Snelle inschatting van de kans op herhaald vallen bij ouderen

Translated title of the contribution: Quick estimation of the risk of recurrent falls in the elderly

Geeske Peeters, Petra Elders, Paul Lips, Dorly Deeg

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

BACKGROUND: Thirty percent of people aged 65 years or older fall at least once a year, and about a quarter seek medical attention. Existing falls risk profiles are too complex for daily use. We describe a falls decision tree consisting of three simple questions that provides a quick indication of the risk of recurrent falls in older people who have recently fallen down. METHODS: We investigated simple, easy to measure predictors of repeated falls in 408 community-dwelling older people (65+ years) who had consulted a CP or gone to an accident and emergency (A&E) department after falling down. These predictors were then used to develop a falls decision tree, to indicate when a new fall can be expected. The decision tree was validated in a second sample of patients. RESULTS: Three predictors, namely, falls history, fear of falling, and use of a walking aid, in combination provided an adequate indication of the risk of a new fall. The risk of a new fall was 9% if none of the predictors was present and 42% if all three predictors were present. If high falls risk was defined as a higher than 30% risk of new falls, then 80% of the participants in the development sample and 70% of the participants in the validation sample were correctly classified as having a high falls risk. CONCLUSION: The falls decision tree is a simple tool for use in GP surgeries or in A&E departments to assess the risk of a new fall in older individuals who have recently fallen down.

Original languageDutch
Pages (from-to)186-191
Number of pages6
JournalHuisarts en Wetenschap
Volume54
Issue number4
Publication statusPublished - Apr 2011
Externally publishedYes

Cite this

Peeters, G., Elders, P., Lips, P., & Deeg, D. (2011). Snelle inschatting van de kans op herhaald vallen bij ouderen. Huisarts en Wetenschap, 54(4), 186-191.