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      Development of the Falls Risk for Older People in the Community (FROP-Com) screening tool.

      Age and Ageing

      Sensitivity and Specificity, Risk Factors, methods, Risk Assessment, Reproducibility of Results, Prospective Studies, Predictive Value of Tests, Middle Aged, Mass Screening, Logistic Models, Humans, Geriatric Assessment, Emergency Medical Services, Aged, 80 and over, Aged, prevention & control, Accidental Falls

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          the aim of this study was to develop a brief screening tool for use in the emergency department (ED), to identify people who require further assessment and management. this prospective study included 344 community-dwelling older people presenting to an ED after a fall. After direct discharge participants had a home-based assessment performed that included the Falls Risk for Older People in the Community (FROP-Com), a comprehensive, yet simple, multifactorial falls risk assessment tool. They were then monitored for falls for 12 months. The items from the FROP-Com assessment tool predictive of falls in a multifactorial logistic regression were used to develop the FROP-Com screen. the items significantly predictive of falls and combined to form the FROP-Com screen were: falls in the previous 12 months, observation of the person's balance and the need for assistance to perform domestic activities of daily living. At the cut-off with the highest Youden index sensitivity was 67.1% (95% CI 59.9-74.3) and specificity was 66.7% (95% CI 59.8-73.6). the FROP-Com screen has a relatively good capacity to predict falls. It can be used in time-limited situations to classify those at high risk of falls who require more detailed assessment and management.

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