What do systematic reviews say?

Medication review vs usual care

It is very uncertain whether summary of findings: General medication review changes adverse events Length of compared with usual care (very low certainty).

• Interventions for preventing falls in older people in care facilities and hospitals 2018 · Cochrane Headline outcomes only
  RR 1.07 [0.23, 5.01]
  1 study · 93 participants
  Very low

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

Assistive technology for vision improvement interventions vs usual care or attention control

It is very uncertain whether assistive technology for vision improvement interventions changes number of people who experienced 1 or more fall‐related fractures compared with usual care or attention control (very low certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  RR 1.22 [0.75, 2]
  2 studies · 976 participants
  Very low

Assistive technology for vision improvement interventions vs usual care or attention control

The review found no eligible studies for this question.

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Assistive technology for vision improvement interventions vs usual care or attention control

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  0.93 [0.48, 1.82]
  1 study · 276 participants
  Very low

Assistive technology for vision improvement interventions vs usual care or attention control

Assistive technology for vision improvement interventions showed no clear difference in adverse events Falls while switching glasses compared with usual care or attention control (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]
  1 study · 597 participants
  Low

Education vs control (e.g. usual activities)

It is very uncertain whether education interventions changes rate of falls (falls per person‐years) 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
  Rate ratio 0.63 [0.37, 1.07]
  1 study · 110 participants
  Very low

Education vs control (e.g. usual activities)

It is very uncertain whether education interventions changes number of people who experienced 1 or more falls 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 0.84 [0.64, 1.11]
  1 study · 110 participants
  Very low

Education vs control (e.g. usual activities)

Education interventions showed no clear difference in number of people who experienced 1 or more fall‐related fractures 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 1.02 [0.96, 1.08]
  1 study · 110 participants
  Low

Education vs control (e.g. usual activities)

The review found no eligible studies for this question.

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Education vs control (e.g. usual activities)

The review found no eligible studies for this question.

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

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

Education vs control (e.g. usual activities)

The review found no eligible studies for this question.

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Education vs control (e.g. usual activities)

The review found no eligible studies for this question.

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

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

Assistive technology for vision improvement interventions vs usual care or attention control

Assistive technology for vision improvement interventions showed no clear difference in rate of falls (falls per person‐years) compared with usual care or attention control (low certainty).

• Environmental interventions for preventing falls in older people living in the community 2023 · Cochrane Headline outcomes only
  Rate ratio 1.12 [0.84, 1.5]
  3 studies · 1489 participants
  Low