naa a22 4500 510786227 CHVBK 20180411083303.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s12603-012-0390-8 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0390-8 In-hospital fall-risk screening in 4,735 geriatric patients from the LUCAS project [Elektronische Daten] [L. Neumann, V. Hoffmann, S. Golgert, J. Hasford, Wolfgang von Renteln-Kruse] Objectives: In-hospital falls in older patients are frequent, but the identification of patients at risk of falling is challenging. Aim of this study was to improve the identification of high-risk patients. Therefore, a simplified screening-tool was developed, validated, and compared to the STRATIFY predictive accuracy. Design: Retrospective analysis of 4,735 patients; evaluation of predictive accuracy of STRATIFY and its single risk factors, as well as age, gender and psychotropic medication; splitting the dataset into a learning and a validation sample for modelling fall-risk screening and independent, temporal validation. Setting: Geriatric clinic at an academic teaching hospital in Hamburg, Germany. Participants: 4,735 hospitalised patients ≥65 years. Measurements: Sensitivity, specificity, positive and negative predictive value, Odds Ratios, Youden-Index and the rates of falls and fallers were calculated. Results: There were 10.7% fallers, and the fall rate was 7.9/1,000 hospital days. In the learning sample, mental alteration (OR 2.9), fall history (OR 2.1), and insecure mobility (Barthel-Index items ‘transfer' + ‘walking' score = 5, 10 or 15) (OR 2.3) had the most strongest association to falls. The LUCAS Fall-Risk Screening uses these risk factors, and patients with ≥2 risk factors contributed to the high-risk group (30.9%). In the validation sample, STRATIFY SENS was 56.8, SPEC 59.6, PPV 13.5 and NPV 92.6 vs. LUCAS Fall-Risk Screening was SENS 46.0, SPEC 71.1, PPV 14.9 and NPV 92.3. Conclusions: Both the STRATIFY and the LUCAS Fall-Risk Screening showed comparable results in defining a high-risk group. Impaired mobility and cognitive status were closely associated to falls. The results do underscore the importance of functional status as essential fall-risk factor in older hospitalised patients. Serdi and Springer-Verlag France, 2012 Older patients nationallicence in-hospital falls nationallicence risk screening nationallicence functionality nationallicence Neumann L. Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut Hoffmann V. Institute of Medical Information Sciences, Biometry and Epidemiology (IBE), Ludwig-Maximilians-University Munich, Marchionistrasse 15, 81377, Munich, Germany aut Golgert S. Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut Hasford J. Institute of Medical Information Sciences, Biometry and Epidemiology (IBE), Ludwig-Maximilians-University Munich, Marchionistrasse 15, 81377, Munich, Germany aut von Renteln-Kruse Wolfgang Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/3(2013-03-01), 264-269 1279-7707 17:3<264 2013 17 12603 https://doi.org/10.1007/s12603-012-0390-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0390-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Neumann L. Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut NATIONALLICENCE 700 1- Hoffmann V. Institute of Medical Information Sciences, Biometry and Epidemiology (IBE), Ludwig-Maximilians-University Munich, Marchionistrasse 15, 81377, Munich, Germany aut NATIONALLICENCE 700 1- Golgert S. Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut NATIONALLICENCE 700 1- Hasford J. Institute of Medical Information Sciences, Biometry and Epidemiology (IBE), Ludwig-Maximilians-University Munich, Marchionistrasse 15, 81377, Munich, Germany aut NATIONALLICENCE 700 1- von Renteln-Kruse Wolfgang Albertinen-Haus Geriatrics Centre, University of Hamburg, Sellhopsweg 18-22, D-22459, Hamburg, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/3(2013-03-01), 264-269 1279-7707 17:3<264 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer