Monitoring falls in cohort studies of community-dwelling older people: Effect of the recall interval
Monitoring falls in cohort studies of community-dwelling older people: Effect of the recall interval
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DOI：
10.1111/j.1532-5415.2005.00509.x
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发表时间：
2005-12-01
影响因子：
6.3
通讯作者：
Rubenstein, LZ
中科院分区：
文献类型：
--
作者：
Ganz, DA;Higashi, T;Rubenstein, LZ
目的：确定患者被要求记住跌倒的时间间隔是否影响跌倒报告。设计：系统的文献综述。设置：社区。伙伴：在要求参与者回忆跌倒的不同间隔的前瞻性研究中被监测的个体。测量：与使用某种形式的持续跌倒监测的标准标准的前瞻性评估相比，回溯性回忆的敏感性和特异性。结果：6项研究符合纳入标准。对前一年跌倒的回忆具有特异性(特异性91-95%)，但敏感性(敏感性80-89%)低于使用秋季日历或明信片持续收集跌倒数据的标准标准。受伤跌倒的患者更有可能回忆起他们的跌倒。在一项针对这一问题的研究中，较低的Mini-Intelligence State检查分数与较差的跌倒回忆有关。结论：当所有跌倒的准确数据至关重要时，例如通过干预降低跌倒发生率，研究人员应该每周或每月从研究参与者那里收集有关跌倒的信息。秋天监测的最佳方法--明信片、日历、日记、电话或这些方式的某种组合--仍不清楚。
OBJECTIVES: To determine whether the interval over which patients are asked to remember their falls affects fall reporting.DESIGN: Systematic literature review.SETTING: Community.PARTICIPANTS: Individuals being monitored for falls in prospective studies that asked participants to recall falls over varying intervals.MEASUREMENTS: Sensitivity and specificity of retrospective recall compared with a criterion-standard prospective assessment using some form of ongoing fall monitoring.RESULTS: Six studies met the inclusion criteria. Recall of falls in the previous year was specific (specificity 91-95%) but less sensitive (sensitivity 80-89%) than the criterion standard of ongoing prospective collection of fall data using fall calendars or postcards. Patients with injurious falls were more likely to recall their falls. Lower Mini-Mental State Examination score was associated with poorer recall of falls in the one study addressing this issue.CONCLUSION: Whenever accurate data on all falls are critical, such as with interventions to decrease the rate of falls, researchers should gather information on falls every week or every month from study participants. The optimal method of fall monitoring-postcard, calendar, diary, telephone, or some combination of these-remains unknown.