Official websites use. Share sensitive information only on official, secure websites. Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in and updated in To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals.
Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We pooled results where appropriate. The majority of trials were at high risk of bias in one or more domains, mostly relating to lack of blinding. With few exceptions, the quality of evidence for individual interventions in either setting was generally rated as low or very low.
Only the falls outcomes for the main comparisons are reported here. Seventeen trials compared exercise with control typically usual care alone. We are uncertain of the effect of exercise on rate of falls RaR 0.
Exercise may make little or no difference to the risk of falling RR 1. The population included in these studies had low vitamin D levels. Multifactorial interventions were tested in 13 trials.
We are uncertain of the effect of multifactorial interventions on the rate of falls RaR 0. They may make little or no difference to the risk of falling RR 0. Three trials tested the effect of additional physiotherapy supervised exercises in rehabilitation wards subacute setting.
