平衡信心预测了老年人的意外伤害性跌倒:一项纵向研究
Tewodros Yosef1,2, Julie A Pasco3,4,5, Monica C Tembo3
1Deakin University, School of Medicine, IMPACT, The Institute for Mental and Physical Health and Clinical Translation, Geelong, Australia. s222626666@deakin.edu.au.
European geriatric medicine
|February 10, 2026
概括
低平衡信心,通过修改落效率表 (MFES) 测量,预测老年人的伤害性跌倒. MFES得分部分解释了过去和未来跌倒之间的联系,支持其在跌倒风险评估中的使用.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 跌倒是老年人的主要健康问题,导致流动性和生活质量下降.
- 低余额信心是与这一人口群体下降相关的重要因素.
研究的目的:
- 调查修改布效率量表 (MFES) 评分与老年人伤害性落的发生之间的关联.
- 为了确定MFES得分是否调解了先前和后来的伤害性跌倒之间的关系.
主要方法:
- 利用了来自吉隆骨质疏松症研究的数据,将参与者记录与维多利亚州紧急最低数据集联系起来.
- 雇员竞争风险回归评估MFES作为伤害性跌倒的预测因素,以及跌倒之间的关系的调解分析.
- 使用接收器操作特征 (ROC) 分析确定了最佳的MFES切割点.
主要成果:
- 低MFES得分是伤害性落事件的重要预测因素 (aSHR=1.019).
- 该研究发现MFES的截止值为55,但其辨别能力没有意义 (AUC=0.508).
- 较低的MFES得分占先前自我报告的跌倒和后来的损害性跌倒之间的关系的14.9%.
结论:
- 低MFES得分与伤害性跌倒有关,并部分调解了先前和后来的跌倒之间的关系.
- 虽然MFES的截止值为55,但其预测可靠性是有限的,因为其特异性和区分能力较低.
- 建议将MFES等平衡信心评估纳入多因素跌倒风险管理,与全球跌倒预防准则保持一致.
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