What is the best clinical assessment tool for identification of adults aged >= 80 years at high risk of falls?

Autor(es)

Magnani, Paola Errera ^[1] ; Porto, Jaqueline Mello ^[1] ; Genovez, Maiara Baena ^[2] ; Grecco Zanellato, Nathalia Fernanda ^[2] ; Alvarenga, Isabella Camargo ^[2] ; dos Santos, Paulo Ferreira ^[1] ; Carvalho de Abreu, Daniela Cristina ^[3]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Postgrad Programme Rehabil & Funct Performance, Ribeirao Preto Sch Med, Ribeirao Preto, SP - Brazil

^[2] Univ Sao Paulo, Dept Hlth Sci, Physiotherapy Course, Ribeirao Preto Sch Med, Ribeirao Preto, SP - Brazil

^[3] Univ Sao Paulo, Ribeirao Preto Sch Med, Dept Hlth Sci, Ribeirao Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PHYSIOTHERAPY; v. 110, p. 63-69, MAR 2021.
• Citações Web of Science: 0

Resumo

Objectives To assess the Balance Evaluation Systems Test (BESTest), Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go (TUG) test and gait speed to determine which is the most appropriate test for identification of adults aged >80 years at higher risk of falls, and to investigate the clinical usefulness of the combination of such tests by cumulative post-test probability (PoTP) for predicting the risk of falls. Design Longitudinal prospective study. Participants Ninety-eight older adults (aged 80-102 years). Interventions Older adults were submitted to the clinical tests and followed-up in order to record the occurrence of falls. The capacity of the clinical tests to detect which older adults are at higher risk of falls was measured using the receiver operating characteristic curve, followed by calculation of PoTP for predicting the risk of falls. Results The BESTest and the Mini-BESTest demonstrated the best PoTP for predicting the risk of falls for a positive test (70%), followed by the TUG test (66%) and gait speed (63%). When performed in combination, a positive result on the TUG test, gait speed and Mini-BESTest increased the probability of older adults falling within the next 6 months from 50% to 89%; a negative result on these three tests decreased the probability of older adults falling within the next 6 months from 50% to 3%. Conclusion The combination of TUG test, gait speed and Mini-BESTest provided the best approach. If all three tests are positive, there is an 89% chance of identifying an older person at risk of falling. If all three tests are negative, there would only be a 3% chance of obtaining a false-negative result. (C) 2020 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. (AU)

• Processo FAPESP: 17/06594-0 - Qual a melhor ferramenta clínica de avaliação para identificar risco de quedas em idosos mais velhos?
• Beneficiário: Maiara Baena Genovez
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica