転倒のリスクのある高齢者のスクリーニングは,ティネッティのバランス・スケールによって行われます
Lancet (London, England)
|October 21, 2000
まとめ
ティネッティ・バランス・スケールは,転倒のリスクが高い高齢者を効果的に特定します. 低いスコアは,落下を予測し,コミュニティに住む高齢者のための標的型予防介入を可能にします.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- バイオメディカルエンジニアリング
- 公衆衛生は公衆衛生である.
背景:
- 落下は,高齢者の怪我や障害の主な原因です.
- 転倒のリスクが高い個人を特定するために,予測ツールが必要です.
- ティネッティバランス・スケールは,バランスと歩き方に関する一般的に使用される臨床評価です.
研究 の 目的:
- コミュニティに住む高齢者の将来の転倒に対するティネッティバランススケールの予測有効性を評価する.
- 落下者を特定する際のティネッティバランススケールの感度と特異性を決定する.
主な方法:
- 75歳以上のコミュニティに住む225人の個人を対象とした前向きな研究.
- バランスを評価するために,ティネッティ・バランス・スケールが用いられました.
- 参加者は1年間追跡され,転落の発生を記録しました.
主要な成果:
- ティネッティ・バランス・スケールの36以下は,倒れた人の70% (7/10の倒れた人) を特定した.
- このカットオフは52%の特異性を示し,53%の被験者が検査結果が陽性であった.
- 検診結果が陽性であった個人は,転倒のリスクが2倍に増加しました.
結論:
- カットオフスコアが36以下であるティネッティバランススケールは,転倒のリスクが高い高齢者をスクリーニングするための有効なツールです.
- 検診の陽性な結果は,著しく高いリスクを示し,標的型予防措置を支持します.
- このスクリーニングアプローチは,リスクのある個人を落下予防プログラムに含めるのを容易にする可能性があります.
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