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- Rosendahl, ErikDepartment of Community Medicine and Rehabilitation, Geriatric Medicine and Physiotherapy, Umeå University, SE-901 87, Umeå, Sweden (författare)
Prediction of falls among older people in residential care facilities by the Downton index
- Artikel/kapitelEngelska2003
Förlag, utgivningsår, omfång ...
- 2003
- electronicrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:ltu-11822
- https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-11822URI
- https://doi.org/10.1007/BF03324492DOI
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- Språk:engelska
- Sammanfattning på:engelska
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Klassifikation
Anmärkningar
- Validerad; 2003; 20070206 (andbra)
- BACKGROUND AND AIMS: Falls are frequent among older people living in residential care facilities. The aim of this study was to investigate the prediction accuracy of the Downton fall risk index among older people living in residential care facilities at 3, 6 and 12 months, and with two different definitions of falls. METHODS: Seventy-eight residents in one residential care facility, 56 women and 22 men, mean +/- SD age 81 +/- 6 years, participated in this study. Forty-seven percent of participants had dementia, 45% depression, and 32% previous stroke. Forty-one percent of participants used a walking device indoors, and the median score of the Barthel ADL Index was 16. At baseline, the Downton fall risk index was scored for each individual. A score of 3 or more was taken to indicate high risk of falls. Participants were followed up prospectively for 12 months, with regard to falls indoors. RESULTS: At 3, 6 and 12 months, and using a fall definition including all indoor falls, sensitivity ranged from 81 to 95% with the highest value at 3 months, and specificity ranged from 35 to 40%. The prognostic separation values ranged from 0.26 to 0.37. Within 3 months, the risk of falling was 36% in the high-risk group (index score > or = 3) and 5% in the low-risk group. The accuracy of predictions did not improve when applying a fall definition in which falls precipitated by acute illness, acute disease, or drug side-effects were excluded. CONCLUSIONS: Already after 3 months, the Downton fall risk index appears to be a useful tool for predicting falls, irrespective of their cause, among older people in residential care facilities
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
- Physiotherapy
- Sjukgymnastik
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Lundin-Olsson, LillemorDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (författare)
- Kallin, KristinaDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (författare)
- Jensen, JaneDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (författare)
- Gustafson, YngveDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (författare)
- Nyberg, LarsDepartment of Community Medicine and Rehabilitation, Geriatric Medicine and Physiotherapy, Umeå University, SE-901 87, Umeå, Sweden(Swepub:ltu)larnyb (författare)
- Department of Community Medicine and Rehabilitation, Geriatric Medicine and Physiotherapy, Umeå University, SE-901 87, Umeå, SwedenDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Aging Clinical and Experimental Research15:2, s. 142-71594-06671720-8319
Internetlänk
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- Aging Clinical and Experimental Research (Sök värdpublikationen i LIBRIS)
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- Kallin, Kristina
- Jensen, Jane
- Gustafson, Yngve
- Nyberg, Lars
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