NDLI: Utility of performance-based outcome measures (PBOMs) used in fall risk assessment tools for older adults.

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Utility of performance-based outcome measures (PBOMs) used in fall risk assessment tools for older adults.

Content Provider	Europe PMC
Author	Parcetich, Kevin M. Miner, Daniel G. Paul, Arco Wildman, Lane
Copyright Year	2022
Abstract	This study investigated the diagnostic accuracy of different clusters of performance based outcome measures (PBOMs) recommended by two consensus-based guidelines: Stopping Elderly Accidents, Deaths, and Injuries (STEADI), and those recommended by a systematic review completed by the American Physical Therapy Association and Academy of Geriatric Physical Therapy (APTA-SR, APTA-SR3). 33 community-dwelling older adults (25 females, 8 males) aged mean 79.45 ± 7.64 years participated in this study. Participants completed a fall history questionnaire and were evaluated via a battery of PBOMs for comparative analysis. The diagnostic accuracy of each PBOM cluster was analyzed retrospectively (previous 1 year fall history) and prospectively (6 month follow up). Retrospective analysis revealed the APTA-SR3 had the highest clinical utility and diagnostic accuracy: Sp 88.24% (63.56–98.54), Sn 62.5% (35.43–84.8), LR+ 2.35 (1.22–4.53), LR- 0.19 (0.05–0.73), accuracy 70.22% (51.83–84.81). Prospective analysis revealed the cluster of the APTA-SR and APTA-SR3 had identical diagnostic accuracy: Sn 100% (39.76–100), Sp 43.75% (19.75–70.12), LR+ 1.78 (1.15–2.74), LR- 0 (0), accuracy 60.62% (36.63–81.36). The APTA-SR 3 cluster demonstrated the highest diagnostic accuracy and in this study was the most effective and efficient group of PBOMs to identify fall risk in community dwelling older adults.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10953945&blobtype=pdf
Volume Number	1
DOI	10.1016/j.dialog.2022.100043
PubMed Central reference number	PMC10953945
PubMed reference number	38515889
Journal	Dialogues in Health [Dialogues Health]
e-ISSN	27726533
Language	English
Publisher	Elsevier
Publisher Date	2022-09-15
Access Restriction	Open
Rights License	This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). © 2022 The Authors
Subject Keyword	Older-adult Fall risk assessment Diagnostic accuracy
Content Type	Text
Resource Type	Article
Subject	Medicine

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