Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
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.

     

  • loading
  • [1]
    AIBAR-ALMAZÁN A, VOLTES-MARTÍNEZ A, CASTELLOTE-CABALLERO Y, et al. Current status of the diagnosis and management of osteoporosis[J]. Int J Mol Sci, 2022, 23(16): 9465. DOI: 10.3390/ijms23169465.
    [2]
    SCHOBERER D, BREIMAIER H E, ZUSCHNEGG J, et al. Fall prevention in hospitals and nursing homes: clinical practice guideline[J]. Worldviews Evid Based Nurs, 2022, 19(2): 86-93. doi: 10.1111/wvn.12571
    [3]
    KOMISAR V, ROBINOVITCH S N. The role of fall biomechanics in the cause and prevention of bone fractures in older adults[J]. Curr Osteoporos Rep, 2021, 19(4): 381-390. doi: 10.1007/s11914-021-00685-9
    [4]
    DIEBO B G, STROUD S G, SHAH N V, et al. Can we predict imbalance in patients? Analysis of the CDC national health and nutrition examination survey[J]. J Clin Med, 2023, 12(5): 1943. DOI: 10.3390/jcm12051943.
    [5]
    North American Menopause Society. Management of osteoporosis in postmenopausal women: the 2021 position statement of The North American Menopause Society[J]. Menopause, 2021, 28(9): 973-997. doi: 10.1097/GME.0000000000001831
    [6]
    中华医学会妇产科学分会绝经学组. 中国绝经管理与绝经激素治疗指南2023版[J]. 中华妇产科杂志, 2023, 58(1): 4-21. doi: 10.3760/cma.j.cn112141-20221118-00706

    Menopause Subgroup, Chinese Society of Obstetrics and Gynecology, Chinese Medical Association. The 2023 Chinese menopause symptom management and menopausal hormone therapy guidelines[J]. Chinese Journal of Obstetrics and Gynecology, 2023, 58(1): 4-21. doi: 10.3760/cma.j.cn112141-20221118-00706
    [7]
    KITCHARANANT N, VANITCHAROENKUL E, UNNANUNTANA A. Validity and reliability of the self-rated fall risk questionnaire in older adults with osteoporosis[J]. BMC Musculoskel Dis, 2020, 21(1): 757. DOI: 10.1186/s12891-020-03788-z.
    [8]
    宋俊敏, 万丹婷, 郑中梅, 等. 美国CDC社区老人跌倒风险自评表在我国老年人群中测试和信效度[J]. 中国公共卫生, 2020, 36(4): 592-595. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202004028.htm

    SONG J M, WAN D T, ZHENG Z M, et al. Reliability and validity of US CDC self-rated fall risk questionnaire among Chinese community-dwelling older adults[J]. Chinese Journal of Public Health, 2020, 36(4): 592-595. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202004028.htm
    [9]
    MORSE J M, BLACK C, OBERLE K, et al. A prospective study to identify the fall-prone patient[J]. Soc Sci Med, 1989, 28(1): 81-86. doi: 10.1016/0277-9536(89)90309-2
    [10]
    BARRETT B J, FARDY J M. Evaluation of diagnostic tests[J]. Methods Mol Biol, 2021, 2249: 319-333.
    [11]
    汤淑女, 尹香君, 余卫, 等. 中国40岁及以上绝经后女性骨质疏松症患病率及其影响因素研究[J]. 中华流行病学杂志, 2022, 43(4): 509-516. doi: 10.3760/cma.j.cn112338-20210826-00680

    TANG S N, YIN X J, YU W, et al. Prevalence of osteoporosis and related factors in postmenopausal women aged 40 and above in China[J]. Chinese Journal of Epidemiology, 2022, 43(4):509-516. doi: 10.3760/cma.j.cn112338-20210826-00680
    [12]
    HOKE M, OMAR N B, AMBURGY J W, et al. Impact of exercise on bone mineral density, fall prevention, and vertebral fragility fractures in postmenopausal osteoporotic women[J]. J Clin Neurosci, 2020, 76: 261-263. doi: 10.1016/j.jocn.2020.04.040
    [13]
    BURNS E R, LEE R, HODGE S E, et al. Validation and comparison of fall screening tools for predicting future falls among older adults[J]. Arch Gerontol Geriatr, 2022, 101: 104713. DOI: 10.1016/j.archger.2022.104713.
    [14]
    DE HOND A A H, STEYERBERG E W, VAN CALSTER B. Interpreting area under the receiver operating characteristic curve[J]. Lancet Digital health, 2022, 4(12): e853-e855. DOI: 10.1016/S2589-7500(22)00188-1.
    [15]
    ALHARBI A A, AL AMER H S, ALBALWI A A, et al. Cross-cultural adaptation and psychometric properties of the Arabic version of the fall risk questionnaire[J]. Int J Environ Res Public Health, 2023, 20(8): 5606. DOI: 10.3390/ijerph20085606.
    [16]
    SONG C Y, TSAUO J Y, FANG P H, et al. Physical fitness among community-dwelling older women with and without risk of falling-the Taipei study, Taiwan[J]. Int J Environ Res Public Health, 2021, 18(14): 7243. DOI: 10.3390/ijerph18147243.
    [17]
    LOHSE K R, DUMMER D R, HAYES H A, et al. Combining the AM-PAC "6-Clicks" and the Morse fall scale to predict individuals at risk for falls in an inpatient rehabilitation hospital[J]. Arch Phys Med Rehabil, 2021, 102(12): 2309-2315. doi: 10.1016/j.apmr.2021.07.800
    [18]
    WONG M M C, PANG P F, CHAN C F, et al. Wilson Sims fall risk assessment tool versus Morse fall scale in psychogeriatric inpatients: a multicentre study[J]. East Asian Arch Psychiatry, 2021, 31(3): 67-70. doi: 10.12809/eaap2113
    [19]
    GERSTLE E E, O'CONNOR K, KEENAN K G, et al. The influence of age and fall history on single transition step kinematics[J]. Clin Biomech(Bristol, Avon), 2021, 89: 105456. DOI: 10.1016/j.clinbiomech.2021.105456.
    [20]
    MONTERO-ODASSO M, VAN DER VELDE N, MARTIN F C, et al. World guidelines for falls prevention and management for older adults: a global initiative[J]. Age Ageing, 2022, 51(9): 1-36.
    [21]
    GARBIN A J, FISHER B E. The interplay between fear of falling, balance performance, and future falls: data from the national health and aging trends study[J]. J Geriatr Phys Ther, 2023, 46(2): 110-115. doi: 10.1519/JPT.0000000000000324
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Article Metrics

    Article views (55) PDF downloads(3) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return