From: Hospital falls prevention with patient education: a scoping review
Lead author (Year) | Aim | Studies reviewed (n) | Hospital RCTs (n) | Inpatient education single intervention RCTs (n) | Inpatient multifactorial interventions with patient education RCTs (n) | Method of assessing quality | Quality of evidence | Conclusion |
---|---|---|---|---|---|---|---|---|
Avanecean (2017) [47] | Assess effectiveness of patient-centered falls prevention in acute care | 5 | 5 | 0 | 3 | JBI-SUMARI critical appraisal tool | Multifactorial: High | Multifactorial: May reduce falls rate Meta-analysis not performed |
Cameron (2018) [14] | Evaluate effectiveness of falls prevention for older adults in hospitals and care facilities | 95 | 24 | 2 | 6 | GRADE | Patient education alone: Very low Multifactorial: Low | Patient education: Unable to conclude effectiveness No pooled rate ratio Multifactorial: May reduce falls rate RR: 0.80 (0.64–1.01) |
Hempel (2013) [48] | Review characteristics and effectiveness of falls prevention in acute care | 59 | 4 | 0 | 1 | Egger regression and Begg rank rest | No evidence of publication bias | Multifactorial: Unable to conclude effectiveness RaR: 0.77 (0.52–1.12) |
Lee (2014) [37] | Evaluate the effectiveness of patient falls education in hospitals and post discharge | 26 | 16 | 5 | 8 | Law tool | Patient education alone: Moderate Multifactorial: Moderate | Patient education alone or in multifactorial: Significant reduction in falls rate RR: 0.77 (0.69–0.87) |
Miake-Lye (2013) [49] | Evaluate effectiveness of multifactorial falls prevention programs in hospital and factors related to successful implementation | 21 | 21 | 0 | 12 | Downs and Black Quality Score | Multifactorial: Moderate | Multifactorial: May reduce falls rate Meta-analysis not performed |