Cochrane · systematic review · CD013789

Population‐based interventions for preventing falls and fall‐related injuries in older people

Lewis, SR, McGarrigle, L, Pritchard, MW, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
11
No studies
10
Included studies
NR
No studies 10 · 47.6%Ungraded 0 · 0%Very low 11 · 52.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Medication or nutrition fall prevention interventions versus control: evidence from RCTs

Population: community‐dwelling older adults ≥ 65 years of age
7 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Number of fallers
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Number of people experiencing 1 or more fall‐related injuries
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Number of people experiencing 1 or more fall‐related fractures
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Number of people experiencing 1 or more falls resulting in hospital admission Measured using Danish Hospital Registration Database
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extracted4542 participantsVery low
Downgraded: risk of bias, imprecision
Number of people who experienced 1 or more adverse events
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Economic analysis
Medication or nutrition fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies

Multicomponent fall prevention interventions versus control: evidence from RCTs

Population: community‐dwelling older adults at least 60 years of age
7 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls Measured using questionnaire data (self‐reported)
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extracted1422 participantsVery low
Downgraded: risk of bias, imprecision
Number of fallers Measured using questionnaire data (self‐reported)
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extracted1422 participantsVery low
Downgraded: risk of bias, imprecision
Number of people experiencing 1 or more fall‐related injuries Measured using questionnaire data (self‐reported)
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extracted1422 participantsVery low
Downgraded: risk of bias, imprecision
Number of people experiencing 1 or more fall‐related fractures Measured using questionnaire data (self‐reported)
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extracted1422 participantsVery low
Downgraded: risk of bias, imprecision
Number of people experiencing 1 or more falls resulting in hospital admission Measured using hospital records
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extracted7179 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies
Cost‐effectiveness (economic analysis)
Multicomponent fall prevention interventions vs control: evidence from RCTs
no estimate extractedNRNo studies

Multicomponent fall prevention interventions versus control: evidence from non‐randomised trials

Population: community‐dwelling older adults at least 60 years of age
7 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls Measured using questionnaire data (self‐reported) or hospital records
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extracted4197 participantsVery low
Downgraded: imprecision, inconsistency
Number of fallers Measured using questionnaire data (self‐reported)
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extracted3047 participantsVery low
Downgraded: imprecision, inconsistency
Number of people experiencing 1 or more fall‐related injuries Measured using healthcare centre records
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extracted67300 participantsVery low
Downgraded: imprecision, inconsistency
Number of people experiencing 1 or more fall‐related fractures Measured using hospital injury record system
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extracted24365 participantsVery low
Downgraded: imprecision
Number of people experiencing 1 or more falls resulting in hospital admission Measured using hospital records
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extractedNRNo studies
Adverse events
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extractedNRNo studies
Cost‐effectiveness (economic analysis) Measured using healthcare records
Multicomponent fall prevention interventions vs control: evidence from non‐randomised trials
no estimate extracted163683 participantsVery low
Downgraded: indirectness