title: An economic evaluation of community and residential aged care falls prevention strategies in NSW.
abstract: OBJECTIVE
  To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities.
  
  
  METHODS
  A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in a decision analytic model that combined a Markov model and decision tree to estimate the costs and outcomes of potential interventions and/or strategies. The resulting cost per quality-adjusted life year was estimated.
  
  
  RESULTS
  The most cost-effective falls prevention strategy in community-dwelling older people was Tai Chi. Expedited cataract surgery and psychotropic medication withdrawal were also found to be cost-effective; however, the effectiveness of these interventions is less certain due to small numbers of trials and participants. The most cost-effective falls prevention strategies in residential aged-care facilities were medication review and vitamin D supplementation.
authors.affiliation: Centre for Health Economics Research and Evaluation, University of Technology, Sydney, Australia. jody.church@chere.uts.edu.au
authors.forename: Jody
authors.initials: J
authors.lastname: Church
authors.forename: Stephen
authors.initials: S
authors.lastname: Goodall
authors.forename: Richard
authors.initials: R
authors.lastname: Norman
authors.forename: Marion
authors.initials: M
authors.lastname: Haas
mesh_terms: D000058:Accidental Falls / Q000191:economics* / Q000517:prevention & control*; D000368:Aged; D002387:Cataract Extraction; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008297:Male; D009517:New South Wales; D011322:Primary Prevention / Q000191:economics* / Q000379:methods; D011619:Psychotropic Drugs / Q000008:administration & dosage; D012112:Residential Facilities / Q000706:statistics & numerical data; D026302:Tai Ji; D014807:Vitamin D / Q000008:administration & dosage
chemical_list: D011619:Psychotropic Drugs; D014807:Vitamin D