Département de médecine générale, Faculté de médecine de Toulouse-Rangueil, 133, route de Narbonne, F-31062 Toulouse cedex - firstname.lastname@example.org
Among 920 papers which were found and evaluated according to CONSORT grid, 16 trials and 4 meta-analyzes were included in this review. Home adjustment is effective in the prevention of falls for patients with severe visual impairment (high level of evidence) and among fallers (intermediate level). It is beneficial in preserving the autonomy in patients with a loss of autonomy (intermediate level of evidence). In all these situations, the beneficial interventions are conducted by an occupational therapist. Further studies are needed to clarify the risk-benefit on other criteria (mortality, independence, quality of life) and other patient populations such as those with Alzheimer disease or at high risk for falls. The adjustments made by other carers than occupational therapists remain to be evaluated.