Chini Lucélia Terra, Pereira Daniele Sirineu, Nunes Altacílio Aparecido
Escola de Enfermagem, Universidade Federal de Alfenas (Unifal). R. Gabriel Monteiro da Silva 700, Centro. 37130-001 Alfenas MG Brasil.
Instituto de Ciências da Motricidade, Unifal. Alfenas MG Brasil.
Cien Saude Colet. 2019 Aug 5;24(8):2845-2858. doi: 10.1590/1413-81232018248.28962017.
This study aimed to validate of Fall Risk Tracking Tool (FRRISque) in elderly community dwellers. A cross-sectional evaluative screening study was carried out on a sample of 854 elderly. In addition to the pilot version of FRRISque, the QuickScreen® tool was applied as a standard reference in order to validate a concurrent criterion, determining sensitivity and specificity values. Most of the elderly people were female (57.6%) with an average age of 71.87 years. The multivariate logistic regression analyses showed that only 10 FRRISque items contribute to increased elderly fall risk and they refer to the risk factors of previous falls, use of a walking aid device, polypharmacy, use of psychotropic substances, difficulty to ascend and descend a slope, difficulty to walk for a distance of 100 meters, visual and hearing impairment, low physical activity and poorly lit environment. This risk stratification model assumes sensitivity values of 91.3% and specificity values of 73.4%. The FRRISque is defined as a valid, simple, low-cost and of easy and rapid application tool that can be used by all primary health care professionals, including community health workers.
本研究旨在验证老年社区居民跌倒风险追踪工具(FRRISque)。对854名老年人样本进行了一项横断面评估筛查研究。除了FRRISque的试点版本外,还应用了QuickScreen®工具作为标准参考,以验证并行标准,确定敏感性和特异性值。大多数老年人为女性(57.6%),平均年龄为71.87岁。多因素逻辑回归分析表明,只有10项FRRISque条目会增加老年人跌倒风险,它们涉及既往跌倒的危险因素、使用助行设备、多种药物治疗、使用精神药物、上下斜坡困难、行走100米困难、视力和听力障碍、身体活动不足以及光线昏暗的环境。该风险分层模型的敏感性值为91.3%,特异性值为73.4%。FRRISque被定义为一种有效、简单、低成本且易于快速应用的工具,可供包括社区卫生工作者在内的所有初级卫生保健专业人员使用。