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Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Published on: February 8, 2019

Falls prevention for the elderly.

Katrin Balzer1, Martina Bremer, Susanne Schramm

  • 1Nursing research group, Institute for Social Medicine, University of Lübeck, Lübeck, Germany.

GMS Health Technology Assessment
|April 27, 2012
PubMed
Summary
This summary is machine-generated.

Fall prevention strategies for the elderly lack robust scientific evidence. While housing modifications benefit fragile seniors, exercise benefits younger, healthier older adults. More rigorous studies are needed for effective fall prevention.

Keywords:
EBMHTARCTVitamin D/administration & dosageaccidental fallsaccidents, home/*activities of daily livingadjustment of the living environmentaged/*aged/*psychologycataract surgerycorrection of the visual acuitycustomisation of the living environmentdiagnosisdietary supplementsdose-response relationship, drugeconomic evaluationelderlyenvironment designevidence-based medicineexercise programexercise/physiologyeye testeyesighteyesight testfallfall preventionfall prophylaxisfall riskfall risk factorsfall-related injuriesfalling consequencesfalling dangerfracturefreedom-depriving measuresfreedom/*geriatric nursing homehealth technology assessmenthip fracturehip fractureship protectorshomes for the agedhumans; interventionsmedical adjustmentmeta-analysis as topicmotor activitymotor activity/drug effectsmotor functionmotor skillsmulti-factorial programsmultimodal programsnursing homespeer reviewpower of movementpreventionprimary preventionprivate domesticityprophylaxisrandomized controlled trialrandomized controlled trials as topicreview literature as topicrisk assessmentrisk factorsrisk reduction behaviorseniorssightstabilizedsystematic reviewtechnology assessment, biomedicaltraining programvisual acuity

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Design and Analysis for Fall Detection System Simplification
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Published on: April 6, 2020

Area of Science:

  • Gerontology
  • Public Health
  • Health Technology Assessment

Background:

  • An aging population and rising chronic diseases necessitate effective fall prevention strategies for the elderly.
  • Current fall prevention measures range from diagnostics to complex interventions, but their effectiveness and efficiency are often unclear.
  • This Health Technology Assessment (HTA) report analyzes existing literature to guide decision-making for effective and efficient fall prevention in older adults.

Purpose of the Study:

  • To evaluate the effectiveness of single interventions and comprehensive programs for preventing falls and related injuries in the elderly (aged >60).
  • To assess the cost-effectiveness, ethical, social, and legal implications of fall prevention measures.
  • To identify evidence-based strategies for fall prevention in community-dwelling and long-term care settings.

Main Methods:

  • Systematic literature searches were conducted across 31 databases from January 2003 to January 2010.
  • Effectiveness of interventions was assessed using randomized controlled trials (RCTs); diagnostic procedures also included prospective accuracy studies.
  • Due to clinical heterogeneity, meta-analyses were not performed; all relevant studies were considered for social, ethical, and legal aspects.

Main Results:

  • Out of 12,000 references, 184 met inclusion criteria, though many had compromised validity.
  • Diagnostic tests for fall risk provided little clinical information; exercise benefits younger seniors, while housing modifications aid fragile elderly.
  • Effectiveness remains unclear for vision correction, medication changes, vitamin D, supplements, psychological interventions, nursing education, multifactorial programs, and hip protectors.

Conclusions:

  • Methodological limitations (e.g., lack of blinding, heterogeneity) hinder interpretation of fall prevention study results.
  • Current recommendations for elderly fall prevention are not fully supported by scientific evidence.
  • Future research should prioritize methodological rigor, consider target population specifics, and include German data for economic analyses.