TY  - JOUR
PY  - 2017//
TI  - Preventing deaths and injuries from house fires: a cost benefit analysis of a community-based smoke alarm installation programme (Abstract 8)
JO  - Injury prevention
A1  - Yellman, Merissa A.
A1  - McCoy, Mary
A1  - Stephens-Stidham, Shelli
A1  - Caton, Emily
A1  - Barnard, Jeffrey
A1  - Padgett, Ted
A1  - Istre, Gregory
SP  - A3
EP  - A3
VL  - 23
IS  - Suppl 1
N2  - Statement of purpose This study was to estimate the cost-benefit of Operation Installation (OI), a community-based smoke alarm installation programme in Dallas, Texas. OI targets houses in high-risk urban census tracts. Residents of houses that received OI installation (or programme houses) had 68% fewer medically treated house fire injuries (non-fatal and fatal) compared with residents of non-programme houses over an average of 5.2 years of follow-up during an effectiveness evaluation conducted from 2001 to 2011.     Methods/approach A mathematical model incorporated programme cost and effectiveness data as directly observed in OI. The estimated cost per smoke alarm installed was based on a retrospective analysis of OI expenditures from administrative records, 2006-2011. Injury incidence assumptions for a population that had the OI programme compared with the same population without the OI programme was based on the previous OI effectiveness study, 2001-2011. Unit costs for medical care and lost productivity associated with fire injuries were from a national public database.     Results From a combined payers' perspective limited to direct programme and medical costs, the estimated incremental cost per fire injury averted through the OI installation programme was $1 28 800 (2013 US$). When a conservative estimate of lost productivity among victims was included, the incremental cost per fire injury averted was negative, suggesting long-term cost savings from the programme. The OI programme from 2001 to 2011 resulted in an estimated net savings of $3.8 million, or a $3.21 return on investment for every dollar spent on the programme using a societal cost perspective.     Conclusions Community smoke alarm installation programmes could be cost-beneficial in high-fire-risk neighbourhoods.     Significance/contribution to Injury Prevention Science To our knowledge, this is the only cost-benefit analysis of a 10 year smoke alarm installation program.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2017-042560.8
ID  - ref1
ER  -