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dc.contributor.authorScuffham, P
dc.contributor.authorChaplin, S
dc.contributor.authorLegood, R
dc.date.accessioned2017-05-03T15:06:35Z
dc.date.available2017-05-03T15:06:35Z
dc.date.issued2003
dc.date.modified2010-06-24T05:18:42Z
dc.identifier.issn0143-005X
dc.identifier.doi10.1136/jech.57.9.740
dc.identifier.urihttp://hdl.handle.net/10072/15471
dc.description.abstractStudy objective: To estimate the number of accident and emergency (A&E) attendances, admissions to hospital, and the associated costs as a result of unintentional falls in older people. Design: Analysis of national databases for cost of illness. Setting: United Kingdom, 1999, cost to the National Health Service (NHS) and Personal Social Services (PSS). Participants: Four age groups of people 60 years and over (60-64, 65-69, 70-74, and >75) attending an A&E department or admitted to hospital after an unintentional fall. Databases analysed were the Home Accident Surveillance System (HASS) and Leisure Accident Surveillance System (LASS), and Hospital Episode Statistics (HES). Main results: There were 647 721 A&E attendances and 204 424 admissions to hospital for fall related injuries in people aged 60 years and over. For the four age groups A&E attendance rates per 10 000 population were 273.5, 287.3, 367.9, and 945.3, and hospital admission rates per 10 000 population were 34.5, 52.0, 91.9, and 368.6. The cost per 10 000 population was 㳰0 000 in the 60-64 age group, increasing to 㱠500 000 in the >75 age group. These falls cost the UK government 㹸1 million, of which the NHS incurred 59.2%. Most of the costs (66%) were attributable to falls in those aged >75 years. The major cost driver was inpatient admissions, accounting for 49.4% of total cost of falls. Long term care costs were the second highest, accounting for 41%, primarily in those aged >75 years. Conclusions: Unintentional falls impose a substantial burden on health and social services.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent189313 bytes
dc.format.extent26921 bytes
dc.format.extent26921 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.format.mimetypetext/plain
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Publishing Group Ltd
dc.publisher.placeLondon, UK
dc.publisher.urihttp://jech.bmj.com/
dc.relation.ispartofpagefrom740
dc.relation.ispartofpageto744
dc.relation.ispartofissue9
dc.relation.ispartofjournalJournal of Epidemiology and Community Health
dc.relation.ispartofvolume57
dc.subject.fieldofresearchHuman geography
dc.subject.fieldofresearchcode4406
dc.titleIncidence and costs of unintentional falls in older people in the United Kingdom
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© The Author(s) 2003 Griffith University. The attached file is posted here with permission of the copyright owners for your personal use only. No further distribution permitted.
gro.date.issued2003
gro.hasfulltextFull Text
gro.griffith.authorScuffham, Paul A.


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