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Table 3 Relationship between the levels of risk from screening according to risk screening algorithm together with fall history in the past 1 year and chance of falling among elderly

From: Predictive validity of the Stopping Elderly Accidents, Deaths & Injuries (STEADI) program fall risk screening algorithms among community-dwelling Thai elderly

Fall risk screening algorithms

Overall

Faller

Non-faller

Crude HR

95% CI

Adjusted HRa

95% CI

P value

n (%)

n (%)

Clinician’s 3 key questions (basing on the number of positive responses)b

 0 point

258

9 (3.5)

249 (96.5)

1.00

Reference

1.00

Reference

 

 1 point

57

13 (22.8)

44 (77.2)

7.29

3.12, 17.06

6.92

2.92, 16.40

<0.001

 ≥2 points

165

126 (76.4)

39 (23.6)

40.19

20.36, 79.31

40.35

20.28, 80.29

<0.001

Clinician’s 3 key questions follow by history about the number and severity of previous fall

 Low risk

258

9 (3.5)

249 (96.5)

1.00

Reference

1.00

Reference

 

 Moderate risk

131

61 (46.6)

70 (53.4)

17.71

8.79, 35.68

18.32

9.01, 37.23

<0.001

 High risk

91

78 (85.7)

13 (14.3)

52.48

26.18, 105.18

51.41

25.29, 104.50

<0.001

Clinician’s 3 key questions & TUG

 Low risk

318

42 (13.2)

276 (86.8)

1.00

Reference

1.00

Reference

 

 Moderate risk

91

46 (50.6)

45 (49.4)

4.72

3.10, 7.18

4.75

3.08, 7.32

<0.001

 High risk

71

60 (84.5)

11 (15.5)

11.82

7.92, 17.65

10.43

6.85, 15.90

<0.001

Clinician’s 3 key questions & 30-s-Chair Stand

 Low risk

464

135 (29.1)

329 (70.9)

1.00

Reference

1.00 

Reference

 

 Moderate risk

10

7 (70.0)

3 (30.0)

2.93

1.37, 6.27

3.02

1.36, 6.70

0.006

 High risk

6

6 (100.0)

0

7.97

3.47, 18.30

4.49

1.86, 10.83

<0.001

Clinician’s 3 key questions & 4-Stage balance test

 Low risk

471

141 (29.9)

330 (70.1)

1.00

Reference

1.00

Reference

 

 Moderate risk

6

4 (66.7)

2 (33.3)

2.40

0.89, 6.49

2.36

0.79, 7.08

0.124

 High risk

3

3 (100.0)

0

5.68

1.80, 17.94

3.12

0.93, 10.46

0.066

Thai-SIB 12 items & TUG

 Low risk

359

56 (15.6)

303 (84.4)

1.00

Reference

1.00

Reference

 

 Moderate risk

69

40 (58.0)

29 (42.0)

5.12

3.41, 7.70

4.80

3.16, 7.29

<0.001

 High risk

52

52 (100.0)

0

16.03

10.76, 23.87

14.23

9.25, 21.88

<0.001

Thai-SIB 12 items & 30-s-Chair Stand

 Low risk

465

137 (29.5)

328 (70.5)

1.00

Reference

1.00

Reference

 

 Moderate risk

9

5 (55.6)

4 (44.4)

2.20

0.90, 5.36

1.99

0.80, 4.95

0.137

 High risk

6

6 (100.0)

0

7.83

3.41, 18.00

4.49

1.86, 10.83

0.001

Thai-SIB 12 items & 4-Stage balance test

 Low risk

471

142 (30.2)

329 (69.8)

1.00

Reference

1.00

Reference

 

 Moderate risk

6

3 (50.0)

3 (50.0)

1.79

0.57, 5.61

1.37

0.42, 4.45

0.598

 High risk

3

3 (100.0)

0

5.63

1.78, 17.81

3.13

0.93, 10.51

0.065

  1. aAdjusted for gender, marital status, education level, diabetes, hyperlipidemia, smoking, alcohol consumption, and home hazard
  2. bThe clinician’s 3 key questions ask if the elderly ever fell in the past year (yes=2 points); if the elderly feels unsteady when standing or walking (yes=1 point), and if the elderly worries about walking (yes=1 point). The maximum score is 4