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The state of knowledge on technologies and their use for fall detection: A scoping review

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Miguel Cruz, Antonio
Ríos Rincón, Adriana María
Liu, Lili
Lapierre, Nolween
Neubauber, Noelanahh
Abstract (Spanish)
Antecedentes: A nivel mundial, las poblaciones están envejeciendo y la esperanza de vida aumenta. El proceso normal de envejecimiento y las discapacidades resultantes aumentan el riesgo de caídas. Las caídas son una causa importante de lesiones, pérdida de independencia e institucionalización. Se han desarrollado tecnologías para detectar caídas y reducir sus consecuencias pero su uso y el impacto en la calidad de vida siguen siendo discutibles. Existen reseñas sobre tecnologías de detección de caídas, pero no son exhaustivas. Una revisión exhaustiva de la literatura sobre el estado del conocimiento de las tecnologías de detección de caídas puede servir de base para la investigación, práctica y adopción por parte de los usuarios. Objetivos: Examinar el alcance y la diversidad de las tecnologías actuales para la detección de caídas en adultos mayores. Métodos: Se utilizó un diseño de revisión de alcance para buscar literatura revisada por pares sobre tecnologías para detectar caídas, publicados en inglés, francés o español desde 2006. Los datos de los estudios se analizaron descriptivamente. Resultados: La búsqueda bibliográfica identificó 3202 estudios de los cuales 118 se incluyeron para el análisis. Diez tipos de Se identificaron tecnologías que van desde dispositivos portátiles (por ejemplo, sensores inerciales) hasta sensores ambientales (por ejemplo, sensores de visión). sensores). Su nivel de preparación tecnológica fue bajo (media 4,54 DE 1,25; IC del 95 % [4,31, 4,77] de un máximo de 9). Los resultados generalmente se evaluaron sobre una base tecnológica y en entornos controlados. Pocos fueron evaluados en ámbitos domiciliarios o unidades de atención con adultos mayores. Se evaluaron la aceptabilidad, el costo de implementación y las barreras. rara vez abordado. Conclusiones: La investigación adicional debería centrarse en aumentar los niveles de preparación tecnológica de las tecnologías de detección de caídas probándolas en entornos de la vida real con adultos mayores.
Abstract (English)
Background: Globally, populations are aging with increasing life spans. The normal aging process and the resulting disabilities increase fall risks. Falls are an important cause of injury, loss of independence and institutionalization. Technologies have been developed to detect falls and reduce their consequences but their use and impact on quality of life remain debatable. Reviews on fall detection technologies exist but are not extensive. A comprehensive literature review on the state of knowledge of fall detection technologies can inform research, practice, and user adoption. Objectives: To examine the extent and the diversity of current technologies for fall detection in older adults. Methods: A scoping review design was used to search peer-reviewed literature on technologies to detect falls, published in English, French or Spanish since 2006. Data from the studies were analyzed descriptively. Results: The literature search identified 3202 studies of which 118 were included for analysis. Ten types of technologies were identified ranging from wearable (e.g., inertial sensors) to ambient sensors (e.g., vision sensors). Their Technology Readiness Level was low (mean 4.54 SD 1.25; 95% CI [4.31, 4.77] out of a maximum of 9). Outcomes were typically evaluated on technological basis and in controlled environments. Few were evaluated in home settings or care units with older adults. Acceptability, implementation cost and barriers were seldom addressed. Conclusions: Further research should focus on increasing Technology Readiness Levels of fall detection technologies by testing them in real-life settings with older adults.
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14 páginas
URI: https://repositorio.escuelaing.edu.co/handle/001/3363
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