Interventions to reduce the incidence of falls in older adult patients in acute-care hospitals: a systematic review
Date
2009
Authors
Stern, C.
Jayasekara Gangoda Arachchilag, R.
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Advisors
Journal Title
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Type:
Journal article
Citation
International Journal of Evidence-Based Healthcare, 2009; 7(4):243-249
Statement of Responsibility
Cindy Stern and Rasika Jayasekara
Conference Name
Abstract
Aim: Falls can cause serious physical and emotional injuries to patients leading to poor quality of life and increased length of hospital stay. The aim of this study was to present the best available evidence regarding the effectiveness of risk assessment or other interventions that aimed to minimise the number of falls.
Conclusion: There is some evidence to suggest that certain multifactorial interventions are more effective than others and that increasing patient education or targeting fall risk factors may be of benefit. Further high-quality research is needed in order to ascertain effective fall-prevention strategies in acute-care facilities
Methods: A systematic review of randomised controlled trials was undertaken to determine the effectiveness of interventions that were designed to reduce the incidence of falls in older acute-care patients. Only trials published between 1998 and 2008 were considered.
Results: Only seven studies were included in the review, indicating the evidence on this topic is sparse. There is some evidence to suggest that implementing the following interventions in acute hospitals may be effective in reducing the amount of falls of older adult inpatients. There is also some evidence to suggest that implementing a multidisciplinary multifactorial intervention that consists of systematic assessment and treatment of fall risk factors, as well as active management of postoperative complications, can reduce the amount of falls in patients following surgery for femoral neck fracture.
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Journal compilation © 2009 The Joanna Briggs Institute
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Copyright 2009 The Authors