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REFINE (Reducing Falls in In-patient Elderly)--a randomised controlled trial.

Catherine D Vass¹, Opinder Sahota, Avril Drummond

¹Department of Ageing and Rehabilitation, University of Nottingham, Nottingham, NG7 2UH, UK. catherine.vass@nottingham.ac.uk

|September 12, 2009

Summary

This study investigates bedside pressure sensors to reduce falls in elderly hospital patients. The REFINE trial will determine if this technology effectively and affordably prevents patient falls.

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Area of Science:

Geriatric Medicine
Patient Safety Technology
Clinical Trials

Background:

Hospital falls are frequent among elderly inpatients, particularly during transfers or toileting.
Most falls are unwitnessed, and current interventions lack strong evidence for effectiveness.
Advanced patient monitoring technologies, like bedside sensors, show promise for falls prevention.

Purpose of the Study:

To evaluate the effectiveness of bedside chair and bed pressure sensors in reducing inpatient falls among the elderly.
To assess the cost-effectiveness and acceptability of this assistive technology for patients and staff.

Main Methods:

An individual patient randomized controlled trial design.
Utilizing bedside chair and bed pressure sensors with radio-paging alerts for patients rising.
Study conducted across five acute elderly care wards at Nottingham University Hospitals NHS Trust.

Main Results:

The primary outcome measured is the number of bedside in-patient falls.
This is the first randomized controlled trial to specifically test bedside pressure sensors in this demographic.
Results will indicate if the technology leads to a significant reduction in falls rates.

Conclusions:

The REFINE study is pioneering the use of bedside pressure sensors in acute elderly care within the NHS.
The trial aims to establish the efficacy and economic viability of sensor technology for falls reduction.
Findings will inform clinical practice regarding the adoption of new technologies for patient safety.