Abstract
Background
Falls are a common occurrence in older people and frequently lead to hospital admission. There is a current lack of cohesive fall prevention strategies in the Republic of Ireland.
Aim
To demonstrate the cost of fall-related admissions to an acute hospital.
Methods
A review of Hospital Inpatient Enquiry (HIPE) data and medical case notes was performed for all fall-related admissions over a one-year period. The cost of fall-related admissions was calculated. In addition a detailed cost analysis was performed to determine the true cost of a hip fracture admission.
Results
There were 810 fall-related admissions, resulting in 8,300 acute bed days, and 6,220 rehabilitation bed days, costing €10.3 million. Fall-related readmissions resulted in 650 bed-days, bringing the total cost to €10.8 million. A typical hip fracture incident admission episode costs €14,300.
Conclusions
Fall-related admissions of older people are a significant financial burden to the health service.
Similar content being viewed by others
References
Tinetti ME, Speechely M, Ginter SF. Risk Factors for falls among Elderly Persons Living in the Community.New Eng J Med 1988;319(26): 1701–7
Berg WP, Alessio HM, Mills EM, Tong C. Circumstances and consequences of falls in independent community dwelling older adults.Age Ageing 1997;26(4): 261–8
Close JC, Hooper R, Glucksman E, Jackson SH, Swift CG. Predictors of falls in a high risk population: Results from the falls in the elderly trial (PROFET).Emerg Med J 2003;20(5): 421–5
Chang JT, Morton SC, Rubenstein U, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials.BMJ 2004;328: 680–7
Tinetti ME, Baker DI, McAvay G et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community.New Eng J Med 1994;331(13): 821–7
Provence M, Hadley E, Hornbrook M et al., for the FISCIT group. The effects of exercise on falls in elderly patients. A preplanned meta-analysis on the FICSIT trials. JAMA 1995;273: 1341–47.
Sattin RW. Falls among older persons: a public health perspective.Annu Rev Public Health 1992;13: 489–508.
Tinetti ME, Baker DI, McAvay G et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community.N Engl J Med 1994;331: 821–27
Schuffham P, Chaplin S, Leogood R. Incidence and costs of unintentional falls in older persons in the UK.J Epidemiol Community Health 2003;57(9): 740–4.
Carey D, Laffoy M. Hospitalisations due to falls in older persons.IMJ 2005; 98 (6): 179–81
National Service framework for Older People. Department of Health; March 2001.
Clinical Practice Guideline for the Assessment and Prevention of Falls in Older People. Guidelines Commissioned by the National Institute of Clinical Excellence (NICE). November 2004.
Van Balen R, Steyerbers EW, Cools HJ, Polder JJ, Habben JD. Early discharge of Hip Fracture patients from hospital; Transfer of Costs from Hospital to Nursing Home.Acta Orthop Scand 2002;73(5): 491–5
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cotter, P.E., Timmons, S., O’Connor, M. et al. The financial implications of falls in older people for an acute hospital. Ir J Med Sci 175, 11–13 (2006). https://doi.org/10.1007/BF03167941
Issue Date:
DOI: https://doi.org/10.1007/BF03167941