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

Stapleton, C. and Hough, P. and Oldmeadow, L. and Bull, K. and Hill, K. and Greenwood, K. 2009. Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention. Australasian Journal on Ageing. 28 (3): pp. 139-143.

Source Title

Australasian Journal on Ageing

DOI

10.1111/j.1741-6612.2009.00375.x

ISSN

1440-6381

School

School of Physiotherapy and Exercise Science

URI

http://hdl.handle.net/20.500.11937/31531

Collection

Curtin Research Publications

Abstract

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.