Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China

被引:53
|
作者
Kang, Li [1 ,2 ]
Han, Peipei [2 ]
Wang, Jiazhong [2 ]
Ma, Yixuan [2 ]
Jia, Liye [2 ]
Fu, Liyuan [2 ]
Yu, Hairui [2 ]
Chen, Xiaoyu [2 ]
Niu, Kaijun [3 ,4 ]
Guo, Qi [1 ,2 ]
机构
[1] Tianjin Med Univ, Cardiovasc Clin Coll, Int Cardiovasc Hosp, Dept Rehabil Med,Tianjin Econ Technol Dev Area, Tianjin, Peoples R China
[2] Tianjin Med Univ, Dept Rehabil Med, Tianjin, Peoples R China
[3] Tianjin Med Univ, Nutr Epidemiol Inst, Tianjin, Peoples R China
[4] Tianjin Med Univ, Sch Publ Hlth, Tianjin, Peoples R China
基金
中国国家自然科学基金;
关键词
community dwelling; elderly; fall; TUGT; OLDER-ADULTS; GAIT SPEED; PHYSICAL PERFORMANCE; RISK; STRENGTH; MOBILITY; ACCURACY; ASSOCIATION; PREVENTION; HISTORY;
D O I
10.2147/CIA.S138287
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: Falling is a major health problem in community-dwelling elderly individuals. The aim of the present study was to conduct a prospective investigation to evaluate the accuracy of the Timed Up and Go Test (TUGT), 4-meter walking test, and grip strength test to screen for the risk of falls and to determine a cutoff point to be used clinically. Patients and methods: This was a prospective study that included 541 participants. The fall data were obtained via face-to-face interview, and the date, site, and circumstances of any falls were recorded. TUGTs were recorded as part of a comprehensive geriatric assessment. We collected the same data at baseline and after follow-up via comprehensive geriatric assessment. Results: The incidence of falls of our study subjects was 20.8%. The recurrent-fall group had a fall rate of 6.8% during the follow-up year. The standard area under the curve (AUC) of our screening tool was.0.70, and hence our tool can be used for clinical purposes. After adjusting for age and gender, the AUC of TUGT became 0.642, so it cannot be used as a predictive tool for measuring any types of falls. However, when recurrent falls were adjusted for age and gender, the TUGT's AUC improved to 0.733 and a score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals. Conclusion: Future falls were best predicted by TUGT in recurrent fallers at baseline. A score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals.
引用
收藏
页码:2009 / 2016
页数:8
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