Validation of the LASA fall risk profile for recurrent falling in older recent fallers

G.M.E.E. Peeters, S.M. Pluijm, N.M. van Schoor, P.J.M. Elders, L.M. Bouter, P.T.A.M. Lips

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Objectives: The fall risk profile developed in the Longitudinal Aging Study Amsterdam (LASA) identifies community-dwelling elderly at high risk for recurrent falling. This study assessed the predictive validity of this profile in older persons seeking care after a fall. Study Design and Setting: The LASA fall risk profile was completed for 408 persons of 65 years and older who consulted the emergency department or general practitioner after a fall. Falls were prospectively reported with a calendar during 1 year. Recurrent falling was defined as ≥2 falls within a period of 6 months. Results: During 1 year of followup, 76 (18.6%) participants became recurrent fallers. The area under the receiver operating characteristic curve was 0.65 (95% confidence interval [95% CI]: 0.58-0.72). At a cutoff value of 8, the sensitivity was 56.6% (CI: 51.8-61.4), the specificity was 71.4% (CI: 67.0-75.8), the positive predictive value was 34.1% (CI: 29.5-38.7), and the negative predictive value was 85.6% (CI: 82.2-89.0). Conclusion: The discriminative ability of the LASA fall risk profile was moderate. The predictive validity of the LASA fall risk profile to identify recurrent fallers is limited among older persons who consulted the emergency department or general practitioner after a fall. © 2010 Elsevier Inc. All rights reserved.
    Original languageEnglish
    Pages (from-to)1242-1248
    JournalJournal of Clinical Epidemiology
    Volume63
    Issue number11
    DOIs
    Publication statusPublished - 2010

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    Accidental Falls
    Longitudinal Studies
    General Practitioners
    Hospital Emergency Service
    Independent Living
    ROC Curve
    Confidence Intervals

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    Peeters, G. M. E. E., Pluijm, S. M., van Schoor, N. M., Elders, P. J. M., Bouter, L. M., & Lips, P. T. A. M. (2010). Validation of the LASA fall risk profile for recurrent falling in older recent fallers. Journal of Clinical Epidemiology, 63(11), 1242-1248. https://doi.org/10.1016/j.jclinepi.2009.12.012
    Peeters, G.M.E.E. ; Pluijm, S.M. ; van Schoor, N.M. ; Elders, P.J.M. ; Bouter, L.M. ; Lips, P.T.A.M. / Validation of the LASA fall risk profile for recurrent falling in older recent fallers. In: Journal of Clinical Epidemiology. 2010 ; Vol. 63, No. 11. pp. 1242-1248.
    @article{44ff152cfea94ddfaf9d228dec7d1a34,
    title = "Validation of the LASA fall risk profile for recurrent falling in older recent fallers",
    abstract = "Objectives: The fall risk profile developed in the Longitudinal Aging Study Amsterdam (LASA) identifies community-dwelling elderly at high risk for recurrent falling. This study assessed the predictive validity of this profile in older persons seeking care after a fall. Study Design and Setting: The LASA fall risk profile was completed for 408 persons of 65 years and older who consulted the emergency department or general practitioner after a fall. Falls were prospectively reported with a calendar during 1 year. Recurrent falling was defined as ≥2 falls within a period of 6 months. Results: During 1 year of followup, 76 (18.6{\%}) participants became recurrent fallers. The area under the receiver operating characteristic curve was 0.65 (95{\%} confidence interval [95{\%} CI]: 0.58-0.72). At a cutoff value of 8, the sensitivity was 56.6{\%} (CI: 51.8-61.4), the specificity was 71.4{\%} (CI: 67.0-75.8), the positive predictive value was 34.1{\%} (CI: 29.5-38.7), and the negative predictive value was 85.6{\%} (CI: 82.2-89.0). Conclusion: The discriminative ability of the LASA fall risk profile was moderate. The predictive validity of the LASA fall risk profile to identify recurrent fallers is limited among older persons who consulted the emergency department or general practitioner after a fall. {\circledC} 2010 Elsevier Inc. All rights reserved.",
    author = "G.M.E.E. Peeters and S.M. Pluijm and {van Schoor}, N.M. and P.J.M. Elders and L.M. Bouter and P.T.A.M. Lips",
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    Validation of the LASA fall risk profile for recurrent falling in older recent fallers. / Peeters, G.M.E.E.; Pluijm, S.M.; van Schoor, N.M.; Elders, P.J.M.; Bouter, L.M.; Lips, P.T.A.M.

    In: Journal of Clinical Epidemiology, Vol. 63, No. 11, 2010, p. 1242-1248.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

    T1 - Validation of the LASA fall risk profile for recurrent falling in older recent fallers

    AU - Peeters, G.M.E.E.

    AU - Pluijm, S.M.

    AU - van Schoor, N.M.

    AU - Elders, P.J.M.

    AU - Bouter, L.M.

    AU - Lips, P.T.A.M.

    PY - 2010

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    N2 - Objectives: The fall risk profile developed in the Longitudinal Aging Study Amsterdam (LASA) identifies community-dwelling elderly at high risk for recurrent falling. This study assessed the predictive validity of this profile in older persons seeking care after a fall. Study Design and Setting: The LASA fall risk profile was completed for 408 persons of 65 years and older who consulted the emergency department or general practitioner after a fall. Falls were prospectively reported with a calendar during 1 year. Recurrent falling was defined as ≥2 falls within a period of 6 months. Results: During 1 year of followup, 76 (18.6%) participants became recurrent fallers. The area under the receiver operating characteristic curve was 0.65 (95% confidence interval [95% CI]: 0.58-0.72). At a cutoff value of 8, the sensitivity was 56.6% (CI: 51.8-61.4), the specificity was 71.4% (CI: 67.0-75.8), the positive predictive value was 34.1% (CI: 29.5-38.7), and the negative predictive value was 85.6% (CI: 82.2-89.0). Conclusion: The discriminative ability of the LASA fall risk profile was moderate. The predictive validity of the LASA fall risk profile to identify recurrent fallers is limited among older persons who consulted the emergency department or general practitioner after a fall. © 2010 Elsevier Inc. All rights reserved.

    AB - Objectives: The fall risk profile developed in the Longitudinal Aging Study Amsterdam (LASA) identifies community-dwelling elderly at high risk for recurrent falling. This study assessed the predictive validity of this profile in older persons seeking care after a fall. Study Design and Setting: The LASA fall risk profile was completed for 408 persons of 65 years and older who consulted the emergency department or general practitioner after a fall. Falls were prospectively reported with a calendar during 1 year. Recurrent falling was defined as ≥2 falls within a period of 6 months. Results: During 1 year of followup, 76 (18.6%) participants became recurrent fallers. The area under the receiver operating characteristic curve was 0.65 (95% confidence interval [95% CI]: 0.58-0.72). At a cutoff value of 8, the sensitivity was 56.6% (CI: 51.8-61.4), the specificity was 71.4% (CI: 67.0-75.8), the positive predictive value was 34.1% (CI: 29.5-38.7), and the negative predictive value was 85.6% (CI: 82.2-89.0). Conclusion: The discriminative ability of the LASA fall risk profile was moderate. The predictive validity of the LASA fall risk profile to identify recurrent fallers is limited among older persons who consulted the emergency department or general practitioner after a fall. © 2010 Elsevier Inc. All rights reserved.

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