The Mini-Balance Evaluation System Test Can Predict Falls in Clinically Stable Outpatients With COPD A 12-MO PROSPECTIVE COHORT STUDY

Autor(es)

Pereira, Ana Carolina A. C. ^[1] ; Xavier, Rafaella F. ^[1] ; Lopes, Aline C. ^[1] ; da Silva, Cibele C. B. M. ^[1] ; Oliveira, Cristino C. ^[2] ; Fernandes, Frederico L. A. ^[3] ; Stelmach, Rafael ^[3] ; Carvalho, Celso R. F. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Dept Phys Therapy, Sao Paulo - Brazil

^[2] Univ Fed Juiz de Fora, Inst Life Sci, Dept Phys Therapy, GV Campus, Juiz De Fora, MG - Brazil

^[3] Univ Sao Paulo, Fac Med, Hosp Clin, Pulm Div, Heart Inst InCor, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Journal of Cardiopulmonary Rehabilitation and Prevention; v. 39, n. 6, p. 391-396, NOV 2019.
• Citações Web of Science: 0

Resumo

Purpose: This study evaluated the accuracy of the Mini-Balance Evaluation System Test (Mini-BESTest) for predicting falls in patients with chronic obstructive pulmonary disease (COPD) and investigated whether postural balance is a risk factor for falls. Methods: Postural balance was evaluated by the Mini-BESTest at baseline, and the incidence of falls over a 12-mo period was prospectively measured by a self-reported falls diary and confirmed by telephone calls. A discriminative power analysis was performed using receiver operating characteristic (ROC) curve and logistic regression analysis. Results: Sixty-seven outpatients with COPD (mean age SD = 67 +/- 9.3 yr) were included. Twenty-five patients (37.3%) experienced 1 fall, and 28.2% of the falls resulted in injuries. The Mini-BESTest predicted falls in patients with COPD at the 6- and 12-mo follow-ups with a cut-off score of 22.5 (area under the curve = 0.85 and 0.87) with good sensitivity and specificity (85.7% and 66.7%; 84% and 73.8%, respectively). Higher scores on the Mini-BESTest were associated with a lower risk of falls at 12 mo (OR = 0.50; 95% CI, 0.36-0.70; P < .001). Conclusions: Postural balance assessed by the Mini-BESTest is a good predictor of falls in patients with COPD. Our results imply that impaired balance contributes to the risk of falling and that balance training and fall prevention programs may be required for this population. (AU)

• Processo FAPESP: 13/20676-9 - Identificação de fenótipos em pacientes com DPOC: influência do nível de atividade física na vida diária, composição corporal e disfunção muscular esquelética
• Beneficiário: Rafaella Fagundes Xavier
• Modalidade de apoio: Bolsas no Brasil - Doutorado