Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention

C Stapleton; P Hough; L Oldmeadow; K Bull; K Hill; Ken Greenwood

doi:10.1111/j.1741-6612.2009.00375.x

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Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention

Journal article

Peer reviewed

Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention

C Stapleton, P Hough, L Oldmeadow, K Bull, K Hill and Ken Greenwood

Australasian Journal on Ageing, Vol.28(3), pp.139-143

2009

DOI: https://doi.org/10.1111/j.1741-6612.2009.00375.x

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Abstract

Medical and Health Sciences

Studies in Human Society

Psychology and Cognitive Sciences

fall

residential aged care

risk screening

Aim: To report the reliability, accuracy and compliance of a brief fall risk screening tool in subacute and residential aged care. Method: A 9-item tool, developed by expert and literature review, was administered to 291 persons admitted to subacute and residential aged care at Peninsula Health (PH) Victoria, Australia. Items were analysed for their ability to predict falls and the four strongest incorporated into a screening tool. Reliability was assessed on six nurses. Results: Most predictive items were recent falls (0.82), psychological status (0.55), medications (0.46) and cognition (0.41) ?2 (4, n = 291) = 89.89, P < 0.0001. The final 4-item tool (PH-FRAT) provides 80% accuracy (sensitivityER 70.2%, specificityER 68.8%) and high reliability (ICC = 0.79). The PH-FRAT is now used in 50 local subacute and residential facilities. Conclusion: The 4-item PH-FRAT is a popular, moderately predictive, reliable and brief method of screening fall risk in subacute and residential aged care. © 2009 ACOTA.

Details

Title: Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
Authors: C Stapleton (Author) - Department of Physiotherapy Peninsula Health
P Hough (Author) - Department of Physiotherapy Peninsula Health
L Oldmeadow (Author) - Monash University
K Bull (Author) - Peninsula Health
K Hill (Author) - La Trobe University
Ken Greenwood (Author) - RMIT University
Publication details: Australasian Journal on Ageing, Vol.28(3), pp.139-143
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2009
DOI: 10.1111/j.1741-6612.2009.00375.x
ISSN: 1440-6381
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99450320902621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Geriatrics & Gerontology; Gerontology

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