Fall Risk Prediction for Community-Dwelling Older Adults: Analysis of Assessment Scale and Evaluation Items without Actual Measurement.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Independent Living* ; Aging*; Humans ; Aged ; Prospective Studies ; Risk Factors ; Surveys and Questionnaires ; Accidental Falls/prevention & control ; Risk Assessment/methods

The frequency of falls increases with age. In Japan, the population is aging rapidly, and fall prevention measures are an urgent issue. However, assessing fall risk during the coronavirus disease pandemic was complicated by the social distancing measures implemented to prevent the disease, while traditional assessments that involve actual measurements are complicated. This prospective cohort study predicted the risk of falls in community-dwelling older adults using an assessment method that does not require actual measurements. A survey was conducted among 434 community-dwelling older adults to obtain data regarding baseline attributes (age, sex, living with family, use of long-term care insurance, and multimorbidity), Frailty Screening Index (FSI) score, and Questionnaire for Medical Checkup of Old-Old (QMCOO) score. The participants were categorized into fall ( n = 78) and non-fall ( n = 356) groups. The binomial logistic regression analysis showed that it is better to focus on the QMCOO sub-item score, which focuses on multiple factors. The items significantly associated with falls were Q5 (odds ratio [OR] 1.95), Q8 (OR 2.33), and Q10 (OR 3.68). Our results were similar to common risk factors for falls in normal times. During the pandemic, being able to gauge the risk factors for falls without actually measuring them was important.

Geriatr Gerontol Int. 2022 Sep;22(9):811-812. (PMID: 35855540)
Stat Med. 2011 Feb 20;30(4):377-99. (PMID: 21225900)
Gerodontology. 2016 Dec;33(4):470-479. (PMID: 25664778)
Geriatr Gerontol Int. 2020 Oct;20(10):992-993. (PMID: 33003255)
Bone Marrow Transplant. 2013 Mar;48(3):452-8. (PMID: 23208313)
J Frailty Aging. 2022;11(2):231-235. (PMID: 35441202)
Int J Environ Res Public Health. 2023 Feb 01;20(3):. (PMID: 36768011)
Age Ageing. 2022 Sep 2;51(9):. (PMID: 36178003)
Psychogeriatrics. 2021 Sep;21(5):826-831. (PMID: 34363431)
Geriatr Gerontol Int. 2016 Jun;16(6):709-15. (PMID: 26171645)
Lancet. 2013 Mar 2;381(9868):752-62. (PMID: 23395245)
Rev Esc Enferm USP. 2016 Nov-Dec;50(6):1005-1013. (PMID: 28198967)
Arch Gerontol Geriatr. 2023 Jan;104:104841. (PMID: 36265390)
BMC Geriatr. 2022 Jun 3;22(1):478. (PMID: 35658843)
BMJ Open. 2020 Oct 13;10(10):e040341. (PMID: 33051236)
Aging Clin Exp Res. 2020 Nov;32(11):2241-2250. (PMID: 31939201)
Eur Geriatr Med. 2021 Oct;12(5):1085-1089. (PMID: 34081313)
J Epidemiol. 2017 Aug;27(8):347-353. (PMID: 28142044)
Int J Environ Res Public Health. 2021 Dec 15;18(24):. (PMID: 34948808)
J Neurol. 2023 Feb;270(2):618-631. (PMID: 35817988)
Stat Med. 1996 Feb 28;15(4):361-87. (PMID: 8668867)
J Exerc Rehabil. 2019 Apr 26;15(2):275-281. (PMID: 31111013)
Geriatr Gerontol Int. 2020 Oct;20(10):991-992. (PMID: 33003256)
Int J Environ Res Public Health. 2021 Aug 07;18(16):. (PMID: 34444127)
Can J Cardiol. 2020 Aug;36(8):1317-1321. (PMID: 32553606)
J Am Geriatr Soc. 2022 Jan;70(1):49-59. (PMID: 34536288)
J Pediatr Psychol. 2014 Mar;39(2):151-62. (PMID: 23836191)
BMJ Open. 2023 Apr 21;13(4):e069543. (PMID: 37085313)
Arch Gerontol Geriatr. 2020 Jun 23;91:104161. (PMID: 32688105)
Stat Med. 1984 Apr-Jun;3(2):143-52. (PMID: 6463451)
J Am Med Dir Assoc. 2015 Nov 1;16(11):1002.e7-11. (PMID: 26385303)
J Clin Epidemiol. 1996 Dec;49(12):1373-9. (PMID: 8970487)
Int J Environ Res Public Health. 2022 Jan 11;19(2):. (PMID: 35055583)

2020-0203-04 Nippon Life Insurance Foundation; 19K19712 Japanese Society for the Promotion of Science KAKENHI

Keywords: Frailty Screening Index; Questionnaire for Medical Checkup of Old-Old; community-dwelling older adults; coronavirus disease; falls

Date Created: 20240224 Date Completed: 20240226 Latest Revision: 20240227

20250114

PMC10888445

10.3390/ijerph21020224

38397713