澳大利亚住宅老年护理中与跌倒损伤相关的医疗支出和因素:一项队列分析

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Charles Okafor, Namal N Balasooriya, Amy T Page, Anne-Marie Hill, Christopher D Etherton-Beer, Tracy Comans
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引用次数: 0

摘要

背景:在澳大利亚,跌倒伤害是一个重要的公共卫生问题,因此了解老年人跌倒对经济的影响对于有效分配医疗资源以减少跌倒和提高生活质量至关重要。因此,本研究旨在估算养老院(RAC)内与跌倒相关伤害的成本并确定相关因素:方法:基于一项双盲随机对照试验--Opti-Med 试验的数据,从医疗保健系统的角度进行队列分析。试验参与者为 303 名年龄≥65 岁的老人。试验数据集中的范围内数据是通过跌倒描述说明和全国医院成本数据收集诊断相关组分类系统进行识别的。数据分析使用 STATA V.17 进行。所有成本均调整为 2022 澳元:平均而言,每次伤害性跌倒的成本为 2494 澳元(SD=6199 澳元),而每位居民每年的平均跌倒成本为 1798 澳元(SD=6002 澳元)。在澳大利亚的 RAC 系统中,每年伤害性跌倒的潜在成本为 3.25 亿澳元。性别和体重指数(BMI)是已确定的与跌倒伤害相关的因素。在 RAC 中,体重指数与跌倒风险之间呈倒 U 型关系:在拉加地区,每位居民每年用于跌倒伤害的医疗支出占 2021-2022 年人均医疗支出的 20%。高昂的成本以及体重指数与跌倒风险之间的倒 U 型关系突出表明,在这种情况下需要更有效的、适合 RAC 的跌倒预防策略:试验注册编号:澳大利亚-新西兰临床试验注册中心(ACTRN12613001204730);世界卫生组织通用试验(U1111-1148-6094)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare spending and factors associated with fall injury in Australia residential aged care: a cohort analysis.

Background: Given that fall injury is a critical public health concern in Australia, understanding the economic implications of falls among older adults is crucial to allocating healthcare resources efficiently to reduce falls and improve quality of life. This study therefore aimed to estimate the cost and identify factors associated with fall-related injuries within residential aged care (RAC).

Methods: A cohort analysis from the healthcare system perspective based on data from a double-blinded randomised controlled trial-the Opti-Med trial. The trial participants were 303 people aged ≥65 years. Identification of in-scope data from the trial dataset was achieved using the falls description note and the National Hospital Cost Data Collection diagnostic related group classification system. Data analyses were performed using STATA V.17. All costs were adjusted to 2022 Australian dollars.

Results: On average, the cost of an injurious fall per incident was $2494 (SD=$6199), while the average cost of falls per resident annum was $1798 (SD=$6002). The potential cost of injurious falls per annum in Australia's RAC system was $325 million. Sex and body mass index (BMI) were identified factors associated with fall injury. There was an inverted U-shaped relationship between BMI and falls risk in RAC.

Conclusions: The healthcare spending on fall injury per resident annum in RAC represents 20% of the 2021-2022 healthcare expenditure per capita. The high cost and inverted U-shaped relationship between BMI and falls risk underscores the need for more effective and RAC-tailored falls prevention strategies in this setting.

Trial registration numbers: Australian New Zealand Clinical Trial Registry (ACTRN12613001204730); WHO Universal Trial (U1111-1148-6094).

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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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