Interventions for preventing falls in older people: an overview of Cochrane Reviews

Udell, Julie; Drahota, Amy; Dean, Taraneh; Sander, Ruth; MacKenzie, Heather

doi:10.1002/14651858.cd009074

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…(Amidst those titles, nine titles were only abstracts[23–31], one full-text could not be found [32] and one record was a Cochrane protocol [33]. ) Among the 108 potentially relevant publications, 59 were considered eligible for inclusion and 49 were excluded (Fig 1 and S2 Table).…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Rimland¹,

Abraha²,

Dell’Aquila³

et al. 2016

PLoS ONE

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BackgroundFalls are common events in older people, which cause considerable morbidity and mortality. Non-pharmacological interventions are an important approach to prevent falls. There are a large number of systematic reviews of non-pharmacological interventions, whose evidence needs to be synthesized in order to facilitate evidence-based clinical decision making.ObjectivesTo systematically examine reviews and meta-analyses that evaluated non-pharmacological interventions to prevent falls in older adults in the community, care facilities and hospitals.MethodsWe searched the electronic databases Pubmed, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, PsycINFO, PEDRO and TRIP from January 2009 to March 2015, for systematic reviews that included at least one comparative study, evaluating any non-pharmacological intervention, to prevent falls amongst older adults. The quality of the reviews was assessed using AMSTAR and ProFaNE taxonomy was used to organize the interventions.ResultsFifty-nine systematic reviews were identified which consisted of single, multiple and multifactorial non-pharmacological interventions to prevent falls in older people. The most frequent ProFaNE defined interventions were exercises either alone or combined with other interventions, followed by environment/assistive technology interventions comprising environmental modifications, assistive and protective aids, staff education and vision assessment/correction. Knowledge was the third principle class of interventions as patient education. Exercise and multifactorial interventions were the most effective treatments to reduce falls in older adults, although not all types of exercise were equally effective in all subjects and in all settings. Effective exercise programs combined balance and strength training. Reviews with a higher AMSTAR score were more likely to contain more primary studies, to be updated and to perform meta-analysis.ConclusionsThe aim of this overview of reviews of non-pharmacological interventions to prevent falls in older people in different settings, is to support clinicians and other healthcare workers with clinical decision-making by providing a comprehensive perspective of findings.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Rimland¹,

Abraha²,

Dell’Aquila³

et al. 2016

PLoS ONE

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“…Through this process, 1207 titles were retrieved, of which 95% were excluded because they had not been published in the Cochrane Database of Systematic Reviews. Ninety-three references were checked, but 52 of these were systematic reviews and were excluded; and another 26 potential OoRs 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 25 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 were excluded because they were at the protocol stage. At the end of the selection process, 13 OoRs 26 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 were included, were used for data extraction and were critically assessed.…”

Section: Resultsmentioning

confidence: 99%

Overview of systematic reviews - a new type of study. Part II

et al. 2014

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CONTEXT AND OBJECTIVE: Overviews of Systematic Reviews (OoRs) are a new type of study in which multiple evidence from systematic reviews (SRs) is compiled into an accessible and useful document. The aim here was to describe the state of the art and critically assess Cochrane OoRs that have been published. DESIGN AND SETTING: Descriptive study conducted at a research center. METHODS:The OoRs identified through the filter developed in Part I of this study were evaluated in five domains: methodological quality; quality of evidence; implications for practice; general profile of OoRs; and length of work. RESULTS: All 13 OoRs included had high methodological quality. Some OoRs did not present sufficient data to judge the quality of evidence; using sensitivity analysis, the quality of evidence of the OoRs increased. Regarding implications for practice, 64% of the interventions were judged as beneficial or harmful, while 36% of them showed insufficient evidence for judgment. It is expected (with 95% confidence interval) that one OoR will include 9,462 to 64,469 patients, 9 to 29 systematic reviews and 80 to 344 primary studies, and assess 6 to 21 interventions; and that 50 to 92% of OoRs will produce meta-analysis. The OoRs generated 2 to 26 meta-analyses over a period of 18 to 31 months. CONCLUSION: The OoRs presented high methodological quality; the quality of evidence tended to be moderate/high; most interventions were judged to be beneficial/harmful; the mean length of work was 24 months. The OoR profile adds power to decision-making. RESUMO

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“…Thus, up to the cutoff date of June 15, 2012, nine OoRs had been published, and 15 OoRs protocols were in this database ( Table 1 ). 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 …”

Section: Resultsmentioning

confidence: 99%