Predictive validity of a modified fall assessment tool in nursing homes: Experience from Slovenia

Jakovljević, Miroljub

doi:10.1111/j.1442-2018.2009.00471.x

Cited by 18 publications

(9 citation statements)

References 33 publications

(59 reference statements)

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“…A further four cohort studies found fallers had a higher BMI than non‐fallers or that a higher BMI was associated with falls 34–37 . A further 11 studies found no difference in BMI between fallers and non‐fallers 19–21,23,25,27–32 …”

Section: Resultsmentioning

confidence: 99%

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Don't fall for weight: A systematic review of weight status and falls

Moore

Boltong

2011

Nutrition & Dietetics

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Aim:To examine the evidence for the contribution of weight status or nutritional status to the incidence of falls. Methods: A systematic review was completed to determine if weight status or nutritional status affects incidence of falls. Inclusion/exclusion criteria were applied to studies published from 2000 which reported weight status and/or nutritional status and falls incidence. Electronic databases searched were CINAHL, MEDLINE, AMED, EMBASE, PUBMED and PsycINFO. Quality assessment and data extraction were performed on studies that met the inclusion criteria. Results: Twenty-seven studies met the inclusion criteria. Six studies found no difference in weight between fallers and non-fallers. Two studies found an association between low weight or weight loss and falls. Eleven studies found no difference in body mass index between fallers and non-fallers. One study found body mass index to be lower in fallers. Five studies found fallers had a higher body mass index than non-fallers or that a higher body mass index was associated with falls. Three studies found malnutrition risk to be statistically significantly higher in fallers. Two descriptive studies identified 45% of a falls population as malnourished or at high risk of malnutrition. Conclusion: This review found limited evidence that being either overweight or underweight increases falls incidence. Referrals for nutritional management to decrease falls risk should not be based on weight status alone. Malnutrition screening should be used to identify appropriate patient referrals to dietitians in falls clinics.

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Section: Resultsmentioning

confidence: 99%

“…Twenty studies measured BMI in fallers 11,12,18–21,23–25,27–37 . These included three descriptive studies, one case control study and 16 cohort studies.…”

Section: Resultsmentioning

confidence: 99%

Don't fall for weight: A systematic review of weight status and falls

Moore

Boltong

2011

Nutrition & Dietetics

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“…Questionnaires filled out by (i) clinical staff [41][42][43][44][45], (ii) the subjects themselves [46,47], or (iii) by telephone interviews [48] represent one of the most prevalent approaches for fall risk assessment in the clinic. While questionnaires can reach out to large cohorts in an efficient manner, a number of limitations are associated with this form of data collection; for questionnaires filled out by employees, well-trained staff are required in order to avoid bias; self-reported questionnaires can only measure explicit knowledge and this knowledgeespecially in the elderly-is often not an objective reflection of the truth [6].…”

Section: Deficits In Common Testsmentioning

confidence: 99%

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Hamacher

Singh

Dieën

et al. 2011

J. R. Soc. Interface.

333

281

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Falls not only present a considerable health threat, but the resulting treatment and loss of working days also place a heavy economic burden on society. Gait instability is a major fall risk factor, particularly in geriatric patients, and walking is one of the most frequent dynamic activities of daily living. To allow preventive strategies to become effective, it is therefore imperative to identify individuals with an unstable gait. Assessment of dynamic stability and gait variability via biomechanical measures of foot kinematics provides a viable option for quantitative evaluation of gait stability, but the ability of these methods to predict falls has generally not been assessed. Although various methods for assessing gait stability exist, their sensitivity and applicability in a clinical setting, as well as their cost-effectiveness, need verification. The objective of this systematic review was therefore to evaluate the sensitivity of biomechanical measures that quantify gait stability among elderly individuals and to evaluate the cost of measurement instrumentation required for application in a clinical setting. To assess gait stability, a comparative effect size (Cohen's d ) analysis of variability and dynamic stability of foot trajectories during level walking was performed on 29 of an initial yield of 9889 articles from four electronic databases. The results of this survey demonstrate that linear variability of temporal measures of swing and stance was most capable of distinguishing between fallers and non-fallers, whereas step width and stride velocity prove more capable of discriminating between old versus young (OY) adults. In addition, while orbital stability measures (Floquet multipliers) applied to gait have been shown to distinguish between both elderly fallers and non-fallers as well as between young and old adults, local stability measures (ls) have been able to distinguish between young and old adults. Both linear and nonlinear measures of foot time series during gait seem to hold predictive ability in distinguishing healthy from fall-prone elderly adults. In conclusion, biomechanical measurements offer promise for identifying individuals at risk of falling and can be obtained with relatively low-cost tools. Incorporation of the most promising measures in combined retrospective and prospective studies for understanding fall risk and designing preventive strategies is warranted.

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“…노인에게 낙상이 발생될 것을 예방하기 위해 여러 가지 전략 을 사용한다 (Kato et al, 2008;Ryu, Roche, & Brunton, 2009) (Hong, 2011;Hook, 2007;Jakovljevic, 2009;Kim, Lee, & Ham, 2009;Lim et al, 2010;Menant et al, 2008;Sung et al, 2006;Tromp et al, 2001). …”

Section: 병원이나 요양기관에서 의료인을 포함한 건강관리자들은unclassified

Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults

Hong¹

2012

Korean J Adult Nurs

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Purpose:The purpose of the study was to develop a knowledge scale of risk factors for fall among communitydwelling older adults. Further, the validity and reliability of the scale was developed. Methods: A preliminary scale was developed through content validity by five experts and targeted subjects using the CVI (Content Validity Index). Following the establishment of content validity, the scale was used with 359 community-dwelling older adults to further establish both validity and reliability of the scale. Specifically, construct validity using known-group comparison technique, and reliability using Cronbach's ⍺ were established. Results: After content validity testing, 44 preliminary items were selected. Construct validity was established by known group-comparison, in which scores between the fall and no fall groups were compared. The Cronbach's ⍺ of the final scale was .83. Conclusion: Reliability and validity of the scale were confirmed. This tool may be used for measuring knowledge of fall risk factor for the community-dwelling older adults.

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Predictive validity of a modified fall assessment tool in nursing homes: Experience from Slovenia

Cited by 18 publications

References 33 publications

Don't fall for weight: A systematic review of weight status and falls

Don't fall for weight: A systematic review of weight status and falls

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults

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