Common-sense actions cut falls in elderly: study

By Gene Emery

BOSTON (Reuters) - Falls by elderly people are cut significantly when health care providers take basic steps such as prescribing physical therapy, monitoring medications and checking standing blood pressure, researchers said on Wednesday.

Such a program in Connecticut reduced the number of falls among people age 70 and older by 9 percent, Dr. Mary Tinetti of the Yale School of Medicine and colleagues reported.

Their program resulted in about 1,800 fewer hospitalizations or trips to the emergency room and an 11-percent reduction in fall-related medical services.

"In addition to discomfort and disability averted, this decrease represents a potential savings of more than $21 million in health care costs on the basis of an average acute care cost of $12,000 per event," they wrote in their report, published in the New England Journal of Medicine.

In 2005, nearly 300,000 Americans had hip fractures associated with a fall, and an average of 24 percent of hip-fracture patients aged 50 and over died in the next year, according to the National Osteoporosis Foundation.

Among people over 65, fall-related injuries account for 10 percent of the cases that show up in an emergency department and 6 percent of hospitalizations.

LOWER PRIORITY

There is also evidence that doctors don't do enough to prevent them.