Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities

Nordin, Ellinor; Lindelöf, Nina; Rosendahl, Erik; Jensen, Jane P.; Lundin-Olsson, Lillemor

doi:10.1093/ageing/afn101

Cited by 184 publications

(130 citation statements)

References 22 publications

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“…Licensed nurses can identify residents at high risk for falls based on clinical judgment [207]. Interventions that address the resident's greatest risk factors can then be used to reduce the rate of falls and restraint use.…”

Section: The Relationship Between Staffing Levels and Quality Of Carementioning

confidence: 99%

Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

Xing¹,

Mukamel²,

Glance³

et al. 2016

WHM

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2013ii Biographical SketchThe author was born in Shanghai, China. She attended Shanghai Second Medical This dissertation provides evidence that linking Medicaid reimbursement rate to each NH's own expenditures and incentivizing NHs to invest in direct care were effective ways in achieving quality improvement. Refinements of current Medi-Cal reimbursement policy might be needed to encourage NHs to make larger investments. However, maximizing NHs' spending on direct care cannot be relied on as the only policy strategy to improve quality of care. vii Contributors and Funding SourcesThis work was supervised by a dissertation committee consisting of Professors

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Section: The Relationship Between Staffing Levels and Quality Of Carementioning

confidence: 99%

Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

Xing¹,

Mukamel²,

Glance³

et al. 2016

WHM

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“…Get Up and Go Test (TUGT) 208 , Global Rating of Fall Risk (GLORF) 209 , the Modified Gait Abnormality Rating Scale (MGARS), Physical Performance Test (PPT) 210 , Berg balance, * For a two disease, two outcome measure (diagnostic testing) scenario, the area under the curve is equivalent to (Youden's index+1)/2, where Youden's index equals sensitivity + specificity ABC and reaction time 211 , and a variety of functional mobility assessments 19 , as detailed in Table 1.5. Aside from the necessity for a trained assessor to undertake these tests, the other main limitation is that they are little better in predicting future fall than a history of previous fall 150 .…”

Section: Physical Assessment Scalesmentioning

confidence: 99%

Preventing falls in older people

2015

Nursing Standard

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Preventing falls in older peopleSimon Conroy Falls are a major cause of injury fear of falling and death affecting 24% of older people annually. Falls have a major impact on hospital services, and are an important cause of carer strain and admission to long term care.Multifactorial interventions delivered to fallers are effective in reducing falls rates by 25%. However, no UK studies have evaluated the role of screening older people living in the primary care setting and offering those at high risk a falls prevention programme. This work describes two studies -the evaluation of a postal falls risk screening tool, and a randomised controlled trial assessing the benefits of offering a falls prevention programme to those identified as being at high risk.335 older people were recruited into the screening study, using a modified version of the Falls Risk Assessment Tool. The sensitivity was 79%, specificity 58%, positive predictive value 50% and the negative predictive value 83%.In the RCT, 364 community-dwelling older people at high risk of falls were randomised into a pragmatic, multicentre trial evaluating falls prevention programmes. 181 were allocated to the control group and 183 to the intervention.The primary outcome was the rate of falls; the adjusted IRR was 0.73 (0.51-1.03), p=0.071. There were no significant differences between the groups in terms of the proportion of fallers, recurrent fallers, medically verified falls, injurious falls, time to first fall or time to second fall. Nor were there significant differences in terms of institutionalisation, mortality, basic or extended activities of daily living, or fear of falling.Further work on the acceptability and implementation of falls prevention interventions is required, but subject to these conditions being met and a supportive cost-effectiveness analysis, the totality of the evidence suggests that screening and intervening for individuals at high risk of fall may be effective. 4 ACKNOWLEDGMENTS

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“…These are typically measured during walking tests, such as the 10-m walking test [9], or the timed up and go test (TUG) [10]. The TUG is normally employed in studies where balance and risk of fall are of interest, as it requires that the subject stand up and sit down on a chair without help.…”

Section: Observational Gait Analysismentioning

confidence: 99%

Assessment of Gait Symmetry and Gait Normality Using Inertial Sensors: In-Lab and In-Situ Evaluation

Sant'Anna

Wickström

Eklund

et al. 2013

Biomedical Engineering Systems and Technologies

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Abstract. Quantitative gait analysis is a powerful tool for the assessment of a number of physical and cognitive conditions. Unfortunately, the costs involved in providing in-lab 3D kinematic analysis to all patients is prohibitive. Inertial sensors such as accelerometers and gyroscopes may complement in-lab analysis by providing cheaper gait analysis systems that can be deployed anywhere. The present study investigates the use of inertial sensors to quantify gait symmetry and gait normality. The system was evaluated in-lab, against 3D kinematic measurements; and also in-situ, against clinical assessments of hip-replacement patients. Results show that the system not only correlates well with kinematic measurements but it also corroborates various quantitative and qualitative measures of recovery and health status of hip-replacement patients.

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Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities

Cited by 184 publications

References 22 publications

Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

Preventing falls in older people

Assessment of Gait Symmetry and Gait Normality Using Inertial Sensors: In-Lab and In-Situ Evaluation

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