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The extra resource burden of in-hospital falls: a cost of falls study

Morello, Renata T., Barker, Anna L., Watts, Jennifer J., Haines, Terry, Zavarsek, Silva S., Hill, Keith D., Brand, Caroline, Sherrington, Catherine, Wolfe, Rory, Bohensky, Megan A. and Stoelwinder, Johannes U. 2015, The extra resource burden of in-hospital falls: a cost of falls study, Medical journal of Australia, vol. 203, no. 9, pp. 367-375.

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Title The extra resource burden of in-hospital falls: a cost of falls study
Author(s) Morello, Renata T.
Barker, Anna L.
Watts, Jennifer J.ORCID iD for Watts, Jennifer J. orcid.org/0000-0001-8095-8638
Haines, Terry
Zavarsek, Silva S.
Hill, Keith D.
Brand, Caroline
Sherrington, Catherine
Wolfe, Rory
Bohensky, Megan A.
Stoelwinder, Johannes U.
Journal name Medical journal of Australia
Volume number 203
Issue number 9
Start page 367
End page 375
Total pages 8
Publisher Australasian Medical Publishing
Place of publication Sydney, N.S.W.
Publication date 2015-11-02
ISSN 1326-5377
Keyword(s) Accidental Falls
Aged
Aged, 80 and over
Australia
Cohort Studies
Female
Hospital Costs
Humans
Length of Stay
Male
Middle Aged
Regression Analysis
Risk Factors
Risk Management
Wounds and Injuries
Summary OBJECTIVE: To quantify the additional hospital length of stay (LOS) and costs associated with in-hospital falls and fall injuries in acute hospitals in Australia. DESIGN, SETTING AND PARTICIPANTS: A multisite prospective cohort study conducted during 2011-2013 in the control wards of a falls prevention trial (6-PACK). The trial included all admissions to 12 acute medical and surgical wards of six Australian hospitals. In-hospital falls data were collected from medical record reviews, daily verbal reports by ward nurse unit managers, and hospital incident reporting and administrative databases. Clinical costing data were linked for three of the six participating hospitals to calculate patient-level costs. OUTCOME MEASURES: Hospital LOS and costs associated with in-hospital falls and fall injuries for each patient admission. RESULTS: We found that 966 of a total of 27 026 hospital admissions (3.6%) involved at least one fall, and 313 (1.2%) at least one fall injury, a total of 1330 falls and 418 fall injuries. After adjustment for age, sex, cognitive impairment, admission type, comorbidity and clustering by hospital, patients who had an in-hospital fall had a mean increase in LOS of 8 days (95% CI, 5.8-10.4; P < 0.001) compared with non-fallers, and incurred mean additional hospital costs of $6669 (95% CI, $3888-$9450; P < 0.001). Patients with a fall-related injury had a mean increase in LOS of 4 days (95% CI, 1.8-6.6; P = 0.001) compared with those who fell without injury, and there was also a tendency to additional hospital costs (mean, $4727; 95% CI, -$568 to $10 022; P = 0.080). CONCLUSION: Patients who experience an in-hospital fall have significantly longer hospital stays and higher costs. Programs need to target the prevention of all falls, not just the reduction of fall-related injuries.
Language eng
Field of Research 1117 Public Health And Health Services
1103 Clinical Sciences
140208 Health Economics
Socio Economic Objective 920208 Health Policy Evaluation
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Australasian Medical Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30079766

Document type: Journal Article
Collections: Population Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.