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Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China

Authors Kang L, Han P, Wang J, Ma Y, Jia L, Fu L, Yu H, Chen X, Niu K, Guo Q

Received 29 March 2017

Accepted for publication 18 June 2017

Published 28 November 2017 Volume 2017:12 Pages 2009—2016

DOI https://doi.org/10.2147/CIA.S138287

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 2

Editor who approved publication: Dr Wu


Li Kang,1,2 Peipei Han,2 Jiazhong Wang,2 Yixuan Ma,2 Liye Jia,2 Liyuan Fu,2 Hairui Yu,2 Xiaoyu Chen,2 Kaijun Niu,3,4 Qi Guo1,2

1Department of Rehabilitation Medicine, Tianjin Economic-Technological Development Area International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, 2Department of Rehabilitation Medicine, 3Nutritional Epidemiology Institute, 4School of Public Health, Tianjin Medical University, Tianjin, China

Purpose: Falling is a major health problem in community-dwelling elderly individuals. The aim of the present study was to conduct a prospective investigation to evaluate the accuracy of the Timed Up and Go Test (TUGT), 4-meter walking test, and grip strength test to screen for the risk of falls and to determine a cutoff point to be used clinically.
Patients and methods: This was a prospective study that included 541 participants. The fall data were obtained via face-to-face interview, and the date, site, and circumstances of any falls were recorded. TUGTs were recorded as part of a comprehensive geriatric assessment. We collected the same data at baseline and after follow-up via comprehensive geriatric assessment.
Results: The incidence of falls of our study subjects was 20.8%. The recurrent-fall group had a fall rate of 6.8% during the follow-up year. The standard area under the curve (AUC) of our screening tool was >0.70, and hence our tool can be used for clinical purposes. After adjusting for age and gender, the AUC of TUGT became 0.642, so it cannot be used as a predictive tool for measuring any types of falls. However, when recurrent falls were adjusted for age and gender, the TUGT’s AUC improved to 0.733 and a score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals.
Conclusion: Future falls were best predicted by TUGT in recurrent fallers at baseline. A score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals.

Keywords:
community dwelling, elderly, fall, TUGT

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