Predictive Validity and Cut-Off Scores in Four Diagnostic Tests for Falls – A Study in Frail Older People at Home

Ulrika Olsson Möller, Jimmie Kristensson, Patrik Midlöv, Charlotte Ekdahl, Ulf Jakobsson

Research output: Contribution to journalArticlepeer-review

937 Downloads (Pure)

Abstract

No study has investigated the predictive validity and cut-off scores in
diagnostic tests for falls used in in-home assessment in frail older people. The objective was to investigate the predictive validity for falls in the Downton Fall Risk Index (DFRI), Timed Up and Go (TUG) and Romberg test (RT) used in in-home assessment of frail older people (65+ years). Data on the diagnostic tests were collected at baseline N = 153) and fall frequency were collected at six- and twelve-month follow-ups. The optimal cut-offs were 3 p in DFRI and 12 s in TUG. However, the validity indexes were generally low and only 40–50% were correctly classified. The RT showed low sensitivity. To increase the predictive validity for falls in this context, the use of DFRI and/or TUG as a part of a comprehensive fall-risk assessment tool, should be
investigated in future studies
Original languageEnglish
Pages (from-to)189-201
JournalPhysical & Occupational Therapy in Geriatrics
Volume30
Issue number3
DOIs
Publication statusPublished - 2012

Subject classification (UKÄ)

  • Nursing
  • Health Sciences
  • Clinical Medicine

Free keywords

  • Falls
  • predictive validity
  • cut-off score
  • aged
  • aged 80+
  • frail

Fingerprint

Dive into the research topics of 'Predictive Validity and Cut-Off Scores in Four Diagnostic Tests for Falls – A Study in Frail Older People at Home'. Together they form a unique fingerprint.

Cite this