School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Discipline of Movement Sciences, Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Australas J Ageing. 2022 Dec;41(4):542-553. doi: 10.1111/ajag.13053. Epub 2022 Mar 1.
To understand health-care burden from fall-related injury, we investigated patterns of health service use in participants of the Australian statewide Stepping On fall prevention program.
Routinely collected ambulance, emergency, hospital and mortality data for 9163 participants across NSW Local Health Districts between 2009 and 2015 were analysed for patterns in fall-related health service use three years before and after the Stepping On program using negative binomial regression analyses.
Overall fall-related health service use increased over the 6-year study period. There was a high period of usage prior to program participation, which decreased postprogram, then appeared to increase again after 12-15 months. Subgroup analysis showed strongest postprogram reductions for women.
Patterns of service usage suggest initial program benefits that taper off over time. The results of this observational study need to be interpreted with caution. Investment in ongoing fall prevention programs may be needed for lasting impacts.
为了了解与跌倒相关损伤造成的医疗负担，我们调查了参与澳大利亚全州 Stepping On 跌倒预防计划的参与者的卫生服务使用模式。
使用负二项回归分析，对 2009 年至 2015 年新南威尔士州地方卫生区的 9163 名参与者的常规收集的救护车、急诊、医院和死亡率数据进行了三年前后 Stepping On 计划中与跌倒相关的卫生服务使用模式分析。
在 6 年的研究期间，与跌倒相关的整体卫生服务使用量增加。在参与该计划之前有一个高使用期，之后下降，然后在 12-15 个月后似乎再次增加。亚组分析显示，女性的项目后降幅最大。
服务使用模式表明最初的计划效益会随着时间的推移而逐渐减少。需要谨慎解释这项观察性研究的结果。可能需要对持续的跌倒预防计划进行投资，以产生持久的影响。
