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Preventing falls in hospital

Preventing falls in hospital

 A study proves the medical and economic effectiveness of a multimedia program for the prevention of falls in hospitalized patients over 60 years.

A randomized controlled trial of Australian Haines and colleagues published in the journal BMC Medicine in 2013 tested benefits and the ratio cost / effectiveness of a multimedia education program for the prevention of falls among hospitalized patients. 1,206 people over 60 years without cognitive impairment participated in the study. The results show that if there is 4% or more of fallers in the study population, while the anti-fall educational program is both effective in preventing falls and less expensive. In other words, provide a fall protection in their sixties reduced the number of falls and educational program reduces the cost of care related to falls.


The Study Rationale

The fall in aging is a major health problem. It causes bruises, fractures, disability, long term care, complications, hospitalizations … Their supported range between 3,000 and 25,000 euros per patient in the United States. If several randomized controlled trials have shown the efficacy of educational programs for the prevention of falls, none had looked simultaneously medical and economic interests.

An educational program offered to patients hospitalized for more than 60 years fall protection allows it to reduce the number of falls and save health?

The Question

An educational program offered to patients hospitalized for more than 60 years fall protection allows it to reduce the number of falls and save health?

The Protocol

This randomized controlled trial testing the effectiveness of Australian multimedia program of loss prevention in patients hospitalized for more than 60 years without cognitive impairment. Researchers are comparing two anti-drop methods, media alone (DVD) program and a multimedia longer a human companion 4 sessions averaged 25 minutes, standard treatment. The study compared the number of falls and the costs of additional care for falls among the 3 groups.

Main Results

The multimedia program accompanied human intervention has better results in preventing falls (4 euros for the full program instead of 8.72 euros per 1000 patient days), and the number of falls for those falls. The costs associated with the fall amounted to an average of 15 euros and 66 euros per fallers.

A fall prevention program using multimedia support significantly reduces the number of falls and associated care in hospitalized patients over 60 years.


What it means for Patients

Participate in a program for the prevention of falls among hospitalized patients over 60 years reduces the risk of falling and the costs of these falls.

What it means for Healthcare Professionals

A program of loss prevention and personalized multimedia mixing board carrier reduces the number of falls during the hospital stay of patients over 60 years without cognitive impairment. The program also reduces the cost of the stay.

What it means for Researchers

The analyzes take into account only the direct costs associated with the fall. The gains are small compared to the full cost of a hospital stay. In the music more group counseling program, costs per patient were 132.8 euros per faller patients because of a patient having a fractured cervical vertebra and having suffered complications. The authors removed the patient from the final calculation, the costs fall to 19 euros per patient.

What it means for Policymakers

Develop programs for the prevention of falls among hospitalized patients over 60 years would reduce the risk of falls and falls resulting from these costs. All players are winners, as this study demonstrates.


The reference

CHaines TP, Hill AM, Hill KD, Brauer SG, Hoffmann T, Etherton-Beer C, McPhail SM (2013). Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial. BMC Medicine, 11 (135), 1-12.


To reference this Blog en Sante © article.

Ninot G (2014). Preventing falls in hospital. Blog en Sante, A7.

© Copyright 2014 Grégory Ninot. All rights reserved.

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