Are interventions to reduce falls in care facilities and hospitals effective?

From: The Cochrane Collaboration

Journal rating:
rating: 98%
Study Quality:
rating: 100%
%

Overall Reliability

Article Quality:
rating: 75%
Partcipants
rating: 75%

Participants/situation

  • 60 trials including 60,345 participants

Study

  • 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.

Results

  • 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.

Answer

  • No (without confidence)

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