Disclosure of commercial interest: This study was financially supported by a grant from the Ministry of Health, Labour and Welfare in Japan (Medical Frontier Strategy Research-H13-Chihou/Kossetu-019). The authors confirm that there is no commercial interest of the authors in the findings presented in this study.
Simple screening test for risk of falls in the elderly
Article first published online: 28 NOV 2006
Geriatrics & Gerontology International
Volume 6, Issue 4, pages 223–227, December 2006
How to Cite
Okochi, J., Toba, K., Takahashi, T., Matsubayashi, K., Nishinaga, M., Takahashi, R. and Ohrui, T. (2006), Simple screening test for risk of falls in the elderly. Geriatrics & Gerontology International, 6: 223–227. doi: 10.1111/j.1447-0594.2006.00352.x
- Issue published online: 28 NOV 2006
- Article first published online: 28 NOV 2006
- Accepted for publication 21 June 2006.
- accidental fall;
- mass screening;
- reliability and validity;
- risk factor
Background: The aim of this study is to construct a simple screening test for the risk of falls in community-dwelling elder persons.
Methods: A total of 1378 community-dwelling people aged 65 years and older in five different communities in Japan were asked to answer a self rated questionnaire including 22 items covering physical, cognitive, emotional and social aspects of functioning and environmental factors. At a six-month follow-up, the outcome of fall occurrence and the number of falls was ascertained by social workers, health visitors or nurses.
Results: Five out of 22 items were selected using a logistic regression model. Using this five-item version, a screening test was constructed, and at the best cut-off point, the sensitivity and specificity were 68% and 70%, respectively. The validity of this scale was tested on persons with cognitive dysfunction.
Conclusion: The simplicity and the predictive validity of the screening test support the use of this test in health check ups or general outpatient facilities.