Medical Costs of Fatal and Nonfatal Falls in Older Adults

Objectives To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time. Design Population data from the National Vital Statistics System (NVSS) and cost estimates from the Web‐based Injury Statistics Query...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) Jg. 66; H. 4; S. 693 - 698
Hauptverfasser: Florence, Curtis S., Bergen, Gwen, Atherly, Adam, Burns, Elizabeth, Stevens, Judy, Drake, Cynthia
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Wiley Subscription Services, Inc 01.04.2018
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ISSN:0002-8614, 1532-5415, 1532-5415
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Abstract Objectives To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time. Design Population data from the National Vital Statistics System (NVSS) and cost estimates from the Web‐based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi‐experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls. Setting U.S. population aged 65 and older during 2015. Participants Fatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460). Measurements Total spending attributable to older adult falls in the United States in 2015, in dollars. Results In 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million. Conclusion Older adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.
AbstractList To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time.OBJECTIVESTo estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time.Population data from the National Vital Statistics System (NVSS) and cost estimates from the Web-based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi-experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls.DESIGNPopulation data from the National Vital Statistics System (NVSS) and cost estimates from the Web-based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi-experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls.U.S. population aged 65 and older during 2015.SETTINGU.S. population aged 65 and older during 2015.Fatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460).PARTICIPANTSFatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460).Total spending attributable to older adult falls in the United States in 2015, in dollars.MEASUREMENTSTotal spending attributable to older adult falls in the United States in 2015, in dollars.In 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million.RESULTSIn 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million.Older adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.CONCLUSIONOlder adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.
Objectives To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time. Design Population data from the National Vital Statistics System (NVSS) and cost estimates from the Web‐based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi‐experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls. Setting U.S. population aged 65 and older during 2015. Participants Fatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460). Measurements Total spending attributable to older adult falls in the United States in 2015, in dollars. Results In 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million. Conclusion Older adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.
To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time. Population data from the National Vital Statistics System (NVSS) and cost estimates from the Web-based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi-experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls. U.S. population aged 65 and older during 2015. Fatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460). Total spending attributable to older adult falls in the United States in 2015, in dollars. In 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million. Older adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.
ObjectivesTo estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time.DesignPopulation data from the National Vital Statistics System (NVSS) and cost estimates from the Web‐based Injury Statistics Query and Reporting System (WISQARS) for fatal falls, quasi‐experimental regression analysis of data from the Medicare Current Beneficiaries Survey (MCBS) for nonfatal falls.SettingU.S. population aged 65 and older during 2015.ParticipantsFatal falls from the 2015 NVSS (N=28,486); respondents to the 2011 MCBS (N=3,460).MeasurementsTotal spending attributable to older adult falls in the United States in 2015, in dollars.ResultsIn 2015, the estimated medical costs attributable to fatal and nonfatal falls was approximately $50.0 billion. For nonfatal falls, Medicare paid approximately $28.9 billion, Medicaid $8.7 billion, and private and other payers $12.0 billion. Overall medical spending for fatal falls was estimated to be $754 million.ConclusionOlder adult falls result in substantial medical costs. Measuring medical costs attributable to falls will provide vital information about the magnitude of the problem and the potential financial effect of effective prevention strategies.
Author Burns, Elizabeth
Drake, Cynthia
Stevens, Judy
Florence, Curtis S.
Bergen, Gwen
Atherly, Adam
Author_xml – sequence: 1
  givenname: Curtis S.
  surname: Florence
  fullname: Florence, Curtis S.
  email: cflorence@cdc.gov
  organization: Centers for Disease Control and Prevention
– sequence: 2
  givenname: Gwen
  surname: Bergen
  fullname: Bergen, Gwen
  organization: Centers for Disease Control and Prevention
– sequence: 3
  givenname: Adam
  surname: Atherly
  fullname: Atherly, Adam
  organization: University of Colorado Denver
– sequence: 4
  givenname: Elizabeth
  surname: Burns
  fullname: Burns, Elizabeth
  organization: Centers for Disease Control and Prevention
– sequence: 5
  givenname: Judy
  surname: Stevens
  fullname: Stevens, Judy
  organization: Centers for Disease Control and Prevention
– sequence: 6
  givenname: Cynthia
  surname: Drake
  fullname: Drake, Cynthia
  organization: University of Colorado Denver
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29512120$$D View this record in MEDLINE/PubMed
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Keywords older adults
falls
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medical costs
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Snippet Objectives To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over...
To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over time....
ObjectivesTo estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over...
To estimate medical expenditures attributable to older adult falls using a methodology that can be updated annually to track these expenditures over...
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SubjectTerms Accidental Falls - statistics & numerical data
Adults
Aged
Beneficiaries
Cost estimates
Costs
Falls
Female
Health care expenditures
Health Expenditures - statistics & numerical data
Humans
Male
Medicaid
Medicaid - economics
medical costs
Medicare
Medicare - economics
older adults
Older people
Prevention
Respondents
Statistical analysis
United States
Vital statistics
Title Medical Costs of Fatal and Nonfatal Falls in Older Adults
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjgs.15304
https://www.ncbi.nlm.nih.gov/pubmed/29512120
https://www.proquest.com/docview/2035651876
https://www.proquest.com/docview/2011613990
Volume 66
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