Screening Test for the Risk of Falls of Elderly Nursing Home Residents

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  • 介護老人保健施設における易転落者のスクリーニングについての検討
  • カイゴ ロウジン ホケン シセツ ニ オケル イ テンラクシャ ノ スクリーニング ニ ツイテ ノ ケントウ

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The purpose of the present study is to elucidate the availability and validity of screening level of a simple screening test employing the level of activities of daily living and psychological status to predict the risk of falling in order to take measures to prevent falls among nursing home residents. The subjects were 90 elderly nursing home residents. We reviewed episodes of falls for a year and analyzed the gender, number of falls, Barthel Index (BI), HDS-R and the term of admission of people to the nursing home. Results suggested that results of the BI and HDS-R are predictive of the risk of falling more than twice. Certain screening levels of the BI and the HDS-R were determined thereafter. High sensitivity and specificity of the cut-off value were 53 for the BI and 9.7 for the HDS-R. Conclusion: Because these screening tests were so simple that the tests and each screening level were practically useful as screening to prevent falls.

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