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Australas J Ageing. 2009 Jun;28(2):64-9. doi: 10.1111/j.1741-6612.2009.00361.x.

Longitudinal study of the Home Falls and Accidents Screening Tool in identifying older people at increased risk of falls.

Author information

1
Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. l.mackenzie@usyd.edu.au

Abstract

AIM:

To evaluate the predictive validity and responsiveness of the Home Falls and Accidents Screening Tool (HOME FAST).

METHODS:

A prospective study of 727 community dwelling Veterans and war widows aged 70 years and over. The outcome was 6-month recall of any fall at 3-year follow-up. Baseline measurements were taken of common falls risk factors, and home hazards (using the HOME FAST). Changes in the prevalence of HOME FAST items were calculated and a logistic regression model was computed to determine predictors of falls at follow-up.

RESULTS:

Prevalence of 14 HOME FAST items was significantly reduced from baseline to follow-up (P <or= 0.05). Falls were significantly related to the baseline HOME FAST score (odds ratio (OR) 1.016, 95% confidence interval (CI) 1.004-1.098, P = 0.006), and a reduction in home hazards at follow-up (OR 0.984, 95% CI 0.973-0.996, P = 0.02).

CONCLUSION:

The HOME FAST can predict falls in older people and is responsive to change.

[Indexed for MEDLINE]

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