PATIENT-REPORTED FALL RELATED HEALTH CARE SERVICES IN ELDERLY WOMEN

Author(s)

Tamulaityte-Morozoviene I, Tamulaitiene M, Stukas R, Surkiene G, Dadoniene J, Alekna V
Vilnius University, Vilnius, Lithuania

OBJECTIVES: Although the falls in elderly people lead to serious health consequences, the economic burden is underestimated. The aim of this study was to examine the fall-related out-patient medical care in community-dwelling elderly women. METHODS: Women aged 65 years and older who visited National Osteoporosis Center for diagnostic or treatment procedures, were interviewed by phone recording the consequences and healthcare procedures related to every fall sustained during the previous 12 months. RESULTS: The study population consisted of 310 women who reported one or more fall, one in three of them had fallen twice or more. Of all women who fell, 280 (90.3%) reported their fall resulted in an injury, and 77 (15.3%) falls led to bone fractures. Fall related medical care was provided to 135 women: to 43.5% of those who fell and 48.2% of those who sustained injuries from falling received medical attention. Among these, the highest percentage reported using of out-patient medical services. The number of out-patient visits reported (535 visits in total) ranged from 1 to 13, and in 70 cases (51.9%) – from 2 to 4 visits. Different types of out-patient healthcare were used by 43.5% of women who fell. The majority of specialists visited were orthopaedist, surgeon, and radiologist. An ambulance was used by 11.9%, and family doctor was visited by 19.4% of fallers. The mean number of health care procedures was higher in women who sustained a fracture, as compared to those who did not: 4.9 (95% CI 4.4–5.4) and 0.67 (95% CI 0.29–0.76), respectively; p<0.0001.  CONCLUSIONS: From all self-reported falls registered in women over 65 years, 90.3% resulted in any injuries. The mean number of out-patient visits per faller was 1.73 (95 % CI 1.36–2.1).

Conference/Value in Health Info

2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PIH56

Topic

Patient-Centered Research

Topic Subcategory

Health State Utilities, Patient-reported Outcomes & Quality of Life Outcomes

Disease

Geriatrics, Reproductive and Sexual Health

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