{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T21:10:34Z","timestamp":1777583434499,"version":"3.51.4"},"reference-count":80,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T00:00:00Z","timestamp":1600560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>The aim of this study was to identify in-hospital fall risk factors specific for multimorbid hospitalized geriatric patients with dementia (PwD) during hospitalization. Geriatric inpatients during ward-based rehabilitation (n = 102; 79.4% females; 82.82 (6.19) years of age; 20.26 (5.53) days of stay) were included in a comprehensive fall risk assessment combining established clinical measures, comprehensive cognitive testing including detailed cognitive sub-performances, and various instrumented motor capacity measures as well as prospective fall registration. A combination of unpaired t-tests, Mann\u2013Whitney-U tests, and Chi-square tests between patients with (\u201cin-hospital fallers\u201d) and without an in-hospital fall (\u201cin-hospital non-fallers\u201d), univariate and multivariate regression analysis were used to explore the best set of independent correlates and to evaluate their predictive power. In-hospital fallers (n = 19; 18.63%) showed significantly lower verbal fluency and higher postural sway (p &lt; 0.01 to 0.05). While established clinical measures failed in discriminative as well as predictive validity, specific cognitive sub-performances (verbal fluency, constructional praxis, p = 0.01 to 0.05) as well as specific instrumented balance parameters (sway area, sway path, and medio-lateral displacement, p &lt; 0.01 to 0.03) significantly discriminated between fallers and non-fallers. Medio-lateral displacement and visuospatial ability were identified in multivariate regression as predictors of in-hospital falls and an index combining both variables yielded an accuracy of 85.1% for fall prediction. Results suggest that specific cognitive sub-performances and instrumented balance parameters show good discriminative validity and were specifically sensitive to predict falls during hospitalization in a multimorbid patient group with dementia and an overall high risk of falling. A sensitive clinical fall risk assessment strategy developed for this specific target group should include an index of selected balance parameters and specific variables of cognitive sub-performances.<\/jats:p>","DOI":"10.3390\/s20185385","type":"journal-article","created":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T21:20:28Z","timestamp":1600636828000},"page":"5385","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Specific Motor and Cognitive Performances Predict Falls during Ward-Based Geriatric Rehabilitation in Patients with Dementia"],"prefix":"10.3390","volume":"20","author":[{"given":"Klaus","family":"Hauer","sequence":"first","affiliation":[{"name":"Department of Geriatric Research, AGAPLESION Bethanien-Hospital\/Geriatric Centre at the Heidelberg University, 69126 Heidelberg, Germany"}]},{"given":"Ilona","family":"Dutzi","sequence":"additional","affiliation":[{"name":"Department of Geriatric Research, AGAPLESION Bethanien-Hospital\/Geriatric Centre at the Heidelberg University, 69126 Heidelberg, Germany"}]},{"given":"Katharina","family":"Gordt","sequence":"additional","affiliation":[{"name":"Institute of Sports and Sports Sciences, Heidelberg University, 69120 Heidelberg, Germany"}]},{"given":"Michael","family":"Schwenk","sequence":"additional","affiliation":[{"name":"Network Aging Research (NAR), Heidelberg University, 69115 Heidelberg, Germany"}]}],"member":"1968","published-online":{"date-parts":[[2020,9,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0749-0690(02)00003-4","article-title":"Falls in cognitive impairment and dementia","volume":"18","author":"Shaw","year":"2002","journal-title":"Clin. 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