A pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients.
OBJECTIVE
To test the hypothesis that scores on 4 falls risk measures will differ significantly in patients reporting recurrent falls compared with those who do not; and to explore the validity of each measure to predict such falls status.


METHODS
A convenience sample was tested to establish the sensitivity and specificity of the Functional Reach Test, Timed Up & Go test, one-leg stance test (OLST), and balance subsection of the Performance Oriented Mobility Assessment (B-POMA). A 12-month retrospective falls history was used to identify recurrent fallers.


METHODS
A day hospital for the elderly.


METHODS
Convenience sample of 30 day hospital patients. The inclusion criteria were: ability to rise from a chair and walk 6m; no severe cognitive impairment or blindness; age 65 years or older.


METHODS
Not applicable.


METHODS
Scores on the 4 tests and retrospective falls histories.


RESULTS
Scores on the B-POMA and OLST showed significant differences between fallers and nonfallers (P<.05). An OLST time of 1.02 seconds or less (odds ratio [OR]=15.2; 95% confidence interval [CI], 1.72-133.95) and B-POMA score of 11 or less (OR=18.5; 95% CI, 2.05-167.79) were predictive of day hospital patients having a history of recurrent falls.


CONCLUSIONS
OLST and B-POMA both have potential as screening tools for risk of falls, but this observation requires confirmation in a prospective study.
Thomas
Janet I
JI
Physiotherapy Department, Whitefield Day Hospital, Queen Margaret Hospital, Dunfermline, Fife. janet.thomas@faht.scot.nhs.uk
Lane
Judith V
JV
D000058:Accidental Falls; D000368:Aged; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D016015:Logistic Models; D008297:Male; D010865:Pilot Projects; D004856:Postural Balance; D011237:Predictive Value of Tests; D012372:ROC Curve; D015203:Reproducibility of Results; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D018709:Statistics, Nonparametric