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Older People Living Alone: A Predictive Model of Fall Risk

Falls in older people are a result of a combination of multiple risk factors. There are few studies involving predictive models in a community context. The aim of this study was to determine the validation of a new model for predicting fall risk in older adults (65+) living alone in community dwelli...

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Detalles Bibliográficos
Autores principales: Lage, Isabel, Braga, Fátima, Almendra, Manuela, Meneses, Filipe, Teixeira, Laetitia, Araújo, Odete
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341723/
https://www.ncbi.nlm.nih.gov/pubmed/37444131
http://dx.doi.org/10.3390/ijerph20136284
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author Lage, Isabel
Braga, Fátima
Almendra, Manuela
Meneses, Filipe
Teixeira, Laetitia
Araújo, Odete
author_facet Lage, Isabel
Braga, Fátima
Almendra, Manuela
Meneses, Filipe
Teixeira, Laetitia
Araújo, Odete
author_sort Lage, Isabel
collection PubMed
description Falls in older people are a result of a combination of multiple risk factors. There are few studies involving predictive models in a community context. The aim of this study was to determine the validation of a new model for predicting fall risk in older adults (65+) living alone in community dwellings (n = 186; n = 117) with a test–retest reliability study. We consider in the predictive model the significant factors emerged from the bivariate analysis: age, zone, social community resources, physical exercise, self-perception of health, difficulty to keep standing, difficulty to sit and get up from a chair, strain to see, use of technical devices, hypertension and number of medications. The final model explained 28.5% of the risk of falling in older adults living alone in community dwellings. The AUC = 0.660 (se = 0.065, IC 95% 0.533–0.787, p = 0.017). The predictive model developed revealed a satisfactory discriminatory performance of the model and can contribute to clinical practice, with respect to the evaluation of risk of falling in this frailty group and preventing falls.
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spelling pubmed-103417232023-07-14 Older People Living Alone: A Predictive Model of Fall Risk Lage, Isabel Braga, Fátima Almendra, Manuela Meneses, Filipe Teixeira, Laetitia Araújo, Odete Int J Environ Res Public Health Article Falls in older people are a result of a combination of multiple risk factors. There are few studies involving predictive models in a community context. The aim of this study was to determine the validation of a new model for predicting fall risk in older adults (65+) living alone in community dwellings (n = 186; n = 117) with a test–retest reliability study. We consider in the predictive model the significant factors emerged from the bivariate analysis: age, zone, social community resources, physical exercise, self-perception of health, difficulty to keep standing, difficulty to sit and get up from a chair, strain to see, use of technical devices, hypertension and number of medications. The final model explained 28.5% of the risk of falling in older adults living alone in community dwellings. The AUC = 0.660 (se = 0.065, IC 95% 0.533–0.787, p = 0.017). The predictive model developed revealed a satisfactory discriminatory performance of the model and can contribute to clinical practice, with respect to the evaluation of risk of falling in this frailty group and preventing falls. MDPI 2023-07-03 /pmc/articles/PMC10341723/ /pubmed/37444131 http://dx.doi.org/10.3390/ijerph20136284 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lage, Isabel
Braga, Fátima
Almendra, Manuela
Meneses, Filipe
Teixeira, Laetitia
Araújo, Odete
Older People Living Alone: A Predictive Model of Fall Risk
title Older People Living Alone: A Predictive Model of Fall Risk
title_full Older People Living Alone: A Predictive Model of Fall Risk
title_fullStr Older People Living Alone: A Predictive Model of Fall Risk
title_full_unstemmed Older People Living Alone: A Predictive Model of Fall Risk
title_short Older People Living Alone: A Predictive Model of Fall Risk
title_sort older people living alone: a predictive model of fall risk
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341723/
https://www.ncbi.nlm.nih.gov/pubmed/37444131
http://dx.doi.org/10.3390/ijerph20136284
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