The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients

P. Boele van Hensbroek, N. van Dijk, G.F. van Breda, A.C. Scheffer, T.J. van der Cammen, P.T.A.M. Lips, J.C. Goslings, S.E. Rooij

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To validate the CAREFALL Triage Instrument (CTI), a self-administered questionnaire concerning modifiable risk factors for recurrent falls in elderly patients who experienced fall. METHODS: This study in patients 65 years or older who experienced fall was performed at the accident and emergency department of a tertiary university hospital in the Netherlands. The construct validity was determined in 200 patients and 100 matched controls. The test-retest reliability was determined in 27 patients who answered the CTI twice. The clinical validity was determined in 111 high-risk patients who visited the Fall Prevention Clinic (FPC). The risk factors were as follows: medication, balance and mobility, fear of falling, orthostatic hypotension, mood, high risk of osteoporosis, impaired vision, and urinary incontinence. RESULTS: Construct Validity Recurrent falls correlated with more risk factors. Age, female gender, and 6 risk factors correlated with recurrent falls. Clinical validity: the agreement between the CTI and FPC was fair for balance and mobility, orthostatic hypotension, and urinary incontinence, moderate for mood, fear of falling, and high risk of osteoporosis, and substantial for "medication and impaired vision. Test-retest reliability: the agreement between the 2 CTIs was substantial for medication, high risk of osteoporosis, moderate for balance and mobility, mood, fair for orthostatic hypotension, impaired vision, and urinary incontinence, and poor for fear of falling. CONCLUSION: The CTI is reliable and valid in assessing risk factors for recurrent falls in elderly patients who experienced fall
Original languageUndefined/Unknown
Pages (from-to)23-36
JournalAmerican Journal of Emergency Medicine
Volume27
Issue number1
DOIs
Publication statusPublished - 2009

Cite this

Boele van Hensbroek, P., van Dijk, N., van Breda, G. F., Scheffer, A. C., van der Cammen, T. J., Lips, P. T. A. M., ... Rooij, S. E. (2009). The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients. American Journal of Emergency Medicine, 27(1), 23-36. https://doi.org/10.1016/j.ajem.2008.01.029
Boele van Hensbroek, P. ; van Dijk, N. ; van Breda, G.F. ; Scheffer, A.C. ; van der Cammen, T.J. ; Lips, P.T.A.M. ; Goslings, J.C. ; Rooij, S.E. / The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients. In: American Journal of Emergency Medicine. 2009 ; Vol. 27, No. 1. pp. 23-36.
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title = "The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients",
abstract = "OBJECTIVE: To validate the CAREFALL Triage Instrument (CTI), a self-administered questionnaire concerning modifiable risk factors for recurrent falls in elderly patients who experienced fall. METHODS: This study in patients 65 years or older who experienced fall was performed at the accident and emergency department of a tertiary university hospital in the Netherlands. The construct validity was determined in 200 patients and 100 matched controls. The test-retest reliability was determined in 27 patients who answered the CTI twice. The clinical validity was determined in 111 high-risk patients who visited the Fall Prevention Clinic (FPC). The risk factors were as follows: medication, balance and mobility, fear of falling, orthostatic hypotension, mood, high risk of osteoporosis, impaired vision, and urinary incontinence. RESULTS: Construct Validity Recurrent falls correlated with more risk factors. Age, female gender, and 6 risk factors correlated with recurrent falls. Clinical validity: the agreement between the CTI and FPC was fair for balance and mobility, orthostatic hypotension, and urinary incontinence, moderate for mood, fear of falling, and high risk of osteoporosis, and substantial for {"}medication and impaired vision. Test-retest reliability: the agreement between the 2 CTIs was substantial for medication, high risk of osteoporosis, moderate for balance and mobility, mood, fair for orthostatic hypotension, impaired vision, and urinary incontinence, and poor for fear of falling. CONCLUSION: The CTI is reliable and valid in assessing risk factors for recurrent falls in elderly patients who experienced fall",
author = "{Boele van Hensbroek}, P. and {van Dijk}, N. and {van Breda}, G.F. and A.C. Scheffer and {van der Cammen}, T.J. and P.T.A.M. Lips and J.C. Goslings and S.E. Rooij",
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pages = "23--36",
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Boele van Hensbroek, P, van Dijk, N, van Breda, GF, Scheffer, AC, van der Cammen, TJ, Lips, PTAM, Goslings, JC & Rooij, SE 2009, 'The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients' American Journal of Emergency Medicine, vol. 27, no. 1, pp. 23-36. https://doi.org/10.1016/j.ajem.2008.01.029

The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients. / Boele van Hensbroek, P.; van Dijk, N.; van Breda, G.F.; Scheffer, A.C.; van der Cammen, T.J.; Lips, P.T.A.M.; Goslings, J.C.; Rooij, S.E.

In: American Journal of Emergency Medicine, Vol. 27, No. 1, 2009, p. 23-36.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients

AU - Boele van Hensbroek, P.

AU - van Dijk, N.

AU - van Breda, G.F.

AU - Scheffer, A.C.

AU - van der Cammen, T.J.

AU - Lips, P.T.A.M.

AU - Goslings, J.C.

AU - Rooij, S.E.

PY - 2009

Y1 - 2009

N2 - OBJECTIVE: To validate the CAREFALL Triage Instrument (CTI), a self-administered questionnaire concerning modifiable risk factors for recurrent falls in elderly patients who experienced fall. METHODS: This study in patients 65 years or older who experienced fall was performed at the accident and emergency department of a tertiary university hospital in the Netherlands. The construct validity was determined in 200 patients and 100 matched controls. The test-retest reliability was determined in 27 patients who answered the CTI twice. The clinical validity was determined in 111 high-risk patients who visited the Fall Prevention Clinic (FPC). The risk factors were as follows: medication, balance and mobility, fear of falling, orthostatic hypotension, mood, high risk of osteoporosis, impaired vision, and urinary incontinence. RESULTS: Construct Validity Recurrent falls correlated with more risk factors. Age, female gender, and 6 risk factors correlated with recurrent falls. Clinical validity: the agreement between the CTI and FPC was fair for balance and mobility, orthostatic hypotension, and urinary incontinence, moderate for mood, fear of falling, and high risk of osteoporosis, and substantial for "medication and impaired vision. Test-retest reliability: the agreement between the 2 CTIs was substantial for medication, high risk of osteoporosis, moderate for balance and mobility, mood, fair for orthostatic hypotension, impaired vision, and urinary incontinence, and poor for fear of falling. CONCLUSION: The CTI is reliable and valid in assessing risk factors for recurrent falls in elderly patients who experienced fall

AB - OBJECTIVE: To validate the CAREFALL Triage Instrument (CTI), a self-administered questionnaire concerning modifiable risk factors for recurrent falls in elderly patients who experienced fall. METHODS: This study in patients 65 years or older who experienced fall was performed at the accident and emergency department of a tertiary university hospital in the Netherlands. The construct validity was determined in 200 patients and 100 matched controls. The test-retest reliability was determined in 27 patients who answered the CTI twice. The clinical validity was determined in 111 high-risk patients who visited the Fall Prevention Clinic (FPC). The risk factors were as follows: medication, balance and mobility, fear of falling, orthostatic hypotension, mood, high risk of osteoporosis, impaired vision, and urinary incontinence. RESULTS: Construct Validity Recurrent falls correlated with more risk factors. Age, female gender, and 6 risk factors correlated with recurrent falls. Clinical validity: the agreement between the CTI and FPC was fair for balance and mobility, orthostatic hypotension, and urinary incontinence, moderate for mood, fear of falling, and high risk of osteoporosis, and substantial for "medication and impaired vision. Test-retest reliability: the agreement between the 2 CTIs was substantial for medication, high risk of osteoporosis, moderate for balance and mobility, mood, fair for orthostatic hypotension, impaired vision, and urinary incontinence, and poor for fear of falling. CONCLUSION: The CTI is reliable and valid in assessing risk factors for recurrent falls in elderly patients who experienced fall

U2 - 10.1016/j.ajem.2008.01.029

DO - 10.1016/j.ajem.2008.01.029

M3 - Article

VL - 27

SP - 23

EP - 36

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 1

ER -