Pubblicazioni

Autori:

Palese, Alvisa; Gonella, Silvia; Lant, A; Guarnier, ANNA MARIA; Barelli, Paolo; Zambiasi, Paola; Allegrini, Elisabetta; Bazoli, L; Casson, P; Marin, M; Padovan, M; Picogna, M; Taddia, Patrizia; Salmaso, Daniele; Chiari, P; Frison, T; Marognolli, Oliva; Canzan, Federica; Ambrosi, Elisa; Saiani, Luisa

Titolo:

Post-hoc validation of the Conley Scale in predicting the risk of falling with older in-hospital medical patients: findings from a multicentre longitudinal study

Anno:

2016

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

A Stampa

Referee:

Sì

Nome rivista:

Aging Clinical and Experimental Research

ISSN Rivista:

1594-0667

N° Volume:

28

Numero o Fascicolo:

1

Intervallo pagine:

139-146

Parole chiave:

Conley Scale, falls, older patients

Breve descrizione dei contenuti:

BACKGROUND: The Conley Scale is one of the most widespread fall-risk screening tools in medical unit settings, despite the lack of data regarding its validity in patients currently admitted to these units.AIMS: Establishing the validity of the Conley Scale in identifying patients at risk of falling in an acute medical setting.METHODS: A 6-months longitudinal study in 12 acute medical units from September 2012 to March 2013, a total of 1464 patients with ≥65 years of age were consecutively enrolled and evaluated with the Conley Scale within 24 h of admission. A construct validity, internal consistency, and a priori and a posteriori predictive validity study was performed.RESULTS: The explorative factor analysis showed a two-factor structure explaining a total variance of 48.3 %: previous history (30.41 %), and physical and cognitive impairment (17.9 %). The scale reported a poor internal consistency (Cronbach's α = 0.465) and the capability to correctly identify 18/649 patients as being at risk of falling, whereas the negative predictive value was 98.5 %. The sensitivity and specificity values were 60.0 and 55.9 %, respectively. No difference emerged between patients scored as at risk and those scored as not at risk in the time elapsed from admission to the first fall (HR = 0.600, 95 % CI 0.289-2.247 p = .166).DISCUSSION: The Conley Scale is not able to predict falls in elderly acute medical patients, and has reported poor internal consistency and accuracy.CONCLUSIONS: More studies are needed to develop appropriate tools to predict the risk of falling in elderly individuals admitted to an acute medical setting

Id prodotto:

89492

Handle IRIS:

11562/930794

ultima modifica:

15 novembre 2022

Citazione bibliografica:

Palese, Alvisa; Gonella, Silvia; Lant, A; Guarnier, ANNA MARIA; Barelli, Paolo; Zambiasi, Paola; Allegrini, Elisabetta; Bazoli, L; Casson, P; Marin, M; Padovan, M; Picogna, M; Taddia, Patrizia; Salmaso, Daniele; Chiari, P; Frison, T; Marognolli, Oliva; Canzan, Federica; Ambrosi, Elisa; Saiani, Luisa, Post-hoc validation of the Conley Scale in predicting the risk of falling with older in-hospital medical patients: findings from a multicentre longitudinal study «Aging Clinical and Experimental Research» , vol. 28 , n. 1 , 2016 , pp. 139-146

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