TY  - JOUR
PY  - 2018//
TI  - Which fall ascertainment method captures most falls in pre-frail and frail seniors?
JO  - American journal of epidemiology
A1  - Teister, Corina J.
A1  - Chocano-Bedoya, Patricia O.
A1  - Orav, Endel J.
A1  - Dawson-Hughes, Bess
A1  - Meyer, Ursina
A1  - Meyer, Otto W.
A1  - Freystaetter, Gregor
A1  - Gagesch, Michael
A1  - Rizzoli, René
A1  - Egli, Andreas
A1  - Theiler, Robert
A1  - Kanis, John A.
A1  - Bischoff-Ferrari, Heike A.
SP  - 2243
EP  - 2251
VL  - 187
IS  - 10
N2  - There is no consensus on most reliable falls ascertainment method. Therefore, we investigated which method captures most falls among pre-frail and frail seniors from two randomized controlled trials conducted in Zurich, Switzerland, a 18-month trial (2009-2010) including 200 community-dwelling pre-frail seniors with a prior fall and a 12-month trial (2005-2008) including 173 frail seniors with acute hip fracture. Both included the same fall ascertainment methods: monthly active-asking, daily self-report diary, and a call-in hotline. We compared number of falls reported and estimated overall and positive percent agreement between methods. Pre-frail seniors reported 499 falls (rate = 2.5/year) and frail seniors reported 205 falls (rate = 1.4/year). Most falls were reported by active-asking: 81% of falls in pre-frail, and 78% in frail seniors. Among pre-frail seniors, diaries captured additional 19% falls, while hotline added none. Among frail seniors, hotline added 16% falls, while diaries added 6%. The positive percent agreement between active-asking and diary was 100% among pre-frail and 88% among frail seniors. While monthly active-asking captures most falls in both groups, this method alone missed 19% of falls in pre-frail and 22% in frail seniors. Thus, a combination of active-asking and diaries for pre-frail, and active-asking and the hotline for frail seniors is warranted.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9262
UR  - http://dx.doi.org/10.1093/aje/kwy113
ID  - ref1
ER  -