Can falls risk prediction tools correctly identify fall-prone elderly rehabilitation inpatients? A systematic review and meta-analysis.
Can falls risk prediction tools correctly identify fall-prone elderly rehabilitation inpatients? A systematic review and meta-analysis.
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DOI：
10.1371/journal.pone.0041061
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Vieira ER
中科院分区：
文献类型：
--
作者：
da Costa BR;Rutjes AW;Mendy A;Freund-Heritage R;Vieira ER
老年人的福尔斯跌倒可能导致永久性残疾或死亡。康复医院的老年患者尤其容易受到影响。我们系统地回顾了文献，以确定福尔斯预测工具，可用于评估老年住院患者在康复医院。我们使用为每个数据库开发的综合检索策略检索了6个电子数据库。在ROC空间图中绘制敏感性和特异性的估计值，并汇总研究。我们的搜索确定了三项研究，评估了福尔斯预测工具的预测性能，共754名老年住院患者在康复医院。在所有三项研究中，仅对STRATIFY工具进行了评估;其他已确定的工具（PJC-FRAT和DOWNTON）由一项研究进行了评估。如果STRATIFY截分为2，合并敏感性为73%（95%CI 63 - 81%），合并特异性为42%（95%CI 34 - 51%）。研究中工具的间接比较表明，DOWNTON工具具有最高的灵敏度（92%），而PJC-FRAT在灵敏度和特异性之间提供了最佳平衡（分别为73%和75%）。所有研究都存在重大的方法局限性。我们没有发现任何在灵敏度和特异性之间具有最佳平衡的工具，或者明显优于跌倒风险的简单临床判断。确定的研究数量有限，主要的方法局限性损害了健全的结论，在老年康复医院的福尔斯风险预测工具的有用性。
Falls of elderly people may cause permanent disability or death. Particularly susceptible are elderly patients in rehabilitation hospitals. We systematically reviewed the literature to identify falls prediction tools available for assessing elderly inpatients in rehabilitation hospitals. We searched six electronic databases using comprehensive search strategies developed for each database. Estimates of sensitivity and specificity were plotted in ROC space graphs and pooled across studies. Our search identified three studies which assessed the prediction properties of falls prediction tools in a total of 754 elderly inpatients in rehabilitation hospitals. Only the STRATIFY tool was assessed in all three studies; the other identified tools (PJC-FRAT and DOWNTON) were assessed by a single study. For a STRATIFY cut-score of two, pooled sensitivity was 73% (95%CI 63 to 81%) and pooled specificity was 42% (95%CI 34 to 51%). An indirect comparison of the tools across studies indicated that the DOWNTON tool has the highest sensitivity (92%), while the PJC-FRAT offers the best balance between sensitivity and specificity (73% and 75%, respectively). All studies presented major methodological limitations. We did not identify any tool which had an optimal balance between sensitivity and specificity, or which were clearly better than a simple clinical judgment of risk of falling. The limited number of identified studies with major methodological limitations impairs sound conclusions on the usefulness of falls risk prediction tools in geriatric rehabilitation hospitals.
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影响因子：
7.2
作者：
Haines, TP;Bennell, KL;Hill, KD
通讯作者：
Hill, KD
影响因子：
--
作者：
Healey, F.;Scobie, S.;Glampson, B.
通讯作者：
Glampson, B.
影响因子：
6.7
作者：
Vassallo, M;Sharma, JC;Allen, SC
通讯作者：
Allen, SC
DOI：
10.1111/j.1532-5415.1985.tb05435.x
发表时间：
1985-12-01
影响因子：
6.3
作者：
UDEN, G
通讯作者：
UDEN, G
DOI：
10.1001/archfami.2.2.169
发表时间：
1993-02-01
期刊：
Archives of family medicine
影响因子：
--
作者：
Rousseau, P
通讯作者：
Rousseau, P