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Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review

OBJECTIVE: To review the cost-effectiveness of multifactorial interventions to prevent 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 30(th) Februar...

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Autores principales: Alipour, Vahid, Azami-Aghdash, Saber, Rezapour, Aziz, Derakhshani, Naser, Ghiasi, Akbar, Yusefzadeh, Neghar, Taghizade, Sanaz, Amuzadeh, Sahar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525694/
https://www.ncbi.nlm.nih.gov/pubmed/34692866
http://dx.doi.org/10.30476/BEAT.2021.84375.1068
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author Alipour, Vahid
Azami-Aghdash, Saber
Rezapour, Aziz
Derakhshani, Naser
Ghiasi, Akbar
Yusefzadeh, Neghar
Taghizade, Sanaz
Amuzadeh, Sahar
author_facet Alipour, Vahid
Azami-Aghdash, Saber
Rezapour, Aziz
Derakhshani, Naser
Ghiasi, Akbar
Yusefzadeh, Neghar
Taghizade, Sanaz
Amuzadeh, Sahar
author_sort Alipour, Vahid
collection PubMed
description OBJECTIVE: To review the cost-effectiveness of multifactorial interventions to prevent 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 30(th) February) were used. All pre-reviewed 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.
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spelling pubmed-85256942021-10-22 Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review Alipour, Vahid Azami-Aghdash, Saber Rezapour, Aziz Derakhshani, Naser Ghiasi, Akbar Yusefzadeh, Neghar Taghizade, Sanaz Amuzadeh, Sahar Bull Emerg Trauma Review Article OBJECTIVE: To review the cost-effectiveness of multifactorial interventions to prevent 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 30(th) February) were used. All pre-reviewed 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. Shiraz University of Medical Sciences 2021-10 /pmc/articles/PMC8525694/ /pubmed/34692866 http://dx.doi.org/10.30476/BEAT.2021.84375.1068 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Alipour, Vahid
Azami-Aghdash, Saber
Rezapour, Aziz
Derakhshani, Naser
Ghiasi, Akbar
Yusefzadeh, Neghar
Taghizade, Sanaz
Amuzadeh, Sahar
Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review
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 Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525694/
https://www.ncbi.nlm.nih.gov/pubmed/34692866
http://dx.doi.org/10.30476/BEAT.2021.84375.1068
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