Evidence Based Reports
Oral Nutrition Intake for the Prevention of Falls in Older Adults: Clinical Effectiveness and Guidelines (2014)[HTA database] NEW
Fall Risk Assessment in Adult Patients: Comparative Evidence and Guidelines (2014)[HTA database] NEW
Fall Prevention Strategies for Adults in Outpatient Programs: Clinical Evidence and Guidelines (2014)[HTA database] NEW
Preventing falls in the community (2014)[HTA database] NEW
Preventing falls in hospitals (2014)[HTA database] NEW
Effectiveness of interventions for the assessment and prevention of falls in adult psychiatric patients: a systematic review (2014)[DARE] NEW
The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. (2013) [DARE]
Cost-utility analysis of a shock-absorbing floor intervention to prevent injuries from falls in hospital wards for older people (2013) [NHS EED]
Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial. (2013) [NHS EED]
Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis. (2013) [DARE]
Inpatient fall prevention programs as a patient safety strategy: a systematic review. (2013) [DARE]
Meta-analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. (2012) [DARE]
Interventions for preventing falls in older people living in the community. (2012) [Cochrane Library]
Some interventions are effective for preventing falls in older people (2011)[Cochrane Pearls]
Interventions for preventing falls in older people in care facilities and hospitals (2010)[Cochrane Library]
Vision improvement and reduction in falls after expedited cataract surgery: systematic review and metaanalysis (2010)[DARE]
Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults (2010)[NHS EED]
Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults (2010)[DARE]
Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement (2010)[NHS EED]
Interventions for preventing falls in older people living in the community (2009)[Cochrane Library]
NSAIDs and the risk of accidental falls in the elderly: a systematic review (2009)[DARE]
Quality of life as an outcome of fall prevention interventions among the aged: a systematic review (2009)[DARE]
Clinical Guidelines
Falls - Risk assessment (2014)[CKS] updated
Falls: assessment and prevention of falls in older people. (2013) [NICE]
Clinical practice guideline for the assessment and prevention of falls in older people. (2007) [RCN]
Recent articles in core journals
Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults (2014)[EvidenceUpdates] NEW
Home modifications to reduce injuries from falls in the Home Injury Prevention Intervention (HIPI) study: a cluster-randomised controlled trial (2014)[EvidenceUpdates] NEW
Effects of Tai Chi on balance and fall prevention in Parkinson's disease: a randomized controlled trial (2014) [EvidenceUpdates] NEW
Effects of vertical and side-alternating vibration training on fall risk factors and bone turnover in older people at risk of falls (2014)[EvidenceUpdates] NEW
Cognitive motor interference for preventing falls in older adults: a systematic review and meta-analysis of randomised controlled trials (2014)[EvidenceUpdates] NEW
The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: a whole-population study. (2013) [EvidenceUpdates]
Effects of medication reviews performed by a physician on treatment with fracture-preventing and fall-risk-increasing drugs in older adults with hip fracture-a randomized controlled study. (2013) [EvidenceUpdates]
Fall prevention in community-dwelling older adults. (2013) [JAMA]
Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. (2012) [BMJ]
Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. (2012) [EvidenceUpdates]
Fall risk six weeks from onset of stroke and the ability of the Prediction of Falls in Rehabilitation Settings Tool and motor function to predict falls. (2012) [EvidenceUpdates]
Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial.(2011)[EvidenceUpdates]
Dementia medications and risk of falls, syncope, and related adverse events: meta-analysis of randomized controlled trials.(2011)[EvidenceUpdates]
The effects of Tai Chi on fall prevention, fear of falling and balance in older people: a meta-analysis (2010)[EvidenceUpdates]
Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. (2010)[EvidenceUpdates]
Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial (2010)[EvidenceUpdates]
Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors (2010)[EvidenceUpdates]
Vitamin D treatment for the prevention of falls in older adults: systematic review and meta-analysis (2010)[EvidenceUpdates]
Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults (2010)[EvidenceUpdates]
The Winchester falls project: a randomised controlled trial of secondary prevention of falls in older people (2010)[EvidenceUpdates]
Chronic musculoskeletal pain and the occurrence of falls in an older population. (2010)[EvidenceUpdates]
Reducing risk of falling in older people discharged from hospital: a randomized controlled trial comparing seated exercises, weight-bearing exercises, and social visits (2009)[EvidenceUpdates]
A meta-analysis of fear of falling treatment programs for the elderly (2009)[EvidenceUpdates]
eTextbooks
Recurrent fall (2014)[Mentor] updated
Prevention of falls in the elderly (2014)[Mentor] updated
Clinical Queries
NICE have recently recommended Vitamin D supplement to reduce falls in the elderly. Does this guidance apply only to those in Nursing homes or to an age group? What is the evidence for this intervention? What is the NNT to prevent 1 adverse outcome? (2009)[ATTRACT]
With older patients with a history of falls and diagnosed with Benign Paroxysmal Positional Vertigo, what is the success rate of Epley Manoeuvre (also known as Canalith Repositioning Technique)? (CEBPA) (2008)[TRIPAnswers]
What is the incidence of vestibular deficit resulting in falls within the elderly and what evidence is there to support vestibular rehabilitation against pharmaceutical management? (2008)[TRIPAnswers]
Patient Information
Falls (2013)[NHS Choices]
Important
1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.
Oral Nutrition Intake for the Prevention of Falls in Older Adults: Clinical Effectiveness and Guidelines (2014)[HTA database] NEW
Fall Risk Assessment in Adult Patients: Comparative Evidence and Guidelines (2014)[HTA database] NEW
Fall Prevention Strategies for Adults in Outpatient Programs: Clinical Evidence and Guidelines (2014)[HTA database] NEW
Preventing falls in the community (2014)[HTA database] NEW
Preventing falls in hospitals (2014)[HTA database] NEW
Effectiveness of interventions for the assessment and prevention of falls in adult psychiatric patients: a systematic review (2014)[DARE] NEW
The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. (2013) [DARE]
Cost-utility analysis of a shock-absorbing floor intervention to prevent injuries from falls in hospital wards for older people (2013) [NHS EED]
Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial. (2013) [NHS EED]
Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis. (2013) [DARE]
Inpatient fall prevention programs as a patient safety strategy: a systematic review. (2013) [DARE]
Meta-analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. (2012) [DARE]
Interventions for preventing falls in older people living in the community. (2012) [Cochrane Library]
Some interventions are effective for preventing falls in older people (2011)[Cochrane Pearls]
Interventions for preventing falls in older people in care facilities and hospitals (2010)[Cochrane Library]
Vision improvement and reduction in falls after expedited cataract surgery: systematic review and metaanalysis (2010)[DARE]
Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults (2010)[NHS EED]
Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults (2010)[DARE]
Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement (2010)[NHS EED]
Interventions for preventing falls in older people living in the community (2009)[Cochrane Library]
NSAIDs and the risk of accidental falls in the elderly: a systematic review (2009)[DARE]
Quality of life as an outcome of fall prevention interventions among the aged: a systematic review (2009)[DARE]
Clinical Guidelines
Falls - Risk assessment (2014)[CKS] updated
Falls: assessment and prevention of falls in older people. (2013) [NICE]
Clinical practice guideline for the assessment and prevention of falls in older people. (2007) [RCN]
Recent articles in core journals
Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults (2014)[EvidenceUpdates] NEW
Home modifications to reduce injuries from falls in the Home Injury Prevention Intervention (HIPI) study: a cluster-randomised controlled trial (2014)[EvidenceUpdates] NEW
Effects of Tai Chi on balance and fall prevention in Parkinson's disease: a randomized controlled trial (2014) [EvidenceUpdates] NEW
Effects of vertical and side-alternating vibration training on fall risk factors and bone turnover in older people at risk of falls (2014)[EvidenceUpdates] NEW
Cognitive motor interference for preventing falls in older adults: a systematic review and meta-analysis of randomised controlled trials (2014)[EvidenceUpdates] NEW
The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: a whole-population study. (2013) [EvidenceUpdates]
Effects of medication reviews performed by a physician on treatment with fracture-preventing and fall-risk-increasing drugs in older adults with hip fracture-a randomized controlled study. (2013) [EvidenceUpdates]
Fall prevention in community-dwelling older adults. (2013) [JAMA]
Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. (2012) [BMJ]
Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. (2012) [EvidenceUpdates]
Fall risk six weeks from onset of stroke and the ability of the Prediction of Falls in Rehabilitation Settings Tool and motor function to predict falls. (2012) [EvidenceUpdates]
Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial.(2011)[EvidenceUpdates]
Dementia medications and risk of falls, syncope, and related adverse events: meta-analysis of randomized controlled trials.(2011)[EvidenceUpdates]
The effects of Tai Chi on fall prevention, fear of falling and balance in older people: a meta-analysis (2010)[EvidenceUpdates]
Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. (2010)[EvidenceUpdates]
Multifactorial intervention to reduce falls in older people at high risk of recurrent falls: a randomized controlled trial (2010)[EvidenceUpdates]
Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors (2010)[EvidenceUpdates]
Vitamin D treatment for the prevention of falls in older adults: systematic review and meta-analysis (2010)[EvidenceUpdates]
Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults (2010)[EvidenceUpdates]
The Winchester falls project: a randomised controlled trial of secondary prevention of falls in older people (2010)[EvidenceUpdates]
Chronic musculoskeletal pain and the occurrence of falls in an older population. (2010)[EvidenceUpdates]
Reducing risk of falling in older people discharged from hospital: a randomized controlled trial comparing seated exercises, weight-bearing exercises, and social visits (2009)[EvidenceUpdates]
A meta-analysis of fear of falling treatment programs for the elderly (2009)[EvidenceUpdates]
eTextbooks
Recurrent fall (2014)[Mentor] updated
Prevention of falls in the elderly (2014)[Mentor] updated
Clinical Queries
NICE have recently recommended Vitamin D supplement to reduce falls in the elderly. Does this guidance apply only to those in Nursing homes or to an age group? What is the evidence for this intervention? What is the NNT to prevent 1 adverse outcome? (2009)[ATTRACT]
With older patients with a history of falls and diagnosed with Benign Paroxysmal Positional Vertigo, what is the success rate of Epley Manoeuvre (also known as Canalith Repositioning Technique)? (CEBPA) (2008)[TRIPAnswers]
What is the incidence of vestibular deficit resulting in falls within the elderly and what evidence is there to support vestibular rehabilitation against pharmaceutical management? (2008)[TRIPAnswers]
Patient Information
Falls (2013)[NHS Choices]
Important
1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.
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