TY - JOUR PY - 2021// TI - Providing fall prevention services in the emergency department: is it effective? A systematic review and meta-analysis JO - Australasian journal on ageing A1 - Harper, Kristie J. A1 - Arendts, Glenn A1 - Barton, Annette D. A1 - Celenza, Antonio SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To assess the effects of fall prevention services initiated in the emergency department (ED) to support patients after discharge.

METHODS: A systematic review and meta-analysis were conducted. Analysis of pooled data used random-effects modelling with results presented as a risk ratio (RR).

RESULTS: Eleven studies were identified (n = 4,018). The proportion of older adults who fell did not differ between the intervention and control groups (RR 0.93; 95% CI, 0.82-1.06, I(2) 68%, P = 0.28). There was a significant (P = 0.01) reduction in the monthly rate of falling (RR 0.69; 95% CI, 0.52-0.91, I(2) 93%), fall-related injuries (RR 0.72; 95% CI, 0.59-0.88, I(2) 0%, P = 0.001), and hospital admissions (RR 0.76; 95% CI, 0.64-0.90, I(2) 0%, P = 0.002).

CONCLUSIONS: ED fall prevention services did not significantly reduce the proportion of older adults who had future falls. However, multifactorial intervention significantly reduced fall-related injuries and hospital admissions with low heterogeneity.

Language: en

LA - en SN - 1440-6381 UR - http://dx.doi.org/10.1111/ajag.12914 ID - ref1 ER -