Systematic review of risk prediction models for falls after stroke

Journal of Epidemiology and Community Health
Mary E WalshRose Galvin

Abstract

Falls are a significant cause of morbidity after stroke. The aim of this review was to identify, critically appraise and summarise risk prediction models for the occurrence of falling after stroke. A systematic literature search was conducted in December 2014 and repeated in June 2015. Studies that used multivariable analysis to build risk prediction models for falls early after stroke were included. 2 reviewers independently assessed methodological quality. Data relating to model calibration, discrimination (C-statistic) and clinical utility (sensitivity and specificity) were extracted. A narrative review of models was conducted. PROSPERO reference: CRD42014015612. The 12 included articles presented 18 risk prediction models. 7 studies predicted falls among inpatients only and 5 recorded falls in the community. Methodological quality was variable. A C-statistic was reported for 7 models and values ranged from 0.62 to 0.87. Models for use in the inpatient setting most frequently included measures of hemi-inattention, while those predicting community events included falls (or near-falls) history and balance measures most commonly. Only 2 studies reported any form of validation, and none presented a validated model with acceptabl...Continue Reading

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Citations

Mar 24, 2016·Disability and Rehabilitation·Mary WalshN Frances Horgan
Oct 22, 2016·Critical Care Medicine·Ilona Willempje Maria VerburgNicolette Fransisca de Keizer
Mar 16, 2019·Journal of the American Geriatrics Society·Caryn E S OshiroConnie M Trinacty
Nov 9, 2017·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Robynn CoxMolly M McNett
May 3, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Marc CampoMichael W O'Dell
Nov 30, 2016·Geriatrics·Kit Mun Tan, Maw Pin Tan
Sep 25, 2020·International Journal of Language & Communication Disorders·Rebecca SullivanBronwyn Hemsley
Jun 22, 2017·Geriatrics·Eugene Yee Hing TangBlossom Christa Maree Stephan
Dec 6, 2019·Frontiers in Neurology·Susan MarzoliniBradley J MacIntosh

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