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Preventing falls in the elderly – results of evaluation of systematic reviews


Authors: R. Zeleníková;  R. Kozáková;  D. Jarošová
Authors‘ workplace: Vedoucí: doc. PhDr. Darja Jarošová, PhD. ;  Lékařská fakulta ;  Ústav ošetřovatelství a porodní asistence ;  Ostravská univerzita v Ostravě
Published in: Prakt. Lék. 2016; 96(2): 91-95
Category: Of different specialties

Overview

Falls are serious problem of elderly population.

Aim:

The aim of the review is evaluate the results of systematic reviews dealing with fall prevention in the elderly.

Methods:
This is a review. The following databases were searched to obtain the studies of the highest quality of evidence: PubMed, Science Direct, Cochrane Library.

Results:
This review includes twenty five systematic reviews. Individual interventions targeting the most important risk factors for falls and multifactorial interventions significantly help reduce falls in elderly in institutions.

Conclusion:
Further research is needed on effectiveness of single as well as multifactorial interventions for fall prevention in elderly.

Keywords:
falls – interventions – elderly – institution – hospital – prevention


Sources

1. Joint Commision Resources. Prevence pádů ve zdravotnickém zařízení, cesta k dokonalosti a zvyšování kvality. Praha: Grada Publishing 2007.

2. Gates S, Fisher JD, Cooke MW, et al. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ 2008; 336(7636): 130–133.

3. Majkusová K, Jarošová D. Falls risk factors in an acute-care setting: a retrospective study. Cent Eur J Nurs Midw 2014; 5(2): 47–53.

4. Hempel S, Newberry S, Wang Z, et al. Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. JAGS 2013; 61(4): 483–494.

5. Zeleníková R, Kozáková R, Jarošová D. Intervence na prevenci pádů seniorů v institucích: přehledová studie. Prakt. lék. 2015; 95(1): 20–30.

6. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 2003; 4: CD000340.

7. Kosse NM, Brands K, Bauer JM, et al. Sensor technologies aiming at fall prevention in institutionalized old adults: a synthesis of current knowledge. Int J Med Inform 2013; 82(9): 743–752.

8. Verheyden GS, Weerdesteyn V, Pickering RM, et al. Interventions for preventing falls in people after stroke. Cochrane Database Syst Rev 2013; 5: CD008728.

9. Anderson O, Boshier PR, Hanna GB. Interventions designed to prevent healthcare bed-related injuries in patients. Cochrane Database Syst Rev 2011; 11: CD008931.

10. Cameron ID, Murray GR, Gillespie LD, et al. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev 2010; 1: CD005465.

11. Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ 2004; 328(7441): 680.

12. Logghe IHJ, Verhagen AP, Rademaker ACHJ, et al. The effects of Tai Chi on fall prevention, fear of falling and balance in older people: a meta-analysis. Prev Med 2010; 51(3–4): 222–227.

13. Kalyani RR, Stein B, Valiyil R, et al. Vitamin D treatment for the prevention of falls in older adults: systematic review and meta-analysis. J Am Geriatr Soc 2010; 58(7): 1299–1310.

14. Sawka AM, Boulos P, Beattie K, et al. Do hip protectors decrease the risk of hip fracture in institutional and community-dwelling elderly? A systematic review and meta-analysis of randomized controlled trials. Osteoporos Int 2005; 16(12): 1461–1474.

15. Aung K, Htay T. Thiazide diuretics and the risk of hip fracture. Cochrane Database Syst Rev 2011; 10: CD005185.

16. Hauer K, Becker C, Lindemann U, Beyer N. Effectiveness of physical training on motor performance and fall prevention in cognitively impaired older persons: a systematic review. Am J Phys Med Rehabil 2006; 85(10): 847–857.

17. Willgoss TG, Yohannes AM, Mitchell D. Review of risk factors and preventative strategies for fall-related injuries in people with intellectual disabilities. J Clin Nurs 2010; 19(15–16): 2100–2109.

18. Cameron ID, Gillespie LD, Robertson MC, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev 2012; 12: CD005465.

19. Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin BH, et al. Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ 2009; 339: b3692.

20. Bischoff-Ferrari HA, Dawson-Hughes B, Willett WC, et al. Effect of vitamin D on falls. A meta-analysis. JAMA 2004; 291(16): 1999–2006.

21. Low S, Ang LW, Goh KS, Chew SK. A systematic review of the effectiveness of Tai Chi on fall reduction among the elderly. Arch Gerontol Geriatr 2009; 48(3): 325–331.

22. Healey F, Oliver D, Milne A, Connelly JB. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing 2008; 37(4): 368–378.

23. Kehinde JO, Pope C, Amella EJ. Methodological issues in fall prevention research involving older adults in long-term care facilities. Res Gerontol Nurs 2011; 4(4): 294–304.

24. Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc 2008; 56(1): 29–36.

25. Oliver D, Connelly JB, Victor CR, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. BMJ 2007; 334(7584): 82.

26. Baker MK, Atlantis E, Fiatarone Singh MA. Multi-modal exercise programs for older adults. Age Ageing 2007; 36(4): 375–381.

27. Lam FM, Lau RW, Chung RC, Pang MY. The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and metaanalysis. Maturitas 2012; 72(3): 206–213.

28. McClure RJ, Turner C, Peel N, et al. Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database Syst Rev 2005; 1: CD004441.

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General practitioner for children and adolescents General practitioner for adults
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