[Prospective comparison of assessments to evaluate fall risk in a nursing home population]. / Prospektiver Vergleich von Assessments zur Beurteilung der Sturzgefahr bei Pflegeheimbewohnern.
Z Gerontol Geriatr
; 42(6): 473-8, 2009 Dec.
Article
de De
| MEDLINE
| ID: mdl-19688177
ABSTRACT
BACKGROUND:
Falls represent the main health risk in the over-60 age group. Therefore, evaluation of the individual fall risk and assessment of fall mechanisms are important preventive tools. STUDY QUESTION The goal of this study was to validate a new posturographic measurement system [Interactive Balance System (IBS)] in terms of fall prediction. MATERIALS ANDMETHODS:
In all, 108 subjects (mean age 81.9+/-9.5 years) were submitted to the IBS, as well as other fall risk assessment methods [FES-1, Timed-Up-and-Go Test, Performance Oriented Mobility Assessment (Tinetti-Test), Chair-Rising-Test, Tandem stance). The follow-up period of 6 months prospectively recorded all falls using a fall diary.RESULTS:
Of the nursing home residents studied, 25 (23%) fell at least once. The posturographic fall index FI(F1&WDI) (sensitivity 88%) and the Timed-Up-and-Go Test (PPV 38%) showed the best results regarding sensitivity and positive prediction value (PPV).CONCLUSION:
The IBS and the Timed-Up-and-Go Test proved to be the most powerful assessment tools for fall prediction. Furthermore, the IBS is able to provide a purposeful adaption of preventive sensomotoric interventions.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Chutes accidentelles
/
Évaluation gériatrique
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Appréciation des risques
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Maisons de retraite médicalisées
/
Maisons de repos
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Aged
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Aged80
/
Female
/
Humans
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Male
/
Middle aged
Pays/Région comme sujet:
Europa
Langue:
De
Journal:
Z Gerontol Geriatr
Sujet du journal:
GERIATRIA
Année:
2009
Type de document:
Article