journal articles
ASSESSMENT OF AN AUTOMATED TELESURVEILLANCE SYSTEM ON THE INCIDENCE OF SERIOUS FALLS IN NURSING HOMES (TELEHPAD): RANDOMIZED CONTROLLED TRIAL
Abdoul Razak SAWADOGO, Jean-François NYS, Caroline GAYOT, Gilles KEHOUA, Achille TCHALLA
J Aging Res & Lifestyle 2025;14
INTRODUCTION: Early detection and management of falls is an important issue in nursing homes, and automated telesurveillance system (ATS) can help support these processes. The main aim of this study was to examine the impact of ATS on serious falls prevention in older adults (OA) living in Nursing Home (NH).
MATERIALS AND METHODS: This was a prospective, multicenter, randomized clinical trial. It involved 213 OA, 104 in the intervention group (IG) and 109 in the control group (CG).
RESULTS: The OA had a mean age of 87.7 ± SD: 5.9 years, and were predominantly female (69.0 %). The annual incidence of serious falls was 0.37 ± SD: 0.76, respectively 0.24 ± SD: 0.53 and 0.49 ± SD: 0.92 in the IG and CG, p = 0.022. That for non-serious falls was 0.97 ± SD: 1.98, respectively 0.84 ± 2.04 and 1.09 ± SD: 1.91 in the IG and CG, p = 0.011. The incidence of total falls was 1.33 ± SD: 2.48, 1.08 ± SD: 2.35 in the IG and 1.58 ± SD: 2.58 in the CG, p = 0.004. The proportion of OA with at least one serious fall was 20.19 % in the IG versus 33.03 % in the CG, p = 0.034. The proportion of OA with at least one non-serious fall was 25.96 % in the IG versus 45.87 % in the CG, p = 0.002.
CONCLUSIONS: The ATS EDAO detects falls that are not serious, enabling personalized secondary prevention programs to be initiated to prevent serious falls.
CITATION:
Abdoul Razak SAWADOGO ; Jean-François NYS ; Caroline GAYOT ; Gilles KEHOUA ; Achille TCHALLA (2025): Assessment of an automated telesurveillance system on the incidence of serious falls in nursing homes (TELEHPAD): Randomized controlled trial. The Journal of Aging Research and Clinical Practice (JARCP). https://doi.org/10.1016/j.jarlif.2025.100025