[Preventing falls among frail elderly patients in acute care: The use of non-slip socks. A systematic literature review].

INTRODUCTION

Falls among hospitalized frail elderly patients are a worrying, major daily phenomenon.

CONTEXT: Inadequate footwear, frequently observed in this population, is one of the main risk factors behind falls. Several hospitals use non-slip socks as a preventive measure. However, in the context of evidence-based medicine, it is important to verify the existence of strong evidence for their effectiveness.

OBJECTIVE

The aim of this study is to determine the preventive effectiveness of non-slip socks.

METHOD: Five databases were investigated (PubMed, PEDro, Cochrane, ScienceDirect, and Google Scholar). Eligibility criteria were established (using the PICO method), for studies including elderly hospitalized patients.

RESULTS

Seven studies were included. Non-slip socks showed a preventive effect in reducing the recurrence of falls (p=0.009) and the prevalence of falls related to urinary incontinence.

DISCUSSION: Several studies conclude on the added value of non-slip socks compared to traditional socks or slippers. The limitations inherent in the selected studies are taken into account when drawing conclusions.

CONCLUSION

Footwear that is considered safe by therapists and secure by the patient is currently the most recommended option. However, more clinical studies are needed to support our findings.