Predictive Validity and Cut-Off Scores in Four Diagnostic Tests for Falls – A Study in Frail Older People at Home
Författare
Summary, in English
No study has investigated the predictive validity and cut-off scores in
diagnostic tests for falls used in in-home assessment in frail older people. The objective was to investigate the predictive validity for falls in the Downton Fall Risk Index (DFRI), Timed Up and Go (TUG) and Romberg test (RT) used in in-home assessment of frail older people (65+ years). Data on the diagnostic tests were collected at baseline N = 153) and fall frequency were collected at six- and twelve-month follow-ups. The optimal cut-offs were 3 p in DFRI and 12 s in TUG. However, the validity indexes were generally low and only 40–50% were correctly classified. The RT showed low sensitivity. To increase the predictive validity for falls in this context, the use of DFRI and/or TUG as a part of a comprehensive fall-risk assessment tool, should be
investigated in future studies
diagnostic tests for falls used in in-home assessment in frail older people. The objective was to investigate the predictive validity for falls in the Downton Fall Risk Index (DFRI), Timed Up and Go (TUG) and Romberg test (RT) used in in-home assessment of frail older people (65+ years). Data on the diagnostic tests were collected at baseline N = 153) and fall frequency were collected at six- and twelve-month follow-ups. The optimal cut-offs were 3 p in DFRI and 12 s in TUG. However, the validity indexes were generally low and only 40–50% were correctly classified. The RT showed low sensitivity. To increase the predictive validity for falls in this context, the use of DFRI and/or TUG as a part of a comprehensive fall-risk assessment tool, should be
investigated in future studies
Avdelning/ar
Publiceringsår
2012
Språk
Engelska
Sidor
189-201
Publikation/Tidskrift/Serie
Physical & Occupational Therapy in Geriatrics
Volym
30
Issue
3
Fulltext
- Available as PDF - 213 kB
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Dokumenttyp
Artikel i tidskrift
Förlag
Informa Healthcare
Ämne
- Nursing
- Health Sciences
- Clinical Medicine
Nyckelord
- Falls
- predictive validity
- cut-off score
- aged
- aged 80+
- frail
Status
Published
Projekt
- Case mangement for frail older people
Forskningsgrupp
- Family Medicine and Community Medicine
ISBN/ISSN/Övrigt
- ISSN: 0270-3181