Frailty Versus Stopping Elderly Accidents, Deaths and Injuries Initiative Fall Risk Score: Ability to Predict Future Falls

Details

• Alternative Title:
  J Am Geriatr Soc
• Personal Author:
  Crow, Rebecca S. ; Lohman, Matthew C. ; Pidgeon, Dawna ; Bruce, Martha L. ; Bartels, Stephen J. ; Batsis, John A.
• Description:
  Objectives
  
  To compare the ability of frailty status to predict fall risk with that of community fall risk screening tools.
  
  Design
  
  Setting
  
  National Health and Aging Trend Study (NHATS) 2011
  
  Participants
  
  Individuals aged 65 and older (N=7,392).
  
  Measurements
  
  Fall risk was defined according to the Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative. Frailty was defined as exhaustion, weight loss, low activity, slow gait speed, and weak grip strength. Robust was defined as meeting 0 criteria, prefrailty as 1 or 2 criteria, and frailty as 3 or more criteria. Falls were self-reported and ascertained using NHATS subsequent rounds (2012–2015). We compared the ability of frailty to predict future falls with that of STEADI score, adjusting for age, race, sex, education, comorbidities, hearing and vision impairment, and disability.
  
  Results
  
  Of the 7,392 participants (58.5% female), there 3,545 (48.0%) were classified as being at low risk of falling, 2,966 (40.1%) as being at moderate risk, and 881 (11.9%) as being at high risk. The adjusted risk of falling over the 4 subsequent years was 2.5 times as great for the moderate-risk group (hazard ratio (HR)=2.50, 95% confidence interval (CI)=2.16–2.89) and almost 4 times as great (HR=3.79, 95% CI=2.76–5.21) for the high-risk group as for the low-risk group. Risk of falling was greater for those who were prefrail (HR=1.22, 95% CI=1.05–1.41) and frail (HR=1.12, 95% CI=0.87–1.44) than for those who were robust.
  
  Conclusion
  
  STEADI score is a strong predictor of future falls. Addition of frailty status does not improve the ability of the STEADI measure to predict future falls.
  
  
• Subjects:
  Article Falls Frailty Pre-frailty
• Source:
  J Am Geriatr Soc. 66(3):577-583
• Pubmed ID:
  29427525
• Pubmed Central ID:
  PMC5933526
• Document Type:
  Journal Article
• Funding:
  R25 MH068502/MH/NIMH NIH HHS/United States ; R01 MH078052/MH/NIMH NIH HHS/United States ; R01 MH096441/MH/NIMH NIH HHS/United States ; R24 MH102794/MH/NIMH NIH HHS/United States ; T32 MH073553/MH/NIMH NIH HHS/United States ; R01 MH089811/MH/NIMH NIH HHS/United States ; UL1 TR001086/TR/NCATS NIH HHS/United States ; U48 DP005018/DP/NCCDPHP CDC HHS/United States ; U48DP005018/ACL HHS/United States ; K23 AG051681/AG/NIA NIH HHS/United States ; R01 MH102325/MH/NIMH NIH HHS/United States ; KL2 TR001088/TR/NCATS NIH HHS/United States
• Volume:
  66
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3f63f844fd89a65eb4d7a68edf2f7a08ed5a1ab4635955a69ef96b1c3ebe10e1
• Download URL:
  https://stacks.cdc.gov/view/cdc/53813/cdc_53813_DS1.pdf
• File Type:
  [PDF - 417.58 KB ]