• Paul Scuffham Paul Scuffham
  • S Chaplin S Chaplin
  • R Legood R Legood

Study objective: To estimate the number of accident and emergency (A&E) attendances, admissions to hospital, and the associated costs as a result of unintentiol falls in older people. Design: Alysis of tiol databases for cost of illness. Setting: United Kingdom, 1999, cost to the tiol Health Service (NHS) and Persol Social Services (PSS). Participants: Four age groups of people 60 years and over (60-64, 65-69, 70-74, and >75) attending an A&E department or admitted to hospital after an unintentiol fall. Databases alysed were the Home Accident Surveillance System (HASS) and Leisure Accident Surveillance System (LASS), and Hospital Episode Statistics (HES). Main results: There were 647 721 A&E attendances and 204 424 admissions to hospital for fall related injuries in people aged 60 years and over. For the four age groups A&E attendance rates per 10 000 population were 273.5, 287.3, 367.9, and 945.3, and hospital admission rates per 10 000 population were 34.5, 52.0, 91.9, and 368.6. The cost per 10 000 population was 㳰0 000 in the 60-64 age group, increasing to 㱠500 000 in the >75 age group. These falls cost the UK government 㹸1 million, of which the NHS incurred 59.2%. Most of the costs (66%) were attributable to falls in those aged >75 years. The major cost driver was inpatient admissions, accounting for 49.4% of total cost of falls. Long term care costs were the second highest, accounting for 41%, primarily in those aged >75 years. Conclusions: Unintentiol falls impose a substantial burden on health and social services.