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Prognostic validity...
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Nordin, EllinorUmeå University, Department of Community Medicine and Rehabilitation, Physiotherapy
(författare)
Prognostic validity of the Timed Up-and-Go test : a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities
- Artikel/kapitelEngelska2008
Förlag, utgivningsår, omfång ...
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2008-05-30
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Oxford University Press (OUP),2008
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:ltu-6248
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https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-6248URI
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https://doi.org/10.1093/ageing/afn101DOI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Validerad; 2008; 20081016 (eriros)
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Objectives: to evaluate and compare the prognostic validity relative to falls of the Timed Up-and-Go test (TUG), a modified Get-Up-and-Go test (GUG-m), staff's judgement of global rating of fall risk (GLORF) and fall history among frail older people. Design: cohort study, 6-month prospective follow-up for falls. Participants: 183 frail persons living in residential care facilities in Sweden, mean age 84 years, 73% women. Methods: the occurrence of falls during the follow-up period were compared to the following assessments at baseline: the TUG at normal speed; the GUG-m, a rating of fall risk scored from 1 (no risk) to 5 (very high risk); the GLORF, staff's rating of fall risk as 'high' or 'low'; a history of falls in the previous 6 months. These assessment tools were evaluated using sensitivity, specificity and positive and negative likelihood ratios (LR+ to rule in and LR- to rule out a high fall risk). Results: 53% of the participants fell at least once. Various cut-off values of the TUG (12, 15, 20, 25, 30, 35, 40 s) and the GUG-m showed LR+ between 0.9 and 2.6 and LR- between 0.1 and 1.0. The GLORF showed an LR+ of 2.8 and an LR- of 0.6 and fall history showed an LR+ of 2.4 and an LR- of 0.6. Conclusions: in this population of frail older people, staff judgement of their residents' fall risk as well as previous falls both appear superior to the performance-based measures TUG and GUG-m in ruling in a high fall risk. A TUG score of less than 15 s gives guidance in ruling out a high fall risk but insufficient information in ruling in such a risk. The grading of fall risk by GUG-m appears of very limited value.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lindelöf, NinaDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university
(författare)
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Rosendahl, ErikLuleå tekniska universitet,Hälsa och rehabilitering(Swepub:ltu)eriros
(författare)
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Jensen, JaneUmeå University, Department of Community Medicine and Rehabilitation, Physiotherapy
(författare)
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Lundin-Olsson, LillemorUmeå University, Department of Community Medicine and Rehabilitation, Physiotherapy
(författare)
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Umeå University, Department of Community Medicine and Rehabilitation, PhysiotherapyDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Age and Ageing: Oxford University Press (OUP)37:4, s. 442-4480002-07291468-2834
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