Cost-effectiveness of hip protectors in frail institutionalized elderly

Schoor, Natasja M. van; Bruyne, Martine C. de; Roer, Nicole van der; Lommerse, Els; Tulder, Maurits W. van; Bouter, Lex M.; Lips, Paul

doi:10.1007/s00198-004-1632-3

Cited by 22 publications

(22 citation statements)

References 13 publications

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“…Previous studies have demonstrated that hip protectors are either cost effective or cost saving relative to 'no intervention' for the prevention of hip fractures [14][15][16][17][18][19][20][21][22][23]. Our results concur with these findings when compared with 'no intervention'; however, hip protectors were extendedly dominated by a combination of vitamin D and 'no intervention'.…”

Section: Multifactorial Vs 'No Interventionsupporting

confidence: 84%

“…In published economic evaluations of interventions targeting older people living in RACFs, the commonly reported outcome is cost per fracture or cost per fall prevented [14][15][16][17][18][19]. For example, using this approach, a number of studies have demonstrated that hip protectors are cost effective in preventing hip fractures in residents of RACFs [15,[20][21][22][23].…”

Section: Introductionmentioning

confidence: 98%

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Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities

2015

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Section: Multifactorial Vs 'No Interventionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 98%

Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities

2015

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“…The included studies report results from interventions targeting hip fractures [70][71][72][73][74][75][76][77][78][79][80][81][82][83][84], fire safety [85,86], traffic safety [87], and sport injuries [88]. One study also encompassed a multi-targeted community-based program [89].…”

Section: Cost-effectiveness Of Injury Prevention (Study I)mentioning

confidence: 99%

Health Economic Aspects of Injury Prevention at the Municipal Level

Gyllensvärd¹

2014

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Unintentional injuries are a global health problem, which in 1996 was estimated to cause up to 3 million deaths per year. In Sweden, about 4,600 people die annually due to external causes of morbidity and mortality (injuries and poisoning). Among children 1 to 17 years old, injuries are the leading cause of death in Sweden for both boys and girls. Injuries are also the leading cause of life years lost before age 65 in men and the second most common in women.Injury prevention interventions and programs can be implemented to mitigate the magnitude of this public health problem, the number of injuries in society, and the substantial costs associated with injuries. Society's resources are however limited and therefore it is pivotal that interventions are cost-effective and not only effective: that is, that they provide good value for money.Hence, the aim of this thesis was to develop new knowledge and improve decision making by elaborating on some of the important health economic aspects of injury prevention. Consequently, a critical appraisal of the existing cost-effectiveness studies on injury prevention interventions and estimations of the societal costs for different types of injuries that needed medical attention were conducted. The critical appraisal of studies was limited to those studies that investigated interventions that could be implemented by municipalities. The

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“…There were also studies where the question of efficacy remained unresolved: the main reasons for failure were always low compliance and adherence, which are higher in care-dependent residential patients, thus leading to better results [48][49][50][51][52].…”

Section: Common Risk Factors For Fallsmentioning

confidence: 99%

Hip, Osteoporosis: New Paradigm

Komadina¹

2008

Eur J Trauma Emerg Surg

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Osteoporosis is the most common metabolic bone disease. Recently, the paradigm for diagnosis and treatment of osteoporosis has undergone changes due to new findings on this disease. With the arrival of densitometers that could measure BMD we started using medications that block further degradation of density and repair the densitometric results. More recent findings, however, suggest that the BMD value influences the predicted success of future fracture prevention in less than 50%. The remainder is attributed to bone quality. There are a number of risk factors for osteoporotic fractures, some of greater and some of lesser significance. A small external force is necessary to cause an osteoporotic fracture; otherwise, the osteoporotic bone still does not break. The dominant factor in a fracture is therefore the fall of the elderly patient. Falls are preventable, although most are benign and injury free. Only in the recent decade have we started paying attention to the fall phenomenon, which does not only involve accidents, but is also a consequence of the normal aging process. Incidence of falls and hip fractures in residential elderly patients can be reduced with a multifactorial interdisciplinary prevention program (MIPP):• Staff training • Adaptation of environment • Gait and mobility exercise • Technical accessories • Revision of pharmacotherapy (psychotropics) • Hip protectors • Post-fall problem-solving conferences. Mobility exercise is useful in elderly groups; however, the maintenance of mobility is not linked to a reduction of fall risk. Hip protectors are protective pads designed to cover the greater trochanter and attenuate or disperse the force of fall sufficiently to prevent a hip fracture. A number of cost-benefit studies on residential elderly patients between 2004 and 2006 proved the efficacy of MIPP and hip protectors, and some studies did so also on those patients living independently. Unfortunately, as much as 75% of women and 90% ofmen at high risk in nursing homes are not investigated, and 75% of those affected are not treated.

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Cost-effectiveness of hip protectors in frail institutionalized elderly

Abstract: A randomized controlled trial was performed to examine the cost

Cited by 22 publications

References 13 publications

Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities

Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities

Health Economic Aspects of Injury Prevention at the Municipal Level

Hip, Osteoporosis: New Paradigm

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