Impact of Lower Extremity Strengthening Exercises and Mobility on Fall Rates in Hospitalized Adults

Padula, Cynthia; DiSano, Cindy; Ruggiero, Cynthia; Carpentier, Michelle; Reppucci, Melanie; Forloney, Barbara; Hughes, Cynthia B.

doi:10.1097/ncq.0b013e318207decb

Cited by 13 publications

(6 citation statements)

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“…The trial by Padula et al. [ 54 ] could not be included in this meta-analysis because effect sizes and CI for the rate of falls were not reported. It was of moderate quality, scoring 6/9 using the JBI quasi-experimental appraisal tool and reported similar falls rates between intervention and control groups.…”

Section: Resultsmentioning

confidence: 99%

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Interventions to reduce falls in hospitals: a systematic review and meta-analysis

et al. 2022

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Background Falls remain a common and debilitating problem in hospitals worldwide. The aim of this study was to investigate the effects of falls prevention interventions on falls rates and the risk of falling in hospital. Design Systematic review and meta-analysis. Participants Hospitalised adults. Intervention Prevention methods included staff and patient education, environmental modifications, assistive devices, policies and systems, rehabilitation, medication management and management of cognitive impairment. We evaluated single and multi-factorial approaches. Outcome measures Falls rate ratios (rate ratio: RaR) and falls risk, as defined by the odds of being a faller in the intervention compared to control group (odds ratio: OR). Results There were 43 studies that satisfied the systematic review criteria and 23 were included in meta-analyses. There was marked heterogeneity in intervention methods and study designs. The only intervention that yielded a significant result in the meta-analysis was education, with a reduction in falls rates (RaR = 0.70 [0.51–0.96], P = 0.03) and the odds of falling (OR = 0.62 [0.47–0.83], P = 0.001). The patient and staff education studies in the meta-analysis were of high quality on the GRADE tool. Individual trials in the systematic review showed evidence for clinician education, some multi-factorial interventions, select rehabilitation therapies, and systems, with low to moderate risk of bias. Conclusion Patient and staff education can reduce hospital falls. Multi-factorial interventions had a tendency towards producing a positive impact. Chair alarms, bed alarms, wearable sensors and use of scored risk assessment tools were not associated with significant fall reductions.

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Section: Resultsmentioning

confidence: 99%

“…Fifteen of the included studies in the systematic review had a non-randomised design [ 36 , 37 , 39 , 41 , 42 , 51 , 54 , 58 , 60–62 , 64 , 65 , 67 , 69 ]. Supplementary Table 3 shows that many of these scored well on method quality [ 36 , 37 , 39 , 41 , 42 , 51 , 58 , 60–62 , 65 , 69 ].…”

Section: Resultsmentioning

confidence: 99%

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

et al. 2022

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“…A prevenção de quedas em hospitais de cuidados agudos é um grande desafio (PADULA et al, 2011). A efetiva adoção dos elementos-chave comuns, nos melhores programas de prevenção de quedas nos hospitais, é o melhor guia para intervenções eficazes na redução das taxas de quedas (DEGELOU et al, 2012).…”

Section: Quedasunclassified

“…Marcha instável e eliminação comprometida são fatores de risco presentes nos A fraqueza dos membros inferiores e o declínio do estado funcional são fatores de risco para quedas muito comuns entre os adultos com doença aguda e podem ocorrer durante a internação, por conta de um repouso prolongado no leito ou outras condições físicas (PADULA et al, 2011). Portanto, o enfermeiro desempenha um papel importante ao estimular os pacientes hospitalizados a deambularem e a manter o estado funcional enquanto estiverem internados.…”

Section: Nic Interventions Linked To 2007 -2008 Nanda -I Nursing Diagunclassified

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Risco de quedas: aplicabilidade de intervenções de Enfermagem da NIC em adultos e idosos hospitalizados

Oliveira¹

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The objective of this research was to analyze the applicability of the proposed interventions by the Nursing Interventions Classification for the diagnosis "Fall risks" in adults and elderly hospitalized. This is a descriptive quantitative study, performed with 23 students of the 8th period from Nursing Graduation of a Public University in João Pessoa/Paraíba, which describes the activities listed by students in the areas Basic Physiological, Complex Physiological and Safety for adults and elderly patients with diagnosis of "Fall risks", presents the comparative mapping of interventions and the listed activities by students with the proposals by this classifications, the refinement of the cross-mapping performed by expert nurses, and lastly, the opinion of students as to the applicability of NIC. As for the results, it was found 22 female students, with ages between 20 and 29 years. All answered that identify the diagnosis of "Risk of falls" in adults and elderly hospitalized, with the exception of one student; only two had access to an instrument for the evaluation "Risk of falls"; all answered that studied the subject on preventing falls in the courses of Health Attention Nursing of Adult and Elderly I and II; only two students presented researches on the thematic in scientific events. First, it was identified that activities that involve the education of patient and/or family were listed more often in interventions of fall prevention, ambient control: safety, control of medicines and therapy with exercise: balance. Were listed by students 242 activities with repetitions (187 in the area of safety, 37 in Basic Physiological area, 18, in Complex Phisiological area). The average of activities per students was 10.5. The student who most appropriated the area Security listed 16 activities. As for comparative mapping , were listed 22 interventions and 81 activities for this study. However, after mapping, it was found that remained 22 interventions and activities increased to 82, distributed in three of seven areas of classification. The intervention fall prevention was the most listed by students, followed by ambient control: safety, dementia control, medicine control, and therapy with exercise: balance. Most activities were judged as 100% agreement among expert nurses. In analysing the applicability, were considered the main interventions, assistance in self-care (0.82) and precautions against seizures (0.80). We conclude that Nursing students use hardly the classification NIC and that nursing interventions suggested by the connection NANDA-I and NIC were applicable for the diagnosis of "Risk of falls". Yet they need to be updated. It is signaled the need for clinical validation of the mapped interventions and judged for this study. El objetivo de la investigación fue analizar la aplicabilidad de la propuesta de intervenciones Clasificación de Intervenciones de Enfermería para el diagnóstico de "Riesgo de caídas" en adultos y ancianos hospitalizados. Se trata de un estudio descriptivo cuantitativo, realizado con 2...

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Mobilizing older adults: A multi-site, exploratory and observational study on patients enrolled in the Hospital Elder Life Program (HELP)

et al. 2019

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Impact of Lower Extremity Strengthening Exercises and Mobility on Fall Rates in Hospitalized Adults

Cited by 13 publications

References 14 publications

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

Risco de quedas: aplicabilidade de intervenções de Enfermagem da NIC em adultos e idosos hospitalizados

Mobilizing older adults: A multi-site, exploratory and observational study on patients enrolled in the Hospital Elder Life Program (HELP)

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