@article{ref1,
title="Analytical review: focus on fall screening assessments",
journal="PM & R : the journal of injury, function, and rehabilitation",
year="2013",
author="Lee, Jacob and Geller, Andrew I. and Strasser, Dale C.",
volume="5",
number="7",
pages="609-621",
abstract="BACKGROUND: Falls and their associated injuries profoundly impact health outcomes, functional independence, and health care expenses, particularly for the ever-increasing elderly population. This systematic search and review assessed the current evidence for the role of fall screening assessments. OBJECTIVE: To review the current evidence for fall risk screening assessments in community-dwelling (outpatient), inpatient medical and surgical wards, inpatient rehabilitation centers, and postrehabilitation outpatient settings. DATA SOURCES: MEDLINE and Embase (January 1980 to December 2012). STUDY SELECTION: Prospective validation studies of acute medical or surgical inpatients, acute rehabilitation inpatients, outpatients who completed acute inpatient rehabilitation, or community-dwelling elderly. DATA EXTRACTION: Sensitivity, specificity, positive predictive value, negative predictive value, receiver operating characteristics with area under the curve. RESULTS: We summarized key findings from 6 literature reviews. We then identified 31 articles: 12 studies in community setting, 13 in the acute medical inpatient or surgical inpatient setting, and 6 studies in the rehabilitation setting. Twenty-two studies not previously reviewed were included, and 9 studies previously reviewed were considered relevant and were included to allow comparison with data from the studies not previously reviewed. CONCLUSION: We recommend consideration of 7 assessment tools to be used in conjunction with overall clinical evaluation to assess falls risk: the Timed Up and Go Test with a cutoff of >12.34 seconds and Functional Gait Assessment among community-dwelling elderly; St Thomas Risk Assessment Tool in medical inpatients <65 years old and surgical inpatients; Hendrich fall risk model II in medical inpatients; 10-Minute Walk Test in patients in poststroke rehabilitation; and Berg Balance Scale or the Step Test in patients in poststroke rehabilitation who had fallen during their inpatient stay.<p /> <p>Language: en</p>",
language="en",
issn="1934-1482",
doi="10.1016/j.pmrj.2013.04.001",
url="http://dx.doi.org/10.1016/j.pmrj.2013.04.001"
}