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Interventions for preventing falls in older people in care facilities and hospitals.

ABSTRACT:

SUBMITTER: Cameron ID

PROVIDER: S-EPMC6148705 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Interventions for preventing falls in older people in care facilities and hospitals.

Cameron Ian D ID Dyer Suzanne M SM Panagoda Claire E CE Murray Geoffrey R GR Hill Keith D KD Cumming Robert G RG Kerse Ngaire N

The Cochrane database of systematic reviews 20180907

<h4>Background</h4>Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012.<h4>Objectives</h4>To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals.<h4>Search methods</h4>We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Centra ...[more]

PMID: 30191554

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Project description:BackgroundLimited attention has been paid in the literature to multiple component fall prevention interventions that comprise two or more fixed combinations of fall prevention interventions that are not individually tailored following a risk assessment. The study objective was to determine the effect of multiple component interventions on fall rates, number of fallers and fall-related injuries among older people and to establish effect sizes of particular intervention combinations.MethodsMedline, EMBASE, CINAHL, PsychInfo, Cochrane, AMED, UK Clinical Research Network Study Portfolio, Current Controlled Trials register and Australian and New Zealand Clinical Trials register were systematically searched to August 2013 for randomised controlled trials targeting those aged 60 years and older with any medical condition or in any setting that compared multiple component interventions with no intervention, placebo or usual clinical care on the outcomes reported falls, number that fall or fall-related injuries. Included studies were appraised using the Cochrane risk of bias tool. Estimates of fall rate ratio and risk ratio were pooled across studies using random effects meta-analysis. Data synthesis took place in 2013.ResultsEighteen papers reporting 17 trials were included (5034 participants). There was a reduction in the number of people that fell (pooled risk ratio = 0.85, 95% confidence interval (95% CI) 0.80 to 0.91) and the fall rate (pooled rate ratio = 0.80, 95% CI 0.72 to 0.89) in favour of multiple component interventions when compared with controls. There was a small amount of statistical heterogeneity (I(2) =20%) across studies for fall rate and no heterogeneity across studies examining number of people that fell.ConclusionsThis systematic review and meta-analysis of randomised controlled trials found evidence that multiple component interventions that are not tailored to individually assessed risk factors are effective at reducing both the number of people that fall and the fall rate. This approach should be considered as a service delivery option.

Dataset Information

Interventions for preventing falls in older people in care facilities and hospitals.

Publications

Interventions for preventing falls in older people in care facilities and hospitals.

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