To describe a community based programme to prevent fractures resulting from falls and evaluate the outcome in terms of changes in fracture rates and short term hospital care costs.
Prospective intervention study.
The Norwegian municipalities of Harstad (intervention) and Trondheim (reference) from 1 July 1985 to 30 June 1993.
The person-years of the study were estimated from yearly census data on people aged 65 years and over.
There were 22 970 person years in Harstad and 158 911 in Trondheim.
The variables were selected and coded according to the Nordic system and the data were collected as part of a national injury surveillance system.
The first three years of the study provided baseline data, while the last five years involved community based interventions - eg, the removal of environmental hazards in homes and promotion of the use of safe footwear outdoors in winter.
Rates of fracture from falls did not decline in nursing homes but decreased 26.3% in private homes (p<0.01).
In 65-79 year olds, there was a 48.7% reduction in fall-fracture rates for men in traffic areas in winter (p<0.05).
The data from the reference city, Trondheim, suggested a significant rise in fractures caused by falls.
There was a 16.7% reduction in hospital admission rates of fall-fracture patients from private homes, indicating a substantial saving in short term hospital costs. (...)
Mots-clés Pascal : Fracture, Chute, Vieillard, Homme, Prévention, Programme sanitaire, Evaluation, Epidémiologie, Admission hôpital, Coût, Economie santé, Norvège, Europe, Etablissement troisième âge, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Fracture, Fall, Elderly, Human, Prevention, Sanitary program, Evaluation, Epidemiology, Hospital admission, Costs, Health economy, Norway, Europe, Homes for the aged, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0009481
Code Inist : 002B16H. Création : 21/05/1997.