Department of Medicine, University of Udine, Udine, Italy.
Faculty of Health Sciences, Fundamentals of Nursing Department, Karadeniz Technical University, Trabzon, Turkey.
BMC Geriatr. 2024 Oct 4;24(1):810. doi: 10.1186/s12877-024-05395-2.
Falls are a worrying and growing phenomenon worldwide that especially affects the elderly. With the development of technology, one way of studying the real-life falls that occur in healthcare settings is by using video cameras.
To (a) map the patterns of the research on real-life falls among older adults in healthcare settings as assessed with digital video camera supports; and (b) highlight the advances, the evidence produced, and the gaps still present regarding the biomechanics of falls as assessed technologically.
A scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. CINAHL, PubMed and Google Scholar were searched. All studies regarding falls investigated with video cameras among older individuals in healthcare settings published from 1st January 1990 to 1st January 2022 were eligible. Findings were summarised according to the Patterns, Advances, Gaps, Evidence and Recommendations framework for Scoping Reviews.
In total, 1943 studies were retrieved, and 16 met the inclusion criteria. Studies were mostly conducted in Canada. They described the real-life falls that occurred mainly in common and living areas of long-term facilities among older individuals, mainly females. Thirteen studies investigated falls through biomechanics, while three provided advances in the reliability of the measures as collected with video cameras. Studies reported that the biomechanics of a fall, reflecting the direction of the fall and protective responses, increase or decrease the likelihood of serious impact. In addition, the direction of the landing after a fall has been determined as having a significant impact on the severity and outcome of the fall.
The use of video cameras to investigate the biomechanics of falls is a well-established research area that offer interesting insight regarding (a) how to prevent falls and their injuries and (b) the direction of the research in the field of falls.
跌倒在全球范围内是一个令人担忧且日益严重的现象，尤其影响老年人。随着技术的发展，一种研究医疗环境中实际跌倒的方法是使用摄像机。
(a) 绘制使用数字摄像机支持评估的医疗环境中老年人真实跌倒研究的模式；(b) 突出技术评估跌倒生物力学方面的进展、产生的证据和仍然存在的差距。
遵循系统评价和荟萃分析扩展的范围综述。检索 CINAHL、PubMed 和 Google Scholar。所有关于在医疗环境中使用摄像机研究老年人跌倒的研究，发表时间为 1990 年 1 月 1 日至 2022 年 1 月 1 日，均符合纳入标准。根据范围综述的模式、进展、差距、证据和建议框架总结研究结果。
共检索到 1943 篇研究，其中 16 篇符合纳入标准。这些研究主要在加拿大进行，描述了主要在长期护理设施的常见和生活区域发生的老年人实际跌倒，主要是女性。13 项研究通过生物力学研究跌倒，3 项研究提供了摄像机采集的测量值可靠性方面的进展。研究报告称，跌倒的生物力学，反映跌倒的方向和保护反应，增加或降低严重影响的可能性。此外，跌倒后的着陆方向已被确定为对跌倒的严重程度和结果有重大影响。
使用摄像机研究跌倒的生物力学是一个成熟的研究领域，为（a）如何预防跌倒及其伤害以及（b）跌倒领域的研究方向提供了有趣的见解。
