La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, College Science, Health & Engineering, La Trobe University, Bundoora, Victoria, Australia.
School of Physiotherapy and Exercise Science, Curtin University of Technology, Perth, Western, Australia.
BMJ Open. 2017 Nov 12;7(11):e017864. doi: 10.1136/bmjopen-2017-017864.
Falls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor outcomes. Falls prevention is informed by knowledge of reversible falls risk factors and accurate risk identification. The extent to which hospital falls are prevented by evidence-based practice, patient self-management initiatives, environmental modifications and optimisation of falls prevention systems awaits confirmation. Published reviews have mainly evaluated community settings and residential care facilities. A better understanding of hospital falls and the most effective strategies to prevent them is vital to keeping people safe.
To evaluate the effectiveness of falls prevention interventions on reducing falls in hospitalised adults (acute and subacute wards, rehabilitation, mental health, operating theatre and emergency departments). We also summarise components of effective falls prevention interventions.
This protocol has been registered. The systematic review will be informed by Cochrane guidelines and reported according to the Preferred Reporting Items for Systematic review and Meta-Analysis statement.
randomised controlled trials, quasi-randomised trials or controlled clinical trials that evaluate falls prevention interventions for use by hospitalised adults or employees. Electronic databases will be searched using key terms including falls, accidental falls, prevention, hospital, rehabilitation, emergency, mental health, acute and subacute. Pairs of independent reviewers will conduct all review steps. Included studies will be evaluated for risk of bias. Data for variables such as age, participant characteristics, settings and interventions will be extracted and analysed with descriptive statistics and meta-analysis where possible. The results will be presented textually, with flow charts, summary tables, statistical analysis (and meta-analysis where possible) and narrative summaries.
Ethical approval is not required. The systematic review will be published in a peer-reviewed journal and disseminated electronically, in print and at conferences. Updates will guide healthcare translation into practice.
PROSPERO 2017: CRD 42017058887. Available from https://www.crd.york.ac.uk/prospero.
跌倒在全球范围内是一个主要的公共卫生问题，也是意外伤害和住院的主要原因。医院内的跌倒与住院时间延长、再入院和不良预后有关。跌倒预防取决于对可逆转的跌倒风险因素的了解和准确的风险识别。基于证据的实践、患者自我管理措施、环境改造和跌倒预防系统的优化在多大程度上预防了医院内的跌倒，仍有待证实。已发表的综述主要评估了社区环境和养老院的情况。更好地了解医院内跌倒的情况以及预防这些跌倒的最有效策略对于保障患者安全至关重要。
评估跌倒预防干预措施在减少住院成年人（急性和亚急性病房、康复、精神卫生、手术室和急诊科）跌倒中的有效性。我们还总结了有效的跌倒预防干预措施的组成部分。
本方案已注册。系统评价将遵循 Cochrane 指南，并根据系统评价和荟萃分析报告的首选报告项目进行报告。
随机对照试验、半随机试验或对照临床试验，评估用于住院成年人或员工的跌倒预防干预措施。将使用包括“跌倒”、“意外跌倒”、“预防”、“医院”、“康复”、“急诊”、“精神卫生”、“急性”和“亚急性”等关键词，在电子数据库中进行搜索。将由两名独立的审查员进行所有审查步骤。将对纳入的研究进行偏倚风险评估。将提取和分析年龄、参与者特征、环境和干预等变量的数据，并尽可能进行描述性统计和荟萃分析。结果将以文字、流程图、总结表、统计分析（和可能的荟萃分析）和叙述性摘要呈现。
不需要伦理批准。系统评价将发表在同行评议的期刊上，并通过电子、印刷和会议传播。更新将指导医疗保健向实践的转化。
PROSPERO 2017：CRD42017058887。可从 https://www.crd.york.ac.uk/prospero. 获取。
