Are interventions to reduce falls in care facilities and hospitals effective?
From: The Cochrane Collaboration
- Cameron, I.D., Gillespie, L.D., Robertson, M.C., Murray, G.R., Hill, K.D., Cumming, R.G., Kerse, N., 1996. Interventions for preventing falls in older people in care facilities and hospitals, in: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd.
- 60 trials including 60,345 participants
- The paper is a systematic review / meta analysis of all relevant trials.
- This means that the data from all similar trials have been grouped to form an overall outcome.
- In care facilities, vitamin D supplementation did not reduce the risk of falling.
- In hospital wards, additional physiotherapy (supervised exercises) achieved a significant reduction in risk of falling.
- In one trial in a hospital ward, carpet flooring significantly increased the rate of falls compared with vinyl flooring.
- One trial (1822 participants) testing an educational session by a trained nurse targeting individual fall risk factors in patients at high risk of falling in acute medical wards achieved a significant reduction in risk of falling.
- Overall, there was no difference between intervention and control groups in rate of falls or risk of falling.
- No (without confidence)