{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T08:02:07Z","timestamp":1794038527742,"version":"4.8.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,4,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Correct identification of people at risk for recurrent falls facilitates the establishment of preventive and rehabilitative strategies in older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purposes of this study were: (1) to develop and validate a simple clinical scale to stratify risk for recurrent falls in community-dwelling elderly people based on easily obtained social and clinical items and (2) to evaluate the added value of 3 clinical balance tests in predicting this risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a prospective measurement study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population of 1,618 community-dwelling people over 65 years of age underwent a health checkup, including performance of 3 clinical balance tests: the One-Leg-Balance Test, the Timed \u201cUp &amp; Go\u201d Test, and the Five-Times-Sit-to-Stand Test. Falls were recorded using a self-administered questionnaire that was completed a mean (SD) of 25\u00b15 months after the visit. Participants were randomly divided into either group A (n=999), which was used to develop the scale, or group B (n=619), which was used to prospectively validate the scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Logistic regression analysis identified 4 variables that independently predicted recurrent falls in group A: history of falls, living alone, taking \u22654 medications per day, and female sex. Thereafter, 3 risk categories of recurrent falls (low, moderate, and high) were determined. Predicted probability of recurrent falls increased from 4.1% to 30.1% between the first and third categories. This scale subsequently was validated with great accuracy in group B. Only the Five-Times-Sit-to-Stand Test provided added value in the estimation of risk for recurrent falls, especially for the participants who were at moderate risk, in whom failure on the test (duration of &amp;gt;15 seconds) doubled the risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>Falls were assessed only once, and length of follow-up was heterogeneous (18\u201336 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Clinicians could easily classify older patients in low-, moderate-, or high-risk groups of recurrent falls by using 4 easy-to-obtain items. The Five-Times-Sit-to-Stand Test provides added value to stratify risk for falls in people at moderate risk.<\/jats:p><\/jats:sec>","DOI":"10.2522\/ptj.20090158","type":"journal-article","created":{"date-parts":[[2010,3,5]],"date-time":"2010-03-05T01:51:51Z","timestamp":1267753911000},"page":"550-560","source":"Crossref","is-referenced-by-count":166,"title":["A Simple Clinical Scale to Stratify Risk of Recurrent Falls in Community-Dwelling Adults Aged 65 Years and Older"],"prefix":"10.1093","volume":"90","author":[{"given":"Severine","family":"Buatois","sequence":"first","affiliation":[{"name":"S. Buatois, PhD, is Project Manager, Centre d'Etudes et de Formation sur le Vieillissement and Department of Geriatrics, University Hospital of Nancy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Perret-Guillaume","sequence":"additional","affiliation":[{"name":"C. Perret-Guillaume, MD, PhD, is Senior Geriatrician, Centre d'Etudes et de Formation sur le Vieillissement and Department of Geriatrics, University Hospital of Nancy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Gueguen","sequence":"additional","affiliation":[{"name":"R. Gueguen, PhD, is Senior Statistician, Centre de M\u00e9decine Pr\u00e9ventive, Vandoeuvre-les-Nancy, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Miget","sequence":"additional","affiliation":[{"name":"P. Miget, MD, is Geriatrician, Centre de M\u00e9decine Pr\u00e9ventive, Vandoeuvre-les-Nancy, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Van\u00e7on","sequence":"additional","affiliation":[{"name":"G. 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