The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis.
95% CI, 95% confidence interval
Environmental hazard
Falls
GRADE, Grading of Recommendations Assessment, Development and Evaluation
IRR, incidence rate ratio
RCT, randomized controlled trial
Rehabilitation
Journal
Archives of rehabilitation research and clinical translation
ISSN: 2590-1095
Titre abrégé: Arch Rehabil Res Clin Transl
Pays: United States
ID NLM: 101763542
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
entrez:
5
2
2021
pubmed:
6
2
2021
medline:
6
2
2021
Statut:
epublish
Résumé
To investigate the efficacy of fall hazards identification programs when compared to no intervention or other fall prevention programs on number of falls, falls incidence, and identifying fall hazards in community-dwelling adults. CINAHL, PubMed, EMBASE, Scopus, and PsychINFO were used to identify articles. Studies were selected to compare fall hazards identification programs to a control group. Studies were eligible if they were randomized controlled trials and enrolled adults older than 50 years with the incidence rate of falls as an outcome. Study or authors, year, sample characteristics, intervention or comparison groups, number of falls, and number of hazards identified in the intervention and control groups, and follow-up were extracted. The risk of bias assessment was performed using the Cochrane Risk of Bias tool. Quality was evaluated with Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach per outcome. A total of 8 studies (N=8) and 5177 participants were included. There was a high risk of bias across the studies mostly due to improper blinding of personnel of the outcome assessor. Pooled estimate effects from 5 studies assessing the incidence rate of falls from 3019 individuals indicated no difference between fall hazards identification programs and control (incidence rate ratio=0.98; 95% confidence interval, 0.87-1.10). The current study suggests that there may be a benefit for fall hazards programs in reducing incident falls. However, because of a moderate GRADE rating, more large-scale studies with a higher number of falls events and more consistent control groups are required to determine the true effect.
Identifiants
pubmed: 33543091
doi: 10.1016/j.arrct.2020.100065
pii: S2590-1095(20)30032-X
pmc: PMC7853376
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
100065Informations de copyright
© 2020 The Authors.
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