Evidence map›Paper›PMID 32071174›Full record

ArticleBMJ open2020

Protocol for the SAFEST review: the Shock-Absorbing Flooring Effectiveness SysTematic review including older adults and staff in hospitals and care homes.

Amy Drahota, Lambert M Felix, Bethany E Keenan, Chantelle C Lachance, Andrew Laing, Dawn C Mackey, James Raftery

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. A comparison of floor surfaces for injury prevention in care settings: impact forces and horizontal pulling force required to move wheeled equipment.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Amy DrahotaSchool of Health & Care Professions, University of Portsmouth, Portsmouth, Hampshire, UK amy.drahota@port.ac.uk.ORCID 0000-0001-9772-0220
Lambert M FelixSchool of Health & Care Professions, University of Portsmouth, Portsmouth, Hampshire, UK.ORCID 0000-0001-6517-9089
Bethany E KeenanSchool of Engineering, Cardiff University, Cardiff, South Glamorgan, UK.ORCID 0000-0001-7787-2892
Chantelle C LachanceSchool of Health & Care Professions, University of Portsmouth, Portsmouth, Hampshire, UK.ORCID 0000-0001-5755-5160
Andrew LaingDepartment of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0001-8128-011X
Dawn C MackeyDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada.ORCID 0000-0001-9854-1486
James RafteryFaculty of Medicine, University of Southampton, Southampton, Hampshire, UK.ORCID 0000-0003-1094-8578
University of Portsmouth · GBCardiff University · GBSimon Fraser University · CAUniversity of Southampton · GBUniversity of Waterloo · CA

Funding

Department of Health HTA/17/148/11
6 · The paper itself

Abstract

introductionFalls in hospitals and care homes are a major issue of international concern. Inpatient falls are the most commonly reported safety incident in the UK's National Health Service (NHS), costing the NHS £630 million a year. Injurious falls are particularly life-limiting and costly. There is a growing body of evidence on shock-absorbing flooring for fall-related injury prevention; however, no systematic review exists to inform practice. METHODS AND ANALYSIS: We will systematically identify, appraise and summarise studies investigating the clinical and cost-effectiveness, and experiences of shock-absorbing flooring in hospitals and care homes. Our search will build on an extensive search conducted by a scoping review (inception to May 2016). We will search electronic databases (AgeLine, CINAHL, MEDLINE, NHS Economic Evaluation Database, Scopus and Web of Science; May 2016-present), trial registries and grey literature. We will conduct backward and forward citation searches of included studies, and liaise with study researchers. We will evaluate the influence of floors on fall-related injuries, falls and staff work-related injuries through randomised and non-randomised studies, consider economic and qualitative evidence, and implementation factors. We will consider risk of bias, assess heterogeneity and explore potential effect modifiers via subgroup analyses and sensitivity analyses. Where appropriate we will combine studies through meta-analysis. We will use the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach to evaluate the quality of evidence and present the results using summary of findings tables, and adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines. ETHICS AND DISSEMINATION: We will follow the ethical principles of systematic review conduct, by attending to publication ethics, transparency and rigour. Our dissemination plan includes peer-reviewed publication, presentations, press release, stakeholder symposium, patient video and targeted knowledge-to-action reports. This review will inform decision-making around falls management in care settings and identify important directions for future research. PROSPERO REGISTRATION NUMBER: CRD42019118834.

Indexed as

HospitalsResidential FacilitiesAccidental FallsAgedCost-Benefit AnalysisFloors and FloorcoveringsHumansInpatientsRisk FactorsState MedicineSystematic Reviews as TopicWounds and Injuriesaccidental fallsfloors and floorcoveringshospitalsresidential facilitieswounds and injuries

Identifiers

PMID32071174
PMCPMC7044972
OpenAlexW3008287276

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.