Lynette Mackenzie1, Julie Byles, Catherine D'Este. 1. Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. l.mackenzie@usyd.edu.au
Abstract
AIM: To evaluate the predictive validity and responsiveness of the Home Falls and Accidents Screening Tool (HOME FAST). METHODS: A prospective study of 727 community dwelling Veterans and war widows aged 70 years and over. The outcome was 6-month recall of any fall at 3-year follow-up. Baseline measurements were taken of common falls risk factors, and home hazards (using the HOME FAST). Changes in the prevalence of HOME FAST items were calculated and a logistic regression model was computed to determine predictors of falls at follow-up. RESULTS: Prevalence of 14 HOME FAST items was significantly reduced from baseline to follow-up (P <or= 0.05). Falls were significantly related to the baseline HOME FAST score (odds ratio (OR) 1.016, 95% confidence interval (CI) 1.004-1.098, P = 0.006), and a reduction in home hazards at follow-up (OR 0.984, 95% CI 0.973-0.996, P = 0.02). CONCLUSION: The HOME FAST can predict falls in older people and is responsive to change.
AIM: To evaluate the predictive validity and responsiveness of the Home Falls and Accidents Screening Tool (HOME FAST). METHODS: A prospective study of 727 community dwelling Veterans and war widows aged 70 years and over. The outcome was 6-month recall of any fall at 3-year follow-up. Baseline measurements were taken of common falls risk factors, and home hazards (using the HOME FAST). Changes in the prevalence of HOME FAST items were calculated and a logistic regression model was computed to determine predictors of falls at follow-up. RESULTS: Prevalence of 14 HOME FAST items was significantly reduced from baseline to follow-up (P <or= 0.05). Falls were significantly related to the baseline HOME FAST score (odds ratio (OR) 1.016, 95% confidence interval (CI) 1.004-1.098, P = 0.006), and a reduction in home hazards at follow-up (OR 0.984, 95% CI 0.973-0.996, P = 0.02). CONCLUSION: The HOME FAST can predict falls in older people and is responsive to change.
Authors: Craig A Bauman; James D Milligan; Tejal Patel; Sarah Pritchard; Tammy Labreche; Sharon Dillon-Martin; Alexandra Ilich; John J Riva Journal: J Can Chiropr Assoc Date: 2014-09
Authors: A Stefanie Mikolaizak; Paul M Simpson; Anne Tiedemann; Stephen R Lord; Gideon A Caplan; Jason C Bendall; Kirsten Howard; Jacqueline C T Close Journal: BMC Health Serv Res Date: 2013-09-27 Impact factor: 2.655