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Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.

Originally Published:
2013
Key Point Summary
Key Point Summary Author(s):
Abushousheh, Addie
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Key Concepts/Context

Inpatient falls are a major issue for hospitals and are associated with mortality, morbidity and financial costs. Falls are particularly prevalent in elderly care environments, where patients have more risk factors for both falls and injury. With an aging society, this is an issue of increasing concern.

Objectives

This pilot study investigated shock-absorbing flooring for fall-related injuries in wards for frail older people.

Methods

This study used a one-year non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011 to evaluate different shock-absorbing flooring materials (intervention = 8.3mm thick Tarkett Omnisports EXCEL, or control = 2mm standard in situ flooring) effect on fall-related injury severity, rates, and adverse events.

Design Implications
It is estimated that laying the shock-absorbing flooring in patient bays may reduce the rate of injuries by 42 percent of that experienced by patients without the flooring. To assist with ergonomics in the movement of wheeled equipment, select shock-absorbing flooring that has better push/pull properties. 
Findings

The intervention group experienced almost half as many injurious falls (22.9 percent) as the control group (42.4 percent).

Limitations

As a pilot study there is potential for random error that can limit the generalizability of findings. Further, the study was not blinded, which may lead to a risk of bias.

Design Category
Furniture, Fixtures & Equipment (FF&E)|Interior Material
Setting
Hospitals
Outcome Category
Fall related outcomes|Patient / resident health outcomes
Key Point Summary Author(s):
Abushousheh, Addie
Primary Author
Drahota, A. K.