[Evaluation of a simple screening tool for ambulant fall prevention]

Area of Science:

• Geriatric Medicine
• Trauma Surgery
• Preventive Healthcare

Background:

• Fall risk in older adults is often underestimated, hindering effective preventive measures.
• The Aachen Falls Prevention Scale (AFPS) offers a patient-driven approach to fall risk assessment.
• Integrating fall risk assessment into aftercare and outpatient management is crucial.

Purpose of the Study:

• To evaluate the Aachen Falls Prevention Scale (AFPS) as a screening tool for geriatric trauma patients.
• To identify factors influencing fall risk, including subjective/objective risk and fear of falling (FOF).
• To assess older adults' willingness to participate in fall prevention activities.

Main Methods:

• Retrospective analysis of patients over 70 years old treated for fractures between July 2014 and April 2016.
• Participants completed a 47-question AFPS questionnaire; a history of falls indicated balance disorder.
• Ambulant patients were invited for participation in a follow-up survey.

Main Results:

• 201 patients (mean age 80.4 years) completed the AFPS self-assessment.
• 47% reported high subjective fall risk; 42% were objectively classified as "fallers".
• 43% found AFPS beneficial for fall risk evaluation, though only 12% considered an app version feasible.

Conclusions:

• Self-assessment using simple tools like AFPS can identify individuals with potential balance problems.
• Early identification of fall risk can lead to cost savings and improved quality of life for the geriatric population.
• Implementing patient-driven fall risk assessment supports preventive strategies in healthcare.