Volume 22 Issue 5
May  2024
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SHENG Jingxin, LIANG Bing, WANG Tao, QIAN Rong, ZHAO Ping. Application of the FRQ and MFS in assessing the fall risk in postmenopausal osteoporosis[J]. Chinese Journal of General Practice, 2024, 22(5): 776-780. doi: 10.16766/j.cnki.issn.1674-4152.003501
Citation: SHENG Jingxin, LIANG Bing, WANG Tao, QIAN Rong, ZHAO Ping. Application of the FRQ and MFS in assessing the fall risk in postmenopausal osteoporosis[J]. Chinese Journal of General Practice, 2024, 22(5): 776-780. doi: 10.16766/j.cnki.issn.1674-4152.003501

Application of the FRQ and MFS in assessing the fall risk in postmenopausal osteoporosis

doi: 10.16766/j.cnki.issn.1674-4152.003501
Funds:

 SK2019A0179

 SK2019A0188

 2020byzd138

  • Received Date: 2023-07-16
  •   Objective  To compare the value of the self-rated fall risk questionnaire (FRQ) and the Morse fall scale (MFS) in assessing fall risk in postmenopausal osteoporosis (PMOP), and to inform the selection of fall risk assessment tools for this population.  Methods  A total of 193 postmenopausal women with a confirmed diagnosis of osteoporosis were selected from the First Affiliated Hospital of Bengbu Medical University from September 2020 to January 2022 by convenience sampling method, and were invited to attend a survey of their fall risk assessed by the FRQ and MFS and follow-up on falls. The group was divided into a fall group (n=32) and a non-fall group (n=161) according to whether they fell or not during the follow-up period, and the scale was evaluated by means of ROC curve, sensitivity, specificity and Bayes discriminant analysis.  Results  The scores of both scales in the fall group were higher than those in the non-fall group, and the difference was statistically significant (P<0.001); the AUC of the FRQ and MFS were 0.865 and 0.737, respectively, and the difference was statistically significant (P=0.003); the Youden ' s index was 0.546 and 0.360 at critical values of 4 and 40 for the FRQ and MFS, respectively, when the sensitivity was 0.844 and 0.813, and specificity was 0.702 and 0.547, respectively. The positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio were 0.360, 0.958, 2.830, 0.223 and 0.263, 0.936, 1.792, 0.343, respectively. The cross-check accuracy of the FRQ and MFS was 72.5% and 60.6%, respectively.  Conclusion  Both FRQ and MFS can effectively predict the risk of falls in postmenopausal osteoporosis, while, FRQ shows a higher predictive value compared to MFS.

     

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