What do systematic reviews say?

Home fall‐hazard reduction vs control (e.g. usual activities)

Home fall‐hazard reduction probably leads to lower rate of falls (falls per person‐years) compared with control (e.g. usual care) (moderate certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  Rate ratio 0.74 [0.61, 0.91]
  12 studies · 5293 participants
  Moderate

Home fall‐hazard reduction vs control (e.g. usual activities)

Home fall‐hazard reduction probably leads to lower number of people who experienced 1 or more falls compared with control (e.g. usual care) (moderate certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  RR 0.89 [0.82, 0.97]
  12 studies · 5253 participants
  Moderate

Home fall‐hazard reduction vs control (e.g. usual activities)

It is very uncertain whether home fall‐hazard reduction changes number of people who experienced 1 or more fall‐related fractures compared with control (e.g. usual care) (very low certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  RR 1 [0.98, 1.02]
  2 studies · 1668 participants
  Very low

Home fall‐hazard reduction vs control (e.g. usual activities)

Home fall‐hazard reduction showed no clear difference in number of people who experienced 1 or more falls that resulted in… compared with control (e.g. usual care) (low certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  RR 0.96 [0.87, 1.06]
  3 studies · 325 participants
  Low

Home fall‐hazard reduction vs control (e.g. usual activities)

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  0.91 [0.58, 1.43]
  3 studies · 946 participants
  Low

Home fall‐hazard reduction vs control (e.g. usual activities)

Home fall‐hazard reduction showed no clear difference in health‐related quality of life SMD was calculated from 4 studies… compared with control (e.g. usual care) (moderate certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  SMD 0.09
  6 studies · 1848 participants
  Moderate

Home fall‐hazard reduction vs control (e.g. usual activities)

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 73 participants
  Low