Retrospective evaluation of the world falls guidelines-algorithm in older adults.
Background The World Falls Guidelines (WFG) propose an algorithm that classifies patients as low-, intermediate-, and high-risk. We evaluated different operationalizations of the WFG algorithm and compared its predictive performance to other screening tools for falls, namely: the American Geriatrics...
| Publicado en: | Age & Ageing Vol. 53; no. 10; pp. 1 - 9 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=180680054&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 180680054 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: 2024 vid: 53 iid: 10 pid: 622 pub: Oxford University Press / USA artinfo: ui: 180680054 10.1093/ageing/afae229 ppf: 1 ppct: 8 formats: tig: atl: Retrospective evaluation of the world falls guidelines-algorithm in older adults. aug: au: van de Loo, Bob Heymans, Martijn W Medlock, Stephanie Abu-Hanna, Ameen van der Velde, Nathalie Schoor, Natasja M van affil: Amsterdam UMC location Vrije Universiteit Amsterdam, Epidemiology and Data Science , De Boelelaan 1117, Amsterdam, Netherlands Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine , Meibergdreef 9, Amsterdam, Netherlands Amsterdam Public Health research institute, Aging and Later Life , Meibergdreef 9, Amsterdam, The Netherlands Amsterdam UMC location University of Amsterdam , Department of Medical Informatics, Meibergdreef 9, Amsterdam, Netherlands su: Netherlands Retrospective studies Old age Medical protocols Risk assessment Frail elderly Descriptive statistics Geriatric assessment Comparative studies Accidental falls Algorithms Sensitivity & specificity (Statistics) sug: subj: Retrospective studies Old age Netherlands Medical protocols Risk assessment Frail elderly Descriptive statistics Geriatric assessment Comparative studies Accidental falls Algorithms Sensitivity & specificity (Statistics) keyword: adult aging calendars falls follow-up frailty geriatrics guidelines older adult older people prediction proxy screening stratification trees (plant) adult aging calendars falls follow-up frailty geriatrics guidelines older adult older people prediction proxy screening stratification trees (plant) ab: Background The World Falls Guidelines (WFG) propose an algorithm that classifies patients as low-, intermediate-, and high-risk. We evaluated different operationalizations of the WFG algorithm and compared its predictive performance to other screening tools for falls, namely: the American Geriatrics Society and British Geriatrics Society (AGS/BGS) algorithm, the 3KQ on their own and fall history on its own. Methods We included data from 1509 adults aged ≥65 years from the population-based Longitudinal Aging Study Amsterdam. The outcome was ≥1 fall during 1-year follow-up, which was ascertained using fall calendars. The screening tools' items were retrospectively operationalized using baseline measures, using proxies where necessary. Results Sensitivity ranged between 30.9–48.0% and specificity ranged between 77.0–88.2%. Operationalizing the algorithm with the 3KQ instead of fall history yielded a higher sensitivity but lower specificity, whereas operationalization with the Clinical Frailty Scale (CFS) classification tree instead of Fried's frailty criteria did not affect predictive performance. Compared to the WFG algorithm, the AGS/BGS algorithm and fall history on its own yielded similar predictive performance, whereas the 3KQ on their own yielded a higher sensitivity but lower specificity. Conclusion The WFG algorithm can identify patients at risk of a fall, especially when the 3KQ are included in its operationalization. The CFS and Fried's frailty criteria may be used interchangeably in the algorithm's operationalization. The algorithm performed similarly compared to other screening tools, except for the 3KQ on their own, which have higher sensitivity but lower specificity and lack clinical recommendations per risk category. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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