Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review
Objective: To review the cost-effectiveness of multifactorial interventions preventing falls in elderly people. Methods: In this systematic review, the databases including PubMed via MEDLINE, Web of Science, Embase, Scopus, Cochrane Library and Google Scholar (from 1st January 2000 to 30th February)...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2021-10-01
|
| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | https://beat.sums.ac.ir/article_47520_1a3b1bdec82c89c59975b9ddae4726e5.pdf |
| _version_ | 1818984607451709440 |
|---|---|
| author | Vahid Alipour Saber Azami-Aghdash Aziz Rezapour Naser Derakhshani Akbar Ghiasi Neghar Yusefzadeh Sanaz Taghizade Sahar Amuzadeh |
| author_facet | Vahid Alipour Saber Azami-Aghdash Aziz Rezapour Naser Derakhshani Akbar Ghiasi Neghar Yusefzadeh Sanaz Taghizade Sahar Amuzadeh |
| author_sort | Vahid Alipour |
| collection | DOAJ |
| description | Objective: To review the cost-effectiveness of multifactorial interventions preventing falls in elderly people. Methods: In this systematic review, the databases including PubMed via MEDLINE, Web of Science, Embase, Scopus, Cochrane Library and Google Scholar (from 1st January 2000 to 30th February) were used. All prereviewed articles related to cost-effectiveness analysis of multifactorial interventions to prevent falls in elderly were included in this paper and congresses abstracts were excluded. Descriptive statistics were used for quantitative data and content-analysis method to analyze qualitative data. Results: Out of the 456 articles, 19 were finally included in the study. Eighteen articles were conducted in High-Income Countries (HICs) and 16 were at the community level. Medical visits consultation and education were the most common interventions. Most studies were cost-effectiveness and using the Randomized Control Trial (RCT) methods. A fall of prevention costs ranged from $ 272 to $ 987. Incremental Cost-Effectiveness Ratio (ICER) interventions also ranged from the US $ 120,667 to the US $ 4280.9. Conclusion: The results show that despite the high effectiveness of multifactorial interventions to prevent elderly falls, the cost of the interventions are high and they are not very cost-effective. It would be better to design and implement multifactorial interventions with low cost and high effectiveness that are appropriate for each country |
| first_indexed | 2024-12-20T18:21:42Z |
| format | Article |
| id | doaj.art-c31e22621d824837aa4817566ba330d7 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-20T18:21:42Z |
| publishDate | 2021-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-c31e22621d824837aa4817566ba330d72022-12-21T19:30:15ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602021-10-019415916810.30476/beat.2021.84375.106847520Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic ReviewVahid Alipour0Saber Azami-Aghdash1Aziz Rezapour2Naser Derakhshani3Akbar Ghiasi4Neghar Yusefzadeh5Sanaz Taghizade6Sahar Amuzadeh7Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranTabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, IranHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranHealth Administration HEB School of Business & Administration, University of the Incarnate Word, Texas, USAHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBabol University of Medical Sciences, Babol, IranObjective: To review the cost-effectiveness of multifactorial interventions preventing falls in elderly people. Methods: In this systematic review, the databases including PubMed via MEDLINE, Web of Science, Embase, Scopus, Cochrane Library and Google Scholar (from 1st January 2000 to 30th February) were used. All prereviewed articles related to cost-effectiveness analysis of multifactorial interventions to prevent falls in elderly were included in this paper and congresses abstracts were excluded. Descriptive statistics were used for quantitative data and content-analysis method to analyze qualitative data. Results: Out of the 456 articles, 19 were finally included in the study. Eighteen articles were conducted in High-Income Countries (HICs) and 16 were at the community level. Medical visits consultation and education were the most common interventions. Most studies were cost-effectiveness and using the Randomized Control Trial (RCT) methods. A fall of prevention costs ranged from $ 272 to $ 987. Incremental Cost-Effectiveness Ratio (ICER) interventions also ranged from the US $ 120,667 to the US $ 4280.9. Conclusion: The results show that despite the high effectiveness of multifactorial interventions to prevent elderly falls, the cost of the interventions are high and they are not very cost-effective. It would be better to design and implement multifactorial interventions with low cost and high effectiveness that are appropriate for each countryhttps://beat.sums.ac.ir/article_47520_1a3b1bdec82c89c59975b9ddae4726e5.pdfelderlyfallscost effectivenessinterventionpopulation |
| spellingShingle | Vahid Alipour Saber Azami-Aghdash Aziz Rezapour Naser Derakhshani Akbar Ghiasi Neghar Yusefzadeh Sanaz Taghizade Sahar Amuzadeh Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review Bulletin of Emergency and Trauma elderly falls cost effectiveness intervention population |
| title | Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review |
| title_full | Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review |
| title_fullStr | Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review |
| title_full_unstemmed | Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review |
| title_short | Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review |
| title_sort | cost effectiveness of multifactorial interventions in preventing falls among elderly population a systematic review |
| topic | elderly falls cost effectiveness intervention population |
| url | https://beat.sums.ac.ir/article_47520_1a3b1bdec82c89c59975b9ddae4726e5.pdf |
| work_keys_str_mv | AT vahidalipour costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT saberazamiaghdash costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT azizrezapour costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT naserderakhshani costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT akbarghiasi costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT negharyusefzadeh costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT sanaztaghizade costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview AT saharamuzadeh costeffectivenessofmultifactorialinterventionsinpreventingfallsamongelderlypopulationasystematicreview |