Evidence map›Paper›PMID 37957597›Full record

Observational studyBMC geriatrics2023

Predictors of fall risk in older adults using the G-STRIDE inertial sensor: an observational multicenter case-control study.

Marta Neira Álvarez, Cristina Rodríguez-Sánchez, Elisabet Huertas-Hoyas, Guillermo García-Villamil-Neira, Maria Teresa Espinoza-Cerda, Laura Pérez-Delgado, Elena Reina-Robles, Irene Bartolomé Martin, Antonio J Del-Ama, Luisa Ruiz-Ruiz and 1 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marta Neira ÁlvarezDepartment of Geriatrics, Foundation for Research and Biomedical Innovation of the Infanta Sofía University Hospital and Henares University Hospital, (FIIB HUIS HHEN), European University, 28702, Madrid, Spain.
Cristina Rodríguez-SánchezSchool of Experimental Sciences and Technology, Rey Juan Carlos University, 28933, Madrid, Spain.
Elisabet Huertas-HoyasPhysical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Rey Juan Carlos University, 28922, Madrid, Spain. elisabet.huertas@urjc.es.
Guillermo García-Villamil-NeiraCentre for Automation and Robotics, UPM-CSIC, 28500, Madrid, Spain.
Maria Teresa Espinoza-CerdaDepartment of Geriatrics, Foundation for Research and Biomedical Innovation of the Getafe University Hospital, 28905, Madrid, Spain.
Laura Pérez-DelgadoDepartment of Geriatrics, Gastón Baquero Residential Centre, 28108, Alcobendas Madrid, Spain.
Elena Reina-RoblesDepartment of Geriatrics, Torrelaguna Residential Centre, 28180, Torrelaguna, Spain.
Irene Bartolomé MartinDepartment of Geriatrics, Guadalajara University Hospital, 19002, Guadalajara, Spain.
Antonio J Del-AmaSchool of Experimental Sciences and Technology, Rey Juan Carlos University, 28933, Madrid, Spain.
Luisa Ruiz-RuizCentre for Automation and Robotics, UPM-CSIC, 28500, Madrid, Spain.
Antonio R Jiménez-RuizCentre for Automation and Robotics, UPM-CSIC, 28500, Madrid, Spain.

Funding

European Union ECSEL-2019-2-RIA, Ref. 876487.Spanish Ministry of Science MICROCEBUS RTI2018-095168-B-C55 (MCIU/AEI/FEDER, UE)
6 · The paper itself

Abstract

backgroundThere are a lot of tools to use for fall assessment, but there is not yet one that predicts the risk of falls in the elderly. This study aims to evaluate the use of the G-STRIDE prototype in the analysis of fall risk, defining the cut-off points to predict the risk of falling and developing a predictive model that allows discriminating between subjects with and without fall risks and those at risk of future falls.

methodsAn observational, multicenter case-control study was conducted with older people coming from two different public hospitals and three different nursing homes. We gathered clinical variables ( Short Physical Performance Battery (SPPB), Standardized Frailty Criteria, Speed 4 m walk, Falls Efficacy Scale-International (FES-I), Time-Up Go Test, and Global Deterioration Scale (GDS)) and measured gait kinematics using an inertial measure unit (IMU). We performed a logistic regression model using a training set of observations (70% of the participants) to predict the probability of falls.

resultsA total of 163 participants were included, 86 people with gait and balance disorders or falls and 77 without falls; 67,8% were females, with a mean age of 82,63 ± 6,01 years. G-STRIDE made it possible to measure gait parameters under normal living conditions. There are 46 cut-off values of conventional clinical parameters and those estimated with the G-STRIDE solution. A logistic regression mixed model, with four conventional and 2 kinematic variables allows us to identify people at risk of falls showing good predictive value with AUC of 77,6% (sensitivity 0,773 y specificity 0,780). In addition, we could predict the fallers in the test group (30% observations not in the model) with similar performance to conventional methods.

conclusionsThe G-STRIDE IMU device allows to predict the risk of falls using a mixed model with an accuracy of 0,776 with similar performance to conventional model. This approach allows better precision, low cost and less infrastructures for an early intervention and prevention of future falls.

Indexed as

GaitWalkingAccidental FallsAgedAged, 80 and overCase-Control StudiesFemaleHumansMalePostural BalanceRisk AssessmentSensitivity and SpecificityElderlyFallsFrailtyGait analysisIMUTelemedicine

Identifiers

PMID37957597
PMCPMC10644581

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.