Comment: Home-safety modifications to reduce injuries from falls

Falls are the primary cause of unintentional injuries throughout life, with older adults and children being at highest risk. However, falls are notoriously difficult to avoid through interventions. Researchers agree that falls result from interactions between environmental features and physiological risk factors—eg, physical and cognitive status, diseases, drugs, and activity levels. Yet, the effects of environmental modifications on falls and fall-related injuries have been difficult to measure. In a meta-analysis, interventions focusing on home-safety assessment and modification reduced falls by 19% (relative rate 0·81, 95% CI 0·68–0·97; six trials with 4208 total participants). Findings of a study of a home-safety intervention in 360 community-dwelling senior adults showed no reduction in injuries…

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