Validation of a clinical prediction model for falls in community-dwelling older adults with COPD: A preliminary analysis.

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Tác giả: Marla K Beauchamp, Dina Brooks, Cindy Ellerton, Roger Goldstein, Luciana G Macedo, Khang T Nguyen, Natya Raghavan, Joshua Wald

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Chronic respiratory disease , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 198976

 BACKGROUND: People with chronic obstructive pulmonary disease (COPD) are at a higher risk of falls. This preliminary study aims to externally validate a previously developed clinical prediction model for falls in community-dwelling older adults with COPD. METHODS: This was a secondary analysis of a 12-month prospective cohort study. Older adults (≥60 years) with COPD, who reported a fall in the past year and/or had balance concerns, were tracked for 12-month future falls. Baseline predictors included 12-month history of ≥2 falls, total chronic conditions, and Timed Up and Go Dual-Task (TUG-DT) test scores. Model performance was assessed for discrimination (c-statistic), calibration (E:O, CITL, and calibration slope), and clinical value (decision curve analysis). RESULTS: The study included 89 participants (average age 73 ± 9 years
  83 females
  FEV CONCLUSIONS: A 12-month history of ≥2 falls, higher total chronic conditions, and worse TUG-DT test scores, predicts falls in community-dwelling older adults with COPD. Larger studies are needed before clinical application.
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