital Costs; Hospitalization; Humans; Male; Middle Aged; Prospective Studies; Risk Factors
ISSN:
1528-1132

Full metadata record

DC FieldValue Language
dc.contributor.authorGalbraith, John Gen_GB
dc.contributor.authorButler, Joseph Sen_GB
dc.contributor.authorMemon, Adeel Ren_GB
dc.contributor.authorDolan, Mark Aen_GB
dc.contributor.authorHarty, James Aen_GB
dc.date.accessioned2012-08-27T08:28:45Z-
dc.date.available2012-08-27T08:28:45Z-
dc.date.issued2011-12-
dc.identifier.citationCost analysis of a falls-prevention program in an orthopaedic setting. 2011, 469 (12):3462-8 Clin. Orthop. Relat. Res.en_GB
dc.identifier.issn1528-1132-
dc.identifier.pmid21643923-
dc.identifier.doi10.1007/s11999-011-1932-9-
dc.identifier.urihttp://hdl.handle.net/10147/240012-
dc.description.abstractFalls by orthopaedic patients may lead to negative outcomes such as injury, prolonged hospitalization, delayed rehabilitation, and increased costs.-
dc.description.abstractWe examined the impact of a multidisciplinary Falls-prevention Program (FPP) on the incidence of inpatient falls and fall-related injuries in an orthopaedic hospital during a 6-year period.-
dc.description.abstractPatient data and fall incident report data were reviewed to identify risk factors associated with falls and fall-related injuries. A cost analysis was performed to calculate costs incurred as a result of falls.-
dc.description.abstractA total of 415 falls occurred during a 5-year period preintervention. The fall rate preintervention was significantly higher than the fall rate postintervention (3.49 versus 2.68 per 1000 bed days). Eighty-five falls occurred in the 12 months preintervention. A total of 15.29% (13 of 85) of falls resulted in minor injuries, and 9.42% (eight of 85) resulted in major injuries. The total cost incurred during this period as a result of falls was $117,754.12. Of this, 95.5% resulted from patients who sustained a hip fracture (n = 4). The total cost of implementing the FPP was $15,694.46. In the 12 months postintervention, 52 falls occurred. Twenty-five percent (13 of 52) of falls resulted in minor injuries, and 5.76% (two of 52) resulted in major injuries (no hip fractures). The total costs accrued during this period as a result of falls was $811.70.-
dc.description.abstractAfter implementation of a FPP, there were significant decreases in fall incidence, fall-related morbidity, and consequent costs.-
dc.description.abstractLevel III, economic and decision analyses. See the Guidelines for Authors for a complete description of levels of evidence.-
dc.language.isoenen
dc.rightsArchived with thanks to Clinical orthopaedics and related researchen_GB
dc.subject.meshAccidental Falls-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBones of Lower Extremity-
dc.subject.meshCost of Illness-
dc.subject.meshCosts and Cost Analysis-
dc.subject.meshFemale-
dc.subject.meshFractures, Bone-
dc.subject.meshHip Fractures-
dc.subject.meshHospital Costs-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshProspective Studies-
dc.subject.meshRisk Factors-
dc.titleCost analysis of a falls-prevention program in an orthopaedic setting.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Trauma & Orthopaedic Surgery, St Mary's Orthopaedic Hospital, Gurranabraher, Cork, Ireland. johng442@hotmail.comen_GB
dc.identifier.journalClinical orthopaedics and related researchen_GB

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