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ArticleEuropean geriatric medicine2025

Is the FAB test associated with fall occurrence in older adults? A retrospective analysis of outpatient fall risk assessment.

Victoire Leroy, Yaohua Chen, Elisabeth Brocquet, Julien Labreuche, Cédric Gaxatte, Kelly Cotton, Jean Roche, Dominique Huvent-Grelle, François Puisieux

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Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Victoire LeroyDivision of Geriatric Medicine, Tours University Hospital, 2 Bvd Tonnellé, 37000, Tours, France. victoire.leroy@univ-tours.fr.ORCID http://orcid.org/0000-0003-4392-3553
Yaohua ChenDepartment of Gerontology, Lille University Hospital, Lille, France.
Elisabeth BrocquetGeriatrics Division, Saint Philibert Hospital, Groupement des Hôpitaux de l'Institut Catholique de Lille, Lille, France.
Julien LabreucheDepartment of Biostatistics, CHU Lille, 59000, Lille, France.
Cédric GaxatteDepartment of Gerontology, Lille University Hospital, Lille, France.
Kelly CottonDivision of Cognitive and Motor Aging, Albert Einstein College of Medicine, Neurology Department, Bronx, NY, USA.
Jean RocheDepartment of Gerontology, Lille University Hospital, Lille, France.
Dominique Huvent-GrelleDepartment of Gerontology, Lille University Hospital, Lille, France.
François PuisieuxDepartment of Gerontology, Lille University Hospital, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodsWe conducted a single-center, retrospective cohort study of French older adults. Participants with Mini-Mental State Examination (MMSE) ≥ 24 were recruited from a fall clinic in a geriatrics department. We recorded history of falls in the preceding 6 months, as well as Timed Up and Go test and mobility assessment at baseline and at 6- and 12-month follow-up.

resultsWe included 199 participants at baseline (mean age 83.1 years; 70.3% of females), of which 50.8% (101) had abnormal FAB scores (indicating executive impairment). Participants with executive impairment were more likely to have a history of falls. 125 and 96 participants completed 6- and 12-month follow-up visits, respectively. There was no association between abnormal FAB score at baseline and any or serious falls. Abnormal baseline FAB score was only associated with repeated (≥ 2) falls at 6 months, after adjusting for age, education, and polypharmacy (OR = 3.1 95% CI [1.0, 9.9]). Moreover, participants with abnormal FAB scores had significantly lower Timed Up and Go test scores.

conclusionAbnormal FAB score was associated with repeated falls at 6 months, but not with total incident falls during the follow-up period. Our results highlight the potential utility of FAB in fall risk assessment, particularly for repeated falls, but further studies are needed to clarify this association.

Indexed as

Accidental FallsExecutive FunctionGeriatric AssessmentAgedAged, 80 and overFemaleFranceHumansMaleMental Status and Dementia TestsOutpatientsRetrospective StudiesRisk AssessmentRisk FactorsCognitive impairmentExecutive impairmentFallsFrontal Assessment BatteryOlder adults

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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.