Table 1 Characteristics of studies
Publication, country, type of trial or modelStudy sampleIntervention, comparator (length of intervention phase)Measures of effectivenessPerspective, type of currency, time period costs were measuredSensitivity analysisDiscounting, time horizon
Beard et al,35 Australia, controlled trialApproximately 90 000 people aged ≥60 years, resident in North Coast region of New South Wales“Stay on Your Feet20” 1992–1996 (community education, policy development, home hazard reduction, media campaigns and working with healthcare professionals), interstate control region (Method 1) and the state of New South Wales (Method 2) (5 years)Falls-related hospital admissions 1989 to 1996 calculated based onSocietal, Australian dollars, 1995–1996No8% Intervention 1992 to 1996 Hospital admissions 1989 to 1996
Method 1: hospital admission rates, aged ≥60 years, total inpatient costs averted $A7 107 703
Method 2: falls-related diagnostic-related group costs, aged ≥65 years, total inpatient costs averted $A6 184 530
Campbell et al,30 New Zealand, randomised controlled trial (2×2 factorial)391 women and men, aged ≥75 years, severe visual impairment (visual acuity 6/24 or worse), recruited through Royal New Zealand Foundation of the Blind and low vision clinicsHome safety assessment and modification (n = 198), no home safety programme (n = 193) (1 to 2 home visits by experienced occupational therapist)41% reduction in falls, 99 falls prevented in 1 yearSocietal, New Zealand dollars, 2004Selective one-way using a range of estimates of cost items for interventionNot applicable 1 year
Rizzo et al,34 United States, randomised controlled trial301 women and men, aged ≥70 years, one or more of eight specified risk factors for fallingTargeted multifactorial intervention (n = 153) (behavioural instructions, exercise programmes, adjustment to medications, home safety), home visits, usual care (n = 148) (delivered by physician, at home by nurse and physiotherapist, 3 months with additional 3 months maintenance phase)31% reduction in falls,18 66 falls prevented in 1 yearNot stated, US dollars, 1993Selective one-way using a range of estimates of cost items for interventionNot applicable 1 year
Robertson et al,32 New Zealand, randomised controlled trial233 women, aged ≥80 years, recruited from 17 general practicesExercise intervention41 (specific set of muscle strengthening and balance retraining exercises prescribed at home by physiotherapist, four home visits and monthly phone calls) (n = 116); social visits and usual care (n = 117) (1 year)32% reduction in falls,42 64 falls prevented in 1 yearSocietal, New Zealand dollars, 1995Selective one-way using a range of estimates of cost items for interventionNot applicable 1 year
Robertson et al,31 New Zealand, randomised controlled trial240 women and men, aged ≥75 years, recruited from 17 general practicesExercise intervention41 (specific set of muscle strengthening and balance retraining exercises prescribed at home by trained community nurse, supervised by physiotherapist, five home visits and monthly phone calls) (n = 121), usual care (n = 119) (1 year)46% reduction in falls,42 29 falls preventedSocietal, New Zealand dollars, 1998Selective one-way using a range of estimates of cost items for interventionNot applicable 1 year
Robertson et al,33 New Zealand, controlled trial450 women and men, aged ≥80 years, recruited from 32 general practicesExercise intervention41 (specific set of muscle strengthening and balance retraining exercises prescribed at home by three trained nurses, supervised by physiotherapist, five home visits and monthly phone calls) (n = 330), usual care (n = 120) (1 year)30% reduction in falls,42 90.77 (pro rata) falls preventedSocietal, New Zealand dollars, 1998Selective one-way using a range of estimates of cost items for interventionNot applicable 1 year
Sach et al,38 UK, randomised controlled trial and cost–utility model306 women, aged ≥70 years, bilateral cataractsExpedited (4 weeks) first eye cataract surgery (n = 148), usual care (routine 9–13-month wait list) (n = 140) (routine cataract operation)34% reduction in falls,22 number of falls prevented not reportedNational Health Service, Personal Social Services, pounds sterling, 2004Probabilistic using a range of estimates of cost items and quality of life variability for interventionNot applicable (1 year results) 3.5% (lifetime analysis)
Salkeld et al,36 Australia, randomised controlled trial530 women and men, age ≥65 years, 444 recruited before discharge from selected hospital wards, 26 from outpatient clinics, 60 from day centresRoutine occupational therapy home safety assessment and modification (n = 264), usual care (n = 266) (one home visit, follow-up phone call 2 weeks later)14% reduction in falls,43 98 falls preventedSocietal, Australian dollars, 1997Selective one-way using a range of estimates of cost items for interventionNot applicable 378 days
Smith et al,37 Australia, decision analytic modelNot applicableAssessment of home hazards and provision of fall prevention devices (hypothetical intervention), usual care (estimated total 4 h per person by nurse or occupational therapist)Assumed 25%18 reduction in number of fallersNot stated, Australian dollars, 1996Selective one-way using a range of estimates of cost items for interventionNot applicable (1 year) 5% (10 years)