Skip to main content
. 2012 Jan 18;2012(1):CD008931. doi: 10.1002/14651858.CD008931.pub3

Haines 2010.

Methods Cluster randomised trial.
18 wards matched into pairs on the basis of their pre‐intervention fall rates.
Randomised with a coin toss.
No blinding.
1 ward ceased using the intervention after 3 of the intended 6 months.
Data were included from the one ward that ceased using the intervention and that of its matched pair ward for the same time period in the intention to treat analysis.
Participants Setting: 18 publicly funded hospital wards in Queensland, Australia with no previous access to the intervention.
N: admissions (occupied bed days) 22,036 (131,805)
Inclusion criteria: all admissions.
Exclusion criteria: nil.
Interventions One "low‐low" (28.5‐64cm height) bed for every 12 regular beds per ward.
Control group received standard care.
Outcomes Falls were recorded by staff as incident reports.
  1. Frequency of falls in the bedroom;

  2. Frequency of all falls;

  3. Frequency of injuries due to all falls;

  4. Frequency of head injuries;

  5. Frequency of fractures.

Notes No significant difference in outcomes demonstrated.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Coin tossing.
Allocation concealment (selection bias) Low risk Central allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Missing outcome data balanced in intervention and control group and unlikely to be introducing bias.
Selective reporting (reporting bias) Unclear risk The study protocol was not available.
Other bias Low risk The study appears to be free of other sources of bias.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Staff were not blinded to ward allocation; participants were not blinded to the intervention.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Staff who recorded falls were not blinded to the ward allocation status.