Accuracy of clinical-functional tools to identify risk of falls among community-dwelling older adults

Fisioterapia em Movimento

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Title Accuracy of clinical-functional tools to identify risk of falls among community-dwelling older adults
Creator Xavier Sampaio, Raphaela
Santos Abreu, Amanda Maria
Almeida Nagata, Cristiane
Azevedo Garcia, Patrícia
Description Introduction: The identification of older adults who present greater chances of falling is the first step in the prevention of falls. Clinical instruments have been shown to be able to differentiate fallers from nonfallers, but their predictive validity remains controversial. Objective: To investigate the accuracy of the Short Physical Performance Battery (SPPB) and Quick Screen Clinical Fall Risk Assessment (QuickScreen)instruments to identify risk of falls in community-dwelling older adults. Method: This is a prospective methodological study with 81 older adults (≥ 60 years), assessed at baseline by SPPB and QuickScreen and monitored after one year to identify the occurrence of falls. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and area under the ROC curve (AUC) were calculated. Results: 28.4% of the sample reported falls. QuickScreen presented 52.2% sensitivity, 74.1% specificity, 44.4% PPV,79.6% NPV and 0.656 AUC. The AUC for SPPB was not significant (p = 0.087). Conclusion: QuickScreen presented poor accuracy when predicting falls and SPPB was unable to identify community-dwelling older adults at risk of falls. The QuickScreen instrument stood out for its high potential to identify true negatives.
Publisher Editora PUCPRESS
Date 2019-03-07
Type info:eu-repo/semantics/article

Format application/pdf
Source Fisioterapia em Movimento (Physical Therapy in Movement); v. 32 (2019): n. cont.; 1 - 11
Fisioterapia em Movimento; v. 32 (2019): n. cont.; 1 - 11
Language por
Rights Direitos autorais 2019 Fisioterapia em Movimento

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