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Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People

Identifying frail older people at risk of falling is a priority in order to apply preventive strategies. This cross-sectional study included community-dwelling pre-frail and frail people (Fried’s criteria) aged 70 years and older to assess the prevalence of falls and identify screening strategies ba...

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Autores principales: Prieto-Contreras, Lucía, Martínez-Arnau, Francisco M., Sancho-Cantus, David, Cubero-Plazas, Laura, Pérez-Ros, Pilar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419298/
https://www.ncbi.nlm.nih.gov/pubmed/37570373
http://dx.doi.org/10.3390/healthcare11152132
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author Prieto-Contreras, Lucía
Martínez-Arnau, Francisco M.
Sancho-Cantus, David
Cubero-Plazas, Laura
Pérez-Ros, Pilar
author_facet Prieto-Contreras, Lucía
Martínez-Arnau, Francisco M.
Sancho-Cantus, David
Cubero-Plazas, Laura
Pérez-Ros, Pilar
author_sort Prieto-Contreras, Lucía
collection PubMed
description Identifying frail older people at risk of falling is a priority in order to apply preventive strategies. This cross-sectional study included community-dwelling pre-frail and frail people (Fried’s criteria) aged 70 years and older to assess the prevalence of falls and identify screening strategies based on comprehensive geriatric assessments to detect an increased risk of falling and recurrent falling in community-dwelling frail and pre-frail old people. Of the 229 participants, 121 (54.9%) had fallen in the previous 12 months, and 20 of these (16.5%) were recurrent fallers (≥2 falls). A score of 20 points or more on the Falls Efficacy Scale International was predictive of falling (area under the receiver-operating characteristics curve 0.67, 95% confidence interval: 0.61–0.74, p < 0.001) with a sensitivity of 51.7% and a specificity of 73.9%. Polypharmacy, Short Physical Performance Battery score of 8 points or less, and Falls Efficacy Scale International score of 20 points or more show an area under the curve of 0.78 (95% confidence interval: 0.67–0.89, p < 0.001) for recurrent falling.
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spelling pubmed-104192982023-08-12 Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People Prieto-Contreras, Lucía Martínez-Arnau, Francisco M. Sancho-Cantus, David Cubero-Plazas, Laura Pérez-Ros, Pilar Healthcare (Basel) Article Identifying frail older people at risk of falling is a priority in order to apply preventive strategies. This cross-sectional study included community-dwelling pre-frail and frail people (Fried’s criteria) aged 70 years and older to assess the prevalence of falls and identify screening strategies based on comprehensive geriatric assessments to detect an increased risk of falling and recurrent falling in community-dwelling frail and pre-frail old people. Of the 229 participants, 121 (54.9%) had fallen in the previous 12 months, and 20 of these (16.5%) were recurrent fallers (≥2 falls). A score of 20 points or more on the Falls Efficacy Scale International was predictive of falling (area under the receiver-operating characteristics curve 0.67, 95% confidence interval: 0.61–0.74, p < 0.001) with a sensitivity of 51.7% and a specificity of 73.9%. Polypharmacy, Short Physical Performance Battery score of 8 points or less, and Falls Efficacy Scale International score of 20 points or more show an area under the curve of 0.78 (95% confidence interval: 0.67–0.89, p < 0.001) for recurrent falling. MDPI 2023-07-26 /pmc/articles/PMC10419298/ /pubmed/37570373 http://dx.doi.org/10.3390/healthcare11152132 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
Prieto-Contreras, Lucía
Martínez-Arnau, Francisco M.
Sancho-Cantus, David
Cubero-Plazas, Laura
Pérez-Ros, Pilar
Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title_full Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title_fullStr Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title_full_unstemmed Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title_short Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People
title_sort fear of falling score is a predictor of falls in community-dwelling pre-frail and frail older people
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419298/
https://www.ncbi.nlm.nih.gov/pubmed/37570373
http://dx.doi.org/10.3390/healthcare11152132
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