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Meta-Analysis
. 2021 May 29;18(11):5853.
doi: 10.3390/ijerph18115853.

A Systematic Review and Meta-Analysis of Fall Prevention Programs for Pediatric Inpatients

Eun-Joo Kim  1 , Geun-Myun Kim  1 , Ji-Young Lim  2
Affiliations
Meta-Analysis

A Systematic Review and Meta-Analysis of Fall Prevention Programs for Pediatric Inpatients

Eun-Joo Kim et al. Int J Environ Res Public Health. .

Abstract

Falls account for a high proportion of the safety accidents experienced by hospitalized children. This study aims to analyze the contents and effects of fall prevention programs for pediatric inpatients to develop more adaptable fall prevention programs. A literature search was performed using PubMed (including Medline), Science Direct, CINAHL, Embase, and Cochrane. We included articles published from the inception of each of the databases up to 31 March 2019. A total of 1725 results were reviewed according to the inclusion and exclusion criteria, and nine studies were selected. Data were analyzed using descriptive statistics and the Comprehensive Meta-Analysis program. Four of the nine studies divided their participants into a high-risk fall group and a low-or medium-risk fall group, and all studies used a high-risk sign/sticker as a common protocol guideline for its high-risk fall group. The odds ratio of 0.95 (95% Cl 0.550-1.640) for the fall prevention program in seven studies was not statistically significant. To develop a standardized fall prevention program in the future, randomized control trial studies that can objectively measure the fall rate reduction effect of the integrated fall prevention program need to be expanded.

Keywords: fall; meta-analysis; pediatric; prevention.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram depicting study selection.
Figure 2
Figure 2
(a) Forest plot of the studies included in the meta-analysis. (b) Forest plot of the studies measuring the number or the rate of inpatient falls as an outcome. The boxes in the graphs show the effect estimates from the single studies, while the diamond symbol shows the pooled result.
Figure 3
Figure 3
Funnel plot of the studies.
See this image and copyright information in PMC

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