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Evidence-Based Medicine 2007;12:186; doi:10.1136/ebm.12.6.186
Copyright © 2007 by the BMJ Publishing Group Ltd.

CLINICAL PREDICTION GUIDE

Review: evidence from single studies shows that a few fall risk assessment tools can predict falls in elderly people

What is the accuracy of tools for assessing risk of falls in elderly people in various settings?

The first 150 words of the full text of this article appear below.

Scott V, Votova K, Scanlan A, et al. Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings. Age Ageing 2007;36:130–9.

Clinical impact ratings GP/FP/Primary care ******* Geriatrics *******


METHODS

Formula Data sources:

Medline, EbscoHost Academic Search Premier, Psychology and Behavioural Sciences Collection, Nursing and Allied Health Collection, Health Business Elite, Biomedical Reference Collection, Cochrane Library, and article references.

Formula Study selection and assessment:

English-language prospective studies that were published between 1980 and July 2004 and evaluated a fall risk assessment tool; assessed outcomes of falls, fall-related injuries, or gait/balance; and included mostly participants >=65 years of age. 34 articles (assessing 38 tools) met the selection criteria.

Formula Outcomes:

sensitivity, specificity, and likelihood ratios (calculated from data in article).


MAIN RESULTS

The results of the 5 tools that had >=70% sensitivity and specificity on >=1 assessment are summarised in the table. The following tools had reported sensitivities or specificities <70%: Community . . . [Full text of this article]

Claudia Beghé, MD

University of South Florida, Tampa, Florida, USA


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