Comparisons of Interventions for Preventing Falls in Older Adults

A Systematic Review and Meta-analysis

JAMA. 2017;318(17):1687-1699. doi:10.1001/jama.2017.15006


Question  What types of fall-prevention programs may be effective for reducing injurious falls in older people?

Findings  In a network meta-analysis including 54 studies and 41 596 participants, exercise (odds ratio [OR], 0.51), combined exercise, vision assessment and treatment, and environmental assessment and modification (OR, 0.30), combined exercise, and vision assessment and treatment (OR, 0.17), and combined clinic-level quality-improvement strategies, multifactorial assessment and treatment, calcium supplementation, and vitamin D supplementation (OR, 0.12) were significantly associated with reductions in injurious falls.

Meaning  The analysis identified combinations of interventions likely to be more effective than usual care for preventing injurious falls.

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