Kuopio Musculoskeletal Research Unit (KMRU), Surgery, Institute of Clinical Medicine, University of Eastern Finland (UEF), Yliopistonranta 1B, P.O. Box 1627, 70211, Kuopio, Finland.
The UKK Institute for Health Promotion Research, Tampere, Finland.
Aging Clin Exp Res. 2023 Jun;35(6):1205-1212. doi: 10.1007/s40520-023-02423-w. Epub 2023 May 5.
Falls are a substantial health problem among older adults. An accessible and reliable tool for assessing individual fall risk is needed.
The predictive ability of a one-page self-rated fall risk assessment form (KaatumisSeula® [KS]) was evaluated among older women in its current form.
A subsample (n = 384) of community-living older women (aged 72-84 years) participating in the Kuopio Fall Prevention Study (KFPS) completed the KS form. Participants' falls were prospectively registered for 12 months with SMS messages. Their group status and form-based fall risk category were compared to the verified fall events during the KFPS intervention. Negative binomial regression and multinomial regression analyses were used. Physical performance measurements (single leg stance, leg extension strength and grip strength) were used as covariates.
During the follow-up, 43.8% of women fell at least once. Among the fallers, 76.8% had at least one self-determined injurious fall, and 26.2% had falls requiring medical attention. According to KS, 7.6% of the women had low fall risk, 75.0% moderate, 15.4% substantial, and only 2.1% high fall risk. Women in the "moderate fall risk" group had 1.47-fold (95% CI 0.74-2.91; nonsignificant), in "substantial fall risk" 4.00-fold (1.93-8.3; p < 0.001) and in "high fall risk" 3.00-fold (0.97-9.22; nonsignificant) higher risk of falls compared to the "low fall risk" group. Performance in physical tests did not account for future falls.
The KS form proved to be a feasible tool for self-administered fall risk assessment with moderate predictive ability.
ClinicalTrials.gov identifier: NCT02665169, date of first registration 27/01/2016.
跌倒在老年人中是一个严重的健康问题。需要一种易于使用且可靠的工具来评估个体跌倒风险。
评估现有的一页自评跌倒风险评估表（KaatumisSeula® [KS]）在老年女性中的预测能力。
参加库奥皮奥跌倒预防研究（KFPS）的社区居住的老年女性（年龄 72-84 岁）的亚样本（n=384）完成了 KS 表格。参与者的跌倒情况通过短信消息进行前瞻性登记，为期 12 个月。将他们的分组状态和基于表格的跌倒风险类别与 KFPS 干预期间的已验证跌倒事件进行比较。使用负二项回归和多项回归分析。身体表现测量（单腿站立、腿部伸展力量和握力）用作协变量。
在随访期间，43.8%的女性至少跌倒一次。在跌倒者中，76.8%至少有一次自我确定的受伤性跌倒，26.2%有需要医疗关注的跌倒。根据 KS，7.6%的女性跌倒风险低，75.0%中度，15.4%高，只有 2.1%高。处于“中度跌倒风险”组的女性跌倒风险是“低跌倒风险”组的 1.47 倍（95%CI 0.74-2.91；无显著性），处于“高跌倒风险”组的女性跌倒风险是“低跌倒风险”组的 4.00 倍（1.93-8.3；p<0.001）和“高跌倒风险”组的 3.00 倍（0.97-9.22；无显著性）。身体测试表现并不能说明未来的跌倒情况。
KS 表格被证明是一种可行的自我管理跌倒风险评估工具，具有中等预测能力。
ClinicalTrials.gov 标识符：NCT02665169，首次注册日期 2016 年 1 月 27 日。
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