An economic evaluation of community and residential aged care falls prevention strategies in NSW

N S W Public Health Bull. 2011 Jun;22(3-4):60-8. doi: 10.1071/NB10051.


Aim: To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities.

Methods: A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in a decision analytic model that combined a Markov model and decision tree to estimate the costs and outcomes of potential interventions and/or strategies. The resulting cost per quality-adjusted life year was estimated.

Results: The most cost-effective falls prevention strategy in community-dwelling older people was Tai Chi. Expedited cataract surgery and psychotropic medication withdrawal were also found to be cost-effective; however, the effectiveness of these interventions is less certain due to small numbers of trials and participants. The most cost-effective falls prevention strategies in residential aged-care facilities were medication review and vitamin D supplementation.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Accidental Falls / economics*
  • Accidental Falls / prevention & control*
  • Aged
  • Cataract Extraction
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Male
  • New South Wales
  • Primary Prevention / economics*
  • Primary Prevention / methods
  • Psychotropic Drugs / administration & dosage
  • Residential Facilities / statistics & numerical data
  • Tai Ji
  • Vitamin D / administration & dosage


  • Psychotropic Drugs
  • Vitamin D