Abstract:
BACKGROUND:Falling is common among older people. The Timed-Up-and-Go Test (TUG) is recommended as a screening tool for falls but its predictive value has been challenged. The objectives of this study were to examine the ability of TUG to predict future falls and to estimate the optimal cut-off point to identify those with higher risk for future falls. METHODS:This is a prospective cohort study nested within a randomised controlled trial including 259 British community-dwelling older people ≥65 years undergoing usual care. TUG was measured at baseline. Prospective diaries captured falls over 24 weeks. A Receiver Operating Characteristic curve analysis determined the optimal cut-off point to classify future falls risk with sensitivity, specificity, and predictive values of TUG times. Logistic regression models examined future falls risk by TUG time. RESULTS:Sixty participants (23%) fell during the 24 weeks. The area under the curve was 0.58 (95% confidence interval (95% CI) = 0.49-0.67, p = 0.06), suggesting limited predictive value. The optimal cut-off point was 12.6 seconds and the corresponding sensitivity, specificity, and positive and negative predictive values were 30.5%, 89.5%, 46.2%, and 81.4%. Logistic regression models showed each second increase in TUG time (adjusted for age, gender, comorbidities, medications and past history of two falls) was significantly associated with future falls (adjusted odds ratio (OR) = 1.09, 95% CI = 1.00-1.19, p = 0.05). A TUG time ≥12.6 seconds (adjusted OR = 3.94, 95% CI = 1.69-9.21, p = 0.002) was significantly associated with future falls, after the same adjustments. CONCLUSIONS:TUG times were significantly and independently associated with future falls. The ability of TUG to predict future falls was limited but with high specificity and negative predictive value. TUG may be most useful in ruling in those with a high risk of falling rather than as a primary measure in the ascertainment of risk.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Kojima G,Masud T,Kendrick D,Morris R,Gawler S,Treml J,Iliffe Sdoi
10.1186/s12877-015-0039-7subject
Has Abstractpub_date
2015-04-03 00:00:00pages
38issn
1471-2318pii
10.1186/s12877-015-0039-7journal_volume
15pub_type
杂志文章,随机对照试验相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:Mild or pre-frailty is common and associated with increased risks of hospitalisation, functional decline, moves to long-term care, and death. Little is known about the effectiveness of health promotion in reducing these risks. This systematic review aimed to synthesise randomised controlled trials (RCTs) eva...
journal_title:BMC geriatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12877-017-0547-8
更新日期:2017-07-20 00:00:00
abstract:BACKGROUND:Delirium is a neuropsychiatric syndrome frequently observed in elderly hospitalised patients and can be found in any medical condition. Due to the severe consequences, early recognition of delirium is important in order to start treatment in time. Despite the high incidence rate, the occurrence of delirium i...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-5-6
更新日期:2005-04-13 00:00:00
abstract:BACKGROUND:Chronic kidney disease (CKD), low serum albumin, and anemia are known risk factors for cognitive decline in older people. We investigated the association between kidney function and cognitive impairment severity in oldest-old people with a diagnosis of Alzheimer's disease (AD). METHODS:A cross-sectional stu...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01789-0
更新日期:2020-10-07 00:00:00
abstract:BACKGROUND:Collaborative medication review (CMR) practices for older adults are evolving in many countries. Development has been under way in Finland for over a decade, but no inventory of evolved practices has been conducted. The aim of this study was to identify and describe CMR practices in Finland after 10 years of...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1317-6
更新日期:2019-11-21 00:00:00
abstract:BACKGROUND:Delayed diagnosis of bloodstream infection (BSI) occurs in > 20% of older patients, with misdiagnosis in 35%. Our objective was to develop and validate a clinically useful screening tool to identify older patients with a high probability of having a BSI. METHODS:Hospitalized patients > 80 years old with BSI...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1402-x
更新日期:2020-01-03 00:00:00
abstract:BACKGROUND:Sarcopenia often accompanies osteoarthritis (OA), which is managed by total knee arthroplasty (TKA) in the late stage. Recent studies have suggested a higher risk of post-operative complications after TKA in sarcopenic OA subjects, but whether TKA can benefit them similar to non-sarcopenic subjects remains u...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01929-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Selecting appropriate outcome measures for vulnerable, multimorbid, older patients with acute and chronic impairments poses specific challenges, which may have caused inconsistent findings of previous intervention trials on early inpatient rehabilitation in acutely hospitalized older patients. The aim of thi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1201-4
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:Geriatric syndromes are rarely detected in family medicine. Within the AGE program (active geriatric evaluation), a brief assessment tool (BAT) designed for family physicians (FP) was developed and its diagnostic performance estimated by comparison to a comprehensive geriatric assessment. METHODS:This prosp...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0761-z
更新日期:2018-03-13 00:00:00
abstract:BACKGROUND:Frailty in older patients might influence treatment decisions. Frailty can be determined using a Comprehensive Geriatric Assessment (CGA), but this is time-consuming and expensive. Therefore we assessed the diagnostic value of four shorter screening instruments. METHODS:We tested the abbreviated CGA (aCGA),...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-14-26
更新日期:2014-02-26 00:00:00
abstract:BACKGROUND:Anemia and frailty contribute to poor health outcomes in older adults; however, most current research in lower income countries has concentrated on anemia or frailty alone rather than in combination. The aim of the present study was to investigate the association between anemia and frailty in community-dwell...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1342-5
更新日期:2019-12-04 00:00:00
abstract:BACKGROUND:People with dementia describe experiences of loss that threaten their autonomy and ability to contribute to society. They often have difficulties with orientation, loss of roll function, and fear about the future, and need help from others. An increasing body of literature also focuses on how people with dem...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1306-9
更新日期:2019-10-30 00:00:00
abstract:BACKGROUND:Our aim was to assess the prevalence and demographic and socioeconomic correlates of chronic morbidity in the elderly population of transitional Kosovo. METHODS:A cross-sectional study was conducted in Kosovo in 2011 including a representative sample of 1890 individuals aged ≥ 65 years (949 men, mean age 73...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-13-22
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Most older adults with urinary incontinence use absorbent pads. Because of exposure to moisture and chemical irritating substances in urine, the perineal skin region is always at risk for development of incontinence-associated dermatitis (IAD). The aim of this study was to examine the efficacy of an improved...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-12-22
更新日期:2012-05-29 00:00:00
abstract:BACKGROUND:In the 1990s, epidemiological studies estimated the prevalence of stroke caused by atrial fibrillation (AF) at about 15 %. Given the aging population, there is a rise in the number of AF patients. AF prevention guidelines based on clinical practice and the literature have been published and updated since 200...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0067-3
更新日期:2015-06-11 00:00:00
abstract:BACKGROUND:Medication related harm (MRH) is a common cause of morbidity and hospital admission in the elderly, and has significant cost implications for both primary and secondary healthcare resources. The development of risk prediction models has become an increasingly common phenomenon in medicine and can be useful t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0191-8
更新日期:2016-01-19 00:00:00
abstract:BACKGROUND:Dementia is a care intensive disease, especially in the later stages, implying in many cases a substantial carer burden. This study assesses the use of formal and informal care resources among persons with dementia during the last month before nursing home admission. It also describes main providers of infor...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01703-8
更新日期:2020-08-18 00:00:00
abstract:BACKGROUND:A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disabi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01875-3
更新日期:2020-11-18 00:00:00
abstract:BACKGROUND:Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to ass...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01854-8
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:Daughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between different types of kin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-10-61
更新日期:2010-08-29 00:00:00
abstract:BACKGROUND:In Germany, the number of people with dementia living in nursing homes is rapidly increasing. Providing adequate care for their special needs is a challenge for institutions and their staff members. Because of the growing number of people with dementia, changes to the conceptual orientation of nursing homes ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-123
更新日期:2013-11-15 00:00:00
abstract:BACKGROUND:Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrated care programs have...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/s12877-020-1482-7
更新日期:2020-02-28 00:00:00
abstract:BACKGROUND:The aim was to estimate the prevalence of frailty and relative contribution of physical/balance, nutritive, cognitive and sensory frailty to important adverse health states (falls, physical activity levels, outdoor mobility, problems in self-care or usual activities, and lack of energy or accomplishment) in ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1411-9
更新日期:2020-01-15 00:00:00
abstract:BACKGROUND:A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reduc...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01946-5
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Venous thromboembolic events (VTE), including deep venous thrombosis and pulmonary embolism, are common in older age. It has been suggested that statins might reduce the risk of VTE however positive results from studies of middle aged subjects may not be generalisable to elderly people. We aimed to determine...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-8
更新日期:2011-02-22 00:00:00
abstract:BACKGROUND:Frailty can be defined as a progressive loss of reserve and adaptive capacity associated with an overall deterioration in health that can result in disability, loss of independence, hospitalisation, extensive use of healthcare resources, admission to long-term care and death. Nevertheless, despite widespread...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0263-9
更新日期:2016-04-28 00:00:00
abstract:BACKGROUND:The UK, like other developed countries, is experiencing a marked change in the age structure of its population characterised by increasing life expectancy and continuing growth in the older fraction of the population. There is remarkably little up-to-date information about the health of the oldest old (over ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-7-14
更新日期:2007-06-26 00:00:00
abstract:BACKGROUND:Using Singapore as a case study, this paper aims to understand the effects of the current long-term care policy and various alternative policy options on the labor market participation of primary informal family caregivers of elderly with disability. METHODS:A model of the long-term care system in Singapore...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0243-0
更新日期:2016-03-23 00:00:00
abstract:BACKGROUND:An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recogn...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01534-7
更新日期:2020-04-10 00:00:00
abstract:BACKGROUND:Elderly patients are vulnerable to adverse drug reactions (ADRs). Drug-related readmissions (DRRs) can be a major consequence of ADR. Therefore, this study aimed to investigate the effects of a ward-based, comprehensive pharmaceutical care service on the occurrence of DRRs as the endpoint in dependent-living...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-018-0814-3
更新日期:2018-06-04 00:00:00
abstract:BACKGROUND:Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and ind...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01716-3
更新日期:2020-10-27 00:00:00