Balance impairment not predictive of falls in geriatric rehabilitation wards

Journals of Gerontology - Series A Biological Sciences and Medical Sciences

Volumn 63, Issue 5, 2008, Pages 523-528

  Haines, Terry ^a,b   Kuys, Suzanne S ^b,c   Morrison, Greg ^b   Clarke, Jane ^d   Bew, Paul ^e  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b PRINCESS ALEXANDRA HOSPITAL   (Australia)

^c GRIFFITH UNIVERSITY   (Australia)

^d ST ANDREW S WAR MEMORIAL HOSPITAL   (Australia)

^e THE PRINCE CHARLES HOSPITAL   (Australia)

Author keywords

Falls; Predicting falls; Predictive value of tests; Rehabilitation

Indexed keywords

ADULT; AGED; ARTICLE; BALANCE IMPAIRMENT; CLUSTER ANALYSIS; CONTROLLED STUDY; FALLING; FEMALE; GERIATRIC REHABILITATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PREDICTIVE VALIDITY; PRIORITY JOURNAL; RANDOMIZATION; REHABILITATION CENTER; BODY EQUILIBRIUM; CLINICAL TRIAL; MULTICENTER STUDY; PREDICTION AND FORECASTING; PROSPECTIVE STUDY; REPRODUCIBILITY; STATISTICS;

ACCIDENTAL FALLS; AGED; FEMALE; HUMANS; MALE; MUSCULOSKELETAL EQUILIBRIUM; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; REHABILITATION CENTERS; REPRODUCIBILITY OF RESULTS;

EID: 47049097923     PISSN: 10795006     EISSN: None     Source Type: Journal    
DOI: 10.1093/gerona/63.5.523     Document Type: Article

References (46)

1. Hanger H, Ball M, Wood L. An analysis of falls in the hospital: can we do without bedrails? J Am Geriatr Soc. 1999;47:529-531.
2. Morse J, Black C, Oberle K, et al. A prospective study to identify the fall-prone patient. Soc Sci Med. 1989;28:81-86.
3. Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation: a challenge to rehabilitation strategies. Stroke. 1995;26:838-842.
4. Nyberg L, Gustafson Y. Using the Downton Index to predict those prone to falls in stroke rehabilitation. Stroke. 1996;27:1821-1824.
5. Teasell R, McRae M, Foley N, et al. The incidence and consequences of falls in stroke patients during inpatient rehabilitation: factors associated with high risk. Arch Phys Med Rehabil. 2002;83:329-333.
6. Mahoney J, Shea T, Przybelski R, et al. Kenosha County falls prevention study: a randomized, controlled trial of an intermediate-intensity, community-based multifactorial falls intervention. J Am Geriatr Soc. 2007;55:489-498.
7. Capezuti E, Strumpf N, Evans L, et al. The relationship between physical restraint removal and falls and injuries among nursing home residents. J Gerontol Med Sci. 1998;53A:M47-M52.
8. Oliver D, Connelly J, Victor C, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. Br Med J. 2007;334:82.
9. Bates DW, Pruess K, Souney P, et al. Serious falls in hospitalized patients: correlates and resource utilization. Am J Med. 1999;99:137-143.
10. Lord SR, Clark RD, Webster IW. Physiological factors associated with falls in an elderly population. J Am Geriatr Soc. 1991;39:1194-1200.
11. Lipsitz LA, Jonsson PV, Kelley MM, et al. Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol. 1991;46:M114-M122.
12. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:896-903.
13. Campbell AJ, Robertson MC, Gardner MM, et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. Br Med J. 1997;315:1065-1069.
14. Wolf S, Barnhart H, Kutner N, et al. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J Am Geriatr Soc. 1996;44:489-497.
15. Haines T, Hill K, Walsh W, et al. Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis. J Gerontol A Biol Sci Med Sci. 2007;62:664-672.
16. Perell K, Nelson A, Goldman R, et al. Fall risk assessment measures: an analytic review. J Gerontol Med Sci. 2001;56A:M761-M766.
17. Oliver D, Daly F, Martin FC, et al. Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing. 2004;33:122-130.
18. Scott V, Votova K, Scanlan A et al. Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings. Age Ageing. 2007;36:130-139.
19. Haines T, Bennell K, Osborne R, et al. Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. Br Med J. 2004;328:676-679.
20. Gluck T, Wientjes H, Rai G. An evaluation of risk factors for in-patient falls in acute and rehabilitation elderly care wards. Gerontology. 1996;42:104-107.
21. Mion L, Gregor S, Buettner M, et al. Falls in the rehabilitation setting: incidence and characteristics. Rehabil Nurs. 1989;14:17-22.
22. Nyberg L, Gustafson Y. Fall prediction index for patients in stroke rehabilitation. Stroke. 1997;28:716-721.
23. Patrick L, Blodgett A. Selecting patients for falls-prevention protocols: an evidence-based approach on a geriatric rehabilitation unit. J Gerontol Nurs. 2001;27:19-25.
24. Mathias S, Nayak U, Isaacs B. Balance in elderly patients: the "Get-up and Go" test. Arch Phys Med Rehabil. 1986;67:387-389.
25. Podsiadlo D, Richardson S. The timed "up & go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-148.
26. Lindsay R, James EL, Kippen S. The Timed Up and Go Test: unable to predict falls on the acute medical ward. Aust J Physiother. 2004;50:249-251.
27. Thomas JI, Lane JV. A pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients. Arch Phys Med Rehabil. 2005;86:1636-1640.
28. Feld J, Rabadi M, Blau A, et al. Berg balance scale and outcome measures in acquired brain injury. Neurorehabil Neural Repair. 2001;15:239-244.
29. Eagle J, Salama S, Whitman D, et al. Comparison of three instruments in predicting accidental falls in selected inpatients in a general teaching hospital. J Gerontol Nurs. 1999;25:40-45.
30. Wolf S, Kutner N, Green R, et al. The Atlanta FICSIT study: two exercise interventions to reduce frailty in elders. J Am Geriatr Soc. 1993;41:329-332.
31. Duncan P, Weiner D, Chandler J, et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45:M192-197.
32. Duncan PW, Studenski S, Chandler J, et al. Functional reach: predictive validity in a sample of elderly male veterans. J Gerontol. 1992;47:M93-M98.
33. Billek-Sawhney B, Gay J. The functional reach test: are three trials necessary? Topics Geriatr Rehabil. 2005;21:144-148.
34. Hill KD, Bernhardt J, McGann AM, et al. A new test of dynamic standing balance for stroke patients: reliability, validity and comparison with healthy elderly. Physiother Canada. 1996;48:257-262.
35. Anacker S, Di Fabio R, Horak F. Influence of sensory inputs on standing balance in community-dwelling elders with a recent history of falling. Phys Ther. 1992;72:575-581.
36. Di Fabio R Anacker S. Identifying fallers in community living elders using a clinical test of sensory interaction for balance. Eur J Phys Med Rehabil. 1996;6:61-66.
37. Lijmer JG, Mol BW, Heisterkamp S, et al. Empirical evidence of design-related bias in studies of diagnostic tests. JAMA. 1999;282:1061-1066.
38. Youden W. Index for rating diagnostic tests. Cancer. 1950;3:32-35.
39. Haines T, Hill K, Bennell K, et al. Recurrent events counted in evaluations of predictive accuracy. J Clin Epidemiol. 2006;59:1155-1161.
40. Vassallo M, Vignaraja R, Sharma J, et al. Predictors for falls among hospital inpatients with impaired mobility. J Roy Soc Med. 2004;97:266-269.
41. Large J, Gan N, Basic D, et al. Using the timed up and go test to stratify elderly inpatients at risk of falls. Clin Rehabil. 2006;20:421-428.
42. Myers H, Nikoletti S. Fall risk assessment: a prospective investigation of nurses' clinical judgement and risk assessment tools in predicting patient falls. Int J Nurs Pract. 2003;9:158-165.
43. Haines TP, Bennell KL, Osborne RH, et al. A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting. J Clin Epidemiol. 2006;59:168-175.
44. Dite W, Temple V. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83:1566-1571.
45. Hitcho EB, Krauss MJ, Birge S, et al. Characteristics and circumstances of falls in a hospital setting: a prospective analysis. J Gen Intern Med. 2004;19:732-739.
46. Wallmann HW. Comparison of elderly nonfallers and fallers on performance measures of functional reach, sensory organisation and limits of stability. J Gerontol. 2001;56A:M580-M583.