Trial reportZeitschrift fur Gerontologie und Geriatrie2025
Validation of the German falls risk questionnaire, fall risk check (FRC), in community-dwelling seniors : A diagnostic accuracy study.
Trial report in Zeitschrift fur Gerontologie und Geriatrie, 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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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls are a significant health problem for seniors, often indicating increasing mobility impairment and risk of injury. Although necessary for the identification of seniors at risk, only few validated German questionnaires on falls risk exist.
objectiveTo validate the German Fall Risk Check (FRC) in independently living, community-dwelling older people against objective measurement of standing and walking balance as assessed by the Short Physical Performance Battery (SPPB). MATERIAL AND
methodsIn a larger randomized controlled trial, evaluating home emergency call systems, we recruited 190 seniors in Hamburg, Germany, to fill in the FRC and pass a comprehensive geriatric assessment. The performance of FRC as a diagnostic test is described by typical measures, such as sensitivity (SN), specificity (SP), predictive values, positive/negative likelihood ratios (LR+/LR-), and area under the curve (AUC) in receiver operator characteristic (ROC) curve analysis, each with corresponding 95% confidence intervals (CI).
resultsIn total, 190 seniors with an average age 80.5 years (± 5.5 years), 75.3% women could be analyzed. The sample showed advanced comorbidity and concerns about falling in about one third, and mobility and cognitive impairment in about one half. We calculated: SN 0.679 (95% CI 0.571-0.771); SP 0.743 (95% CI 0.654-0.816); LR+ 2.643 (95% CI 1.858-3.761); and LR- 0.432 (95% CI 0.309-0.604). The unadjusted AUC was 0.711 (95% CI 0.635-0.787), adjusted for sex and age 0.753 (95% CI 0.683-0.824).
conclusionThe FRC appears to be a valid questionnaire, identifying impaired balance in community-dwelling seniors.
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