Injury and Harm
The burden of hospitalised fall‐related injury in community‐dwelling older people in Victoria: a database study

https://doi.org/10.1111/1753-6405.12156Get rights and content
Under an Elsevier user license
open archive

Abstract

Objective

To estimate the burden of hospitalised fall‐related injury in community‐dwelling older people in Victoria.

Methods

We analysed fall‐related, person‐identifying hospital discharge data and patient‐level hospital treatment costs for community‐dwelling older people aged 65+ years from Victoria between 1 July 2005 and 30 June 2008, inclusive. Key outcomes of interest were length of stay (LOS)/episode, cumulative LOS (CLOS)/patient and inpatient costs.

Results

The burden of hospitalised fall‐related injury in community‐dwelling older people aged 65+ years in Victoria was 284,781 hospital bed days in 2005–06, rising to 310,031 hospital bed days in 2007–08. Seventy‐one per cent of episodes were multiday. One in 15 acute care episodes was a high LOS outlier and 14% of patients had ≥1 episode classified as high LOS outlier. The median CLOS/patient was nine days (interquartile range 2–27). The annual costs of inpatient care, in June 2009 prices, for fall‐related injury in community‐dwelling people aged 65+ years in Victoria rose from $213 million in 2005–06 to $237 million in 2007–08. The burden of hospitalised fall‐related injury in community‐dwelling older women, people aged 85+ years and those with comorbidity was considerable.

Conclusions

The burden of hospitalised fall‐related injury in community‐dwelling older people aged 65+ years in Victoria is significantly more than previously projected. Importantly, this study identifies that women, patients with comorbidity and those aged 85+ years account for a considerable proportion of this burden.

Implications

A corresponding increase in falls prevention effort is required to ensure that the burden is properly addressed.

Key words

falls
older people
length of stay
inpatient costs
hospitalisation

Cited by (0)

The authors have stated they have no conflict of interest