Clinical feasibility trial of a motion detection system for fall prevention in hospitalized older adult patients.

The purpose of this pilot study was to test the feasibility of a wireless 5-sensor, motion detection system (5S-MDS) with hospitalized older adults. Interventions to prevent hospital-based falls in older adults are important to reduce morbidity, mortality, and health care costs. Wearable motion sensors, which track and wirelessly transmit body movements, may identify human movement patterns that immediately precede falls, thus allowing early prevention. Descriptive feasibility study in which 5 hospitalized older adults were recruited to wear the 5S-MDS for 4 hours. Measurement included assessment of participant acceptance, skin integrity, and sensor accuracy. All 5 participants (mean age, 90.2 years) agreed that sensors were acceptable and skin integrity was maintained. The sensor data accurately reflected the patient movements. The 5S-MDS was feasible for 4 hours' use with hospitalized older adults. It has potential as an early warning system for falls.

[1]  A K Bourke,et al.  Evaluation of a threshold-based tri-axial accelerometer fall detection algorithm. , 2007, Gait & posture.

[2]  K. Thorngren,et al.  Evaluating the Swedish version of the Falls Efficacy Scale-International (FES-I) , 2009 .

[3]  L. Mion,et al.  Improving the Capture of Fall Events in Hospitals: Combining a Service for Evaluating Inpatient Falls with an Incident Report System , 2008, Journal of the American Geriatrics Society.

[4]  M. Bollini,et al.  The cost of serious fall-related injuries at three Midwestern hospitals. , 2011, Joint Commission journal on quality and patient safety.

[5]  C. Becker,et al.  Evaluation of a fall detector based on accelerometers: A pilot study , 2005, Medical and Biological Engineering and Computing.

[6]  B. Gajewski,et al.  The Relationship of Nursing Workforce Characteristics to Patient Outcomes , 2007, OJIN: The Online Journal of Issues in Nursing.

[7]  Wyss Ll,et al.  Using theory to interpret beliefs in migrants diagnosed with latent TB. , 2006 .

[8]  R. Halfens,et al.  Falls in older hospital inpatients and the effect of cognitive impairment: a secondary analysis of prevalence studies. , 2011, Journal of clinical nursing.

[9]  N. Hadidi,et al.  INTERVENTIONS FOR PREVENTING FALLS IN ACUTE AND CHRONIC CARE HOSPITALS: A SYSTEMATIC REVIEW AND META‐ANALYSIS , 2008, Journal of the American Geriatrics Society.

[10]  E. Eakin,et al.  Older persons' perception of risk of falling: implications for fall-prevention campaigns. , 2008, American journal of public health.

[11]  Donald D Kautz,et al.  Nurses' experiences with bed exit alarms may lead to ambivalence about their effectiveness. , 2011, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[12]  O. Rawashdeh,et al.  A pilot study testing a fall prevention intervention for older adults: determining the feasibility of a five-sensor motion detection system. , 2012, Journal of gerontological nursing.