TY - JOUR PY - 2005// TI - A multivariate regression model predicted falls in residents living in intermediate hostel care JO - Journal of clinical epidemiology A1 - Chen, Jian Sheng A1 - March, Lyn M. A1 - Schwarz, Jennifer A1 - Zochling, J. A1 - Makaroff, J. A1 - Sitoh, Y. Y. A1 - Lau, Tse Chiang A1 - Lord, Stephen R. A1 - Cameron, Ian D. A1 - Cumming, Robert G. A1 - Sambrook, Philip N. SP - 503 EP - 508 VL - 58 IS - 5 N2 - BACKGROUND AND OBJECTIVE: To evaluate whether individual falls risk could be predicted in a frail elderly population. STUDY DESIGN AND SETTING: We developed and tested an assessment tool and falls risk score for predicting falls based on a multivariate regression model in a prospective cohort study of intermediate care residents. RESULTS: During the follow-up period, 1,736 falls by 1,107 subjects were recorded with an average of 170 falls per 100 person-years. Fifty percent of the study population had at least one fall within a year. Significant independent risk factors were poor balance, cognitive impairment, incontinence, higher illness severity rating, and older age. Twenty-two percent of participants with a falls risk score > or =7 accounted for 42% of the total falls, with a falls rate of 317 per 100 person-years. This rate was a sixfold increase from the falls rate of 52 per 100 person-years observed in participants with a score < 3. A high score (> or =7) indicated almost a 2 in 3 chance of falling, while a low score (<3) indicated approximately a 1 in 7 chance of falling within 6 months. CONCLUSION: The assessment tool and falls risk score could identify individuals in this frail elderly population at high risk of falls. LA - SN - 0895-4356 UR - http://dx.doi.org/10.1016/j.jclinepi.2004.08.018 ID - ref1 ER -