RESUMO
BACKGROUND: Intra-hospital falls have become an important public health problem globally. The use of movement sensors with alarms has been studied as elements with predictive capacity for falls at hospital level. However, in spite of their use in some hospitals throughout the world, evidence is lacking about their effectiveness in reducing intra-hospital falls. Therefore, this study aims to develop a systematic review and meta-analysis of existing scientific literature exploring the impact of using sensors for fall prevention in hospitalized adults and the elderly population. METHODS: We explored literature based on clinical trials in Spanish, English, and Portuguese, assessing the impact of devices used for hospital fall prevention in adult and elderly populations. The search included databases such as IEEE Xplore, the Cochrane Library, Scopus, PubMed, MEDLINE, and Science Direct databases. The critical appraisal was performed independently by two researchers. Methodological quality was assessed based on the ratings of individual biases. We performed the sum of the results, generating an estimation of the grouped effect (Relative Risk, 95% CI) for the outcome first fall for each patient. We assessed heterogeneity and publication bias. The study followed PRISMA guidelines. RESULTS: Results were assessed in three randomized controlled clinical trials, including 29,691 patients. A total of 351 (3%) patients fell among 11,769 patients assigned to the intervention group, compared with 426 (2.4%) patients who fell among 17,922 patients assigned to the control group (general estimation RR 1.20, 95% CI 1.04, 1.37, Pâ=â.02, I2â=â0%; Moderate GRADE). CONCLUSION: Our results show an increase of 19% in falls among elderly patients who are users of sensors located in their bed, bed-chair, or chair among their hospitalizations. Other types of sensors such as wearable sensors can be explored as coadjutants for fall prevention care in hospitals.
Assuntos
Acidentes por Quedas/prevenção & controle , Arquitetura Hospitalar/instrumentação , Prevenção Primária/instrumentação , Equipamentos de Proteção/efeitos adversos , Acidentes por Quedas/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Gerenciamento de Dados , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Prevenção Primária/métodos , Equipamentos de Proteção/estatística & dados numéricos , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
Protocolo firmado entre el Gobierno de la Ciudad de Buenos Aires y la Corporación Médica Canadiense para evaluar la factibilidad de eregir el Centro Hospitalario Norte, en esa zona de la ciudad. El proyecto incluía una fase de estudio, una segunda de recomendaciones, y la realización del contenido del informe
Assuntos
Arquitetura Hospitalar/instrumentação , Fidelidade a Diretrizes , Políticas, Planejamento e Administração em SaúdeRESUMO
Protocolo firmado entre el Gobierno de la Ciudad de Buenos Aires y la Corporación Médica Canadiense para evaluar la factibilidad de eregir el Centro Hospitalario Norte, en esa zona de la ciudad. El proyecto incluía una fase de estudio, una segunda de recomendaciones, y la realización del contenido del informe
Assuntos
Arquitetura Hospitalar/instrumentação , Fidelidade a Diretrizes , Políticas, Planejamento e Administração em SaúdeRESUMO
En los meses de febrero y marzo de 1981 se estudio si la energia solar podria servir eficazmente al hospital Queen Elizabeth de Bridgetown, Barbados.El estudio indico que un sistema de energia solar destinado a calentar el agua para uso domestico podria ser efectivo en relacion con el costo y se recomendo que el hospital pusiera en practica los planes pertinentes para instalar un sistema limitado de energia solar de este tipo