Table 1.
Systematic review characteristics
| Lead author (Year) | Aim | Studies reviewed (n) | Hospital RCTs (n) | Inpatient education single intervention RCTs (n) | Inpatient multifactorial interventions with patient education RCTs (n) | Method of assessing quality | Quality of evidence | Conclusion |
|---|---|---|---|---|---|---|---|---|
| Avanecean (2017) [47] | Assess effectiveness of patient-centered falls prevention in acute care | 5 | 5 | 0 | 3 | JBI-SUMARI critical appraisal tool | Multifactorial: High |
Multifactorial: May reduce falls rate Meta-analysis not performed |
| Cameron (2018) [14] | Evaluate effectiveness of falls prevention for older adults in hospitals and care facilities | 95 | 24 | 2 | 6 | GRADE |
Patient education alone: Very low Multifactorial: Low |
Patient education: Unable to conclude effectiveness No pooled rate ratio Multifactorial: May reduce falls rate RR: 0.80 (0.64–1.01) |
| Hempel (2013) [48] | Review characteristics and effectiveness of falls prevention in acute care | 59 | 4 | 0 | 1 | Egger regression and Begg rank rest | No evidence of publication bias |
Multifactorial: Unable to conclude effectiveness RaR: 0.77 (0.52–1.12) |
| Lee (2014) [37] | Evaluate the effectiveness of patient falls education in hospitals and post discharge | 26 | 16 | 5 | 8 | Law tool | Patient education alone: Moderate Multifactorial: Moderate |
Patient education alone or in multifactorial: Significant reduction in falls rate RR: 0.77 (0.69–0.87) |
| Miake-Lye (2013) [49] | Evaluate effectiveness of multifactorial falls prevention programs in hospital and factors related to successful implementation | 21 | 21 | 0 | 12 | Downs and Black Quality Score | Multifactorial: Moderate |
Multifactorial: May reduce falls rate Meta-analysis not performed |
Footnote: Mutifactorial refers to two or more of the following: patient education, falls risk assessments, environmental modifications, devices, personal supervision, multidisciplinary reviews, medication reviews, falls risk communication aids, allied health and nursing input, rounding, staff training
RCT Randomised controlled trial, JBI-SUMARI Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information, GRADE Grading of Recommendations, Assessment, Development and Evaluation, RR Risk ratio, RaR Rate ratio