@article{16169, author = {Sherrington Catherine and Close J. and Tiedemann Anne and Barraclough E. and Taylor M. and O'Rourke Sandra and Kurrle S. and Herbert Rob and Lord S. and Cumming R.}, title = {Development of a tool for prediction of falls in rehabilitation settings (Predict_FIRST): a prospective cohort study}, abstract = {

OBJECTIVE: To develop and internally validate a simple falls prediction tool for rehabilitation settings. DESIGN: Prospective cohort study. PARTICIPANTS: A total of 533 inpatients. METHODS: Possible predictors of falls were collected from medical records, interview and physical assessment. Falls during inpatient stays were monitored. RESULTS: Fourteen percent of participants fell. A multivariate model to predict falls included: male gender (odds ratio (OR) 2.70, 95% confidence interval (CI) 1.57-4.64), central nervous system medications (OR 2.50, 95% CI 1.47-4.25), a fall in the previous 12 months (OR 2.21, 95% CI 1.07-4.56), frequent toileting (OR 2.14, 95% CI 1.27-3.62) and tandem stance inability (OR 2.00, 95% CI 1.11-3.59). The area under the curve for this model was 0.74 (95% CI 0.68-0.80). The Predict_FIRST tool is a unit weighted adaptation of this model (i.e. 1 point allocated for each predictor) and its area under the curve was 0.73 (95% CI 0.68-0.79). Predicted and actual falls risks corresponded closely. CONCLUSION: This tool provides a simple way to quantify the probability with which an individual patient will fall during a rehabilitation stay.

}, year = {2010}, journal = {Journal of Rehabilitation Medicine}, volume = {42}, edition = {2010/06/15}, number = {5}, pages = {482-8}, isbn = {1651-2081 (Electronic)1650-1977 (Linking)}, note = {Sherrington, CatherineLord, Stephen RClose, Jacqueline C TBarraclough, ElizabethTaylor, MoragOa Rourke, SandraKurrle, SusanTiedemann, AnneCumming, Robert GHerbert, Robert DResearch Support, Non-U.S. Gov'tSwedenJournal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation MedicineJ Rehabil Med. 2010 May;42(5):482-8.}, language = {eng}, }