Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)

Abstract Background Falls are a common and serious health issue facing the global population, causing an estimated 646,000 deaths per year globally. Wearable devices typically combine accelerometers, gyroscopes and even barometers; using the data collected and inputting this into an algorithm that d...

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Autores principales:	Daniel Joseph Warrington, Elizabeth Jane Shortis, Paula Jane Whittaker
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Wearable electronic devices Accidental falls Aged Falls prevention Falls management Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6a9bb62668144d39b0cc9bc6ec71efa5
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spelling	oai:doaj.org-article:6a9bb62668144d39b0cc9bc6ec71efa52021-11-21T12:11:38ZAre wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)10.1186/s12889-021-12169-71471-2458https://doaj.org/article/6a9bb62668144d39b0cc9bc6ec71efa52021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12169-7https://doaj.org/toc/1471-2458Abstract Background Falls are a common and serious health issue facing the global population, causing an estimated 646,000 deaths per year globally. Wearable devices typically combine accelerometers, gyroscopes and even barometers; using the data collected and inputting this into an algorithm that decides whether a fall has occurred. The purpose of this umbrella review was to provide a comprehensive overview of the systematic reviews on the effectiveness of wearable electronic devices for falls detection in adults. Methods MEDLINE, Embase, Cochrane Database of Systematic Reviews (CDSR), and CINAHL, were searched from their inceptions until April 2019 for systematic reviews that assessed the accuracy of wearable technology in the detection of falls. Results Seven systematic reviews were included in this review. Due to heterogeneity between the included systematic reviews in their methods and their reporting of results, a meta-analysis could not be performed. Most devices tested used accelerometers, often in combination with gyroscopes. Three systematic reviews reported an average sensitivity of 93.1% or greater and an average specificity of 86.4% or greater for the detection of falls. Placing sensors on the trunk, foot or leg appears to provide the highest accuracy for falls detection, with multiple sensors increasing the accuracy, specificity, and sensitivity of these devices. Conclusions This review demonstrated that wearable device technology offers a low-cost and accurate way to effectively detect falls and summon for help. There are significant differences in the effectiveness of these devices depending on the type of device and its placement. Further high-quality research is needed to confirm the accuracy of these devices in frail older people in real-world settings.Daniel Joseph WarringtonElizabeth Jane ShortisPaula Jane WhittakerBMCarticleWearable electronic devicesAccidental fallsAgedFalls preventionFalls managementPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Wearable electronic devices Accidental falls Aged Falls prevention Falls management Public aspects of medicine RA1-1270
spellingShingle	Wearable electronic devices Accidental falls Aged Falls prevention Falls management Public aspects of medicine RA1-1270 Daniel Joseph Warrington Elizabeth Jane Shortis Paula Jane Whittaker Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
description	Abstract Background Falls are a common and serious health issue facing the global population, causing an estimated 646,000 deaths per year globally. Wearable devices typically combine accelerometers, gyroscopes and even barometers; using the data collected and inputting this into an algorithm that decides whether a fall has occurred. The purpose of this umbrella review was to provide a comprehensive overview of the systematic reviews on the effectiveness of wearable electronic devices for falls detection in adults. Methods MEDLINE, Embase, Cochrane Database of Systematic Reviews (CDSR), and CINAHL, were searched from their inceptions until April 2019 for systematic reviews that assessed the accuracy of wearable technology in the detection of falls. Results Seven systematic reviews were included in this review. Due to heterogeneity between the included systematic reviews in their methods and their reporting of results, a meta-analysis could not be performed. Most devices tested used accelerometers, often in combination with gyroscopes. Three systematic reviews reported an average sensitivity of 93.1% or greater and an average specificity of 86.4% or greater for the detection of falls. Placing sensors on the trunk, foot or leg appears to provide the highest accuracy for falls detection, with multiple sensors increasing the accuracy, specificity, and sensitivity of these devices. Conclusions This review demonstrated that wearable device technology offers a low-cost and accurate way to effectively detect falls and summon for help. There are significant differences in the effectiveness of these devices depending on the type of device and its placement. Further high-quality research is needed to confirm the accuracy of these devices in frail older people in real-world settings.
format	article
author	Daniel Joseph Warrington Elizabeth Jane Shortis Paula Jane Whittaker
author_facet	Daniel Joseph Warrington Elizabeth Jane Shortis Paula Jane Whittaker
author_sort	Daniel Joseph Warrington
title	Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
title_short	Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
title_full	Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
title_fullStr	Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
title_full_unstemmed	Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
title_sort	are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)
publisher	BMC
publishDate	2021
url	https://doaj.org/article/6a9bb62668144d39b0cc9bc6ec71efa5
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Are wearable devices effective for preventing and detecting falls: an umbrella review (a review of systematic reviews)

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