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Do hospital fall prevention programs work? A systematic review.

Research output: Contribution to journalLiterature review

D Oliver, A Hopper, P Seed

Original languageEnglish
Pages (from-to)1679 - 1689
Number of pages11
JournalJournal of the American Geriatrics Society
Volume48
Issue number12
Publication statusPublished - Dec 2000

King's Authors

Abstract

OBJECTIVES: To analyze published hospital fall prevention programs to determine whether there is any effect on fall rates. To review the methodological quality of those programs and the range of interventions used. To provide directions fur further research. DESIGN: Systematic review of published hospital fall prevention programs, Meta-analysis. METHODS: Keyword searches of Medline, CINAHL, monographs, and secondary references. All papers were included that described fall rates before and during intervention. Risk ratios and 95% Confidence Intervals (95% CI) were estimated and random effects meta-analysis employed. Begg's test was applied to detect possible publication bias. Separate meta-analysis regressions were performed to determine whether individual components of multifaceted interventions were effective. RESULTS: A total of 21 papers met the criteria (18 from North America), although only 10 contained sufficient data to allow calculation of confidence intervals. A rate ratio of

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