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

    Access Status
    Fulltext not available
    Authors
    Stapleton, C.
    Hough, P.
    Oldmeadow, L.
    Bull, K.
    Hill, Keith
    Greenwood, K.
    Date
    2009
    Type
    Journal Article
    
    Metadata
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    Citation
    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.

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