当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN GERIATRICS SOCIETY期刊下所有文献 > A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care.

A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care.

Abstract：

OBJECTIVES:To compare longitudinal changes in healthcare costs between fallers admitted to the hospital at the time of the fall (admitted), those not admitted to the hospital (nonadmitted), and nonfaller controls; test hypotheses related to differences in mean costs between and within these groups over time; and estimate the costs attributable to falling. DESIGN:Longitudinal cohort. SETTING:Group Health Cooperative of Puget Sound. PARTICIPANTS:Seven thousand nine hundred ninety-three nonadmitted fallers, 976 admitted fallers, and 8,956 nonfallers aged 67 and older enrolled in an integrated healthcare delivery system. Fallers were identified according to fall-related E-Codes and International Classification of Diseases, Ninth Revision codes recorded between January 1, 2004, and December 31, 2006. Nonfallers were frequency matched on age group and sex. MEASUREMENTS:Quarterly costs during a 3-year period were modeled using generalized estimating equations. Covariates included index age, sex, RxRisk (a comorbidity adjuster), fall status, time, and interactions between fall status and time. RESULTS:Cost differences between the faller cohorts and nonfallers were greatest in quarters closest to the fall (all P<.01) and persisted throughout the entire year of follow-up. Although nonfaller costs increased with time, faller cohort costs increased more quickly (all P<.01). For admitted fallers, 92% of costs incurred in the quarter of the fall were estimated to be attributable to falling ($27,745 of $30,038, P<.001). CONCLUSION:Falls for which medical attention are sought resulted in higher costs than for nonfallers for up to 12 months after a fall, particularly for falls requiring hospitalization. Prevention efforts should focus on reducing fall-related injuries requiring hospitalization because they produce the highest excess costs and have a higher likelihood of 1-year mortality.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Bohl AA,Fishman PA,Ciol MA,Williams B,Logerfo J,Phelan EA

doi

10.1111/j.1532-5415.2010.02816.x

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

853-60

issue

eissn

0002-8614

issn

1532-5415

pii

JGS2816

journal_volume

pub_type

杂志文章

在线工具

A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care.