Quality improvement strategies to prevent falls in the elderly: A systematic review and network meta-analysis
Tricco AC, Thomas SM, Veroniki AA, Hamid JS, Cogo E, Strifler L, Khan PA, Sibley KM, Robson R, MacDonald H, Riva JJ, Thavorn K, Wilson C, Holroyd-Leduc J, Kerr GD, Feldman F, Majumdar SR, Jaglal SB, Hui W, Straus SE. Quality improvement strategies to prevent falls in the elderly: A systematic review and network meta-analysis. Age Ageing. 2019 Feb 5. DOI: 10.1093/ageing/afy219
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Bottom Line:
- We found that effective falls prevention quality improvement (QI) strategies are multi-faceted, and components targeting patients (such as education and reminders), as well as components targeting clinicians (such as team changes, case management and staff education) will increase likelihood of effectiveness
Impact:
- Our systematic review of all available falls prevention QI strategies for older people encompassing 126 randomized controlled trials (RCTs) and 84 307 participants is the first to identify effective quality improvement (QI) strategies for preventing falls using network meta-analysis (NMA)
- Depending on the outcome desired, our results can be tailored to decision-maker preferences and availability of resources
Protocol:
Additional Resources:
Funding:
Canadian Institutes of Health Research (CIHR)
Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Network Meta-analysis
Tricco AC, Thomas SM, Veroniki AA, Hamid JS, Cogo E, Strifler L, Khan PA, Robson R, Sibley KM, MacDonald H, Riva JJ. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA. 2017 Nov 7;318(17):1687-99. DOI: 10.1001/jama.2017.15006
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- Compared to usual care, exercise alone, and in combination with other falls-prevention interventions were associated with a lower risk of injurious falls in older adults
- The most effective interventions for reduction in injurious falls were: (1) combined exercise and vision assessment and treatment, (2) combined exercise, vision assessment and treatment, and environmental assessment and modification, and (3) exercise alone
- Patient and caregiver values and preferences should be taken into consideration when selecting falls-prevention interventions for older adults
Impact:
- Our results can be used by patients, physicians, and policy-makers to tailor falls prevention interventions in older adults
- Conducted with the Division of Geriatric Medicine, University of Toronto, Alberta Health Services, Fraser Health Authority, amongst other knowledge users to inform falls prevention initiatives in these organizations
- Featured in >50 mass media articles
Protocol:
Additional Resources:
Canadian Institutes of Health Research (CIHR)
Category : KS Projects
Date : 25 Aug 2017