The Diagnostic Accuracy of the Berg Balance Scale in Predicting Falls

Western Journal of Nursing Research - Tập 39 Số 11 - Trang 1502-1525 - 2017
Seong‐Hi Park1, Young-Shin Lee2
1Soonchunhyang University, Cheonan, South Korea
2San Diego State University, San Diego, CA, USA

Tóm tắt

This study aimed to evaluate the predictive validity of the Berg Balance Scale (BBS) as a screening tool for fall risks among those with varied levels of balance. A total of 21 studies reporting predictive validity of the BBS of fall risk were meta-analyzed. With regard to the overall predictive validity of the BBS, the pooled sensitivity and specificity were 0.72 and 0.73, respectively; the accuracy curve area was 0.84. The findings showed statistical heterogeneity among studies. Among the sub-groups, the age group of those younger than 65 years, those with neuromuscular disease, those with 2+ falls, and those with a cutoff point of 45 to 49 showed better sensitivity with statistically less heterogeneity. The empirical evidence indicates that the BBS is a suitable tool to screen for the risk of falls and shows good predictability when used with the appropriate criteria and applied to those with neuromuscular disease.

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Tài liệu tham khảo

10.1097/NPT.0b013e3181b51307

10.1080/16501970500478023

*Ann S. H., 2013, Journal of Special Education and Rehabilitation Science, 52, 239

10.1093/ageing/afn066

10.1590/0004-282X20130107

10.2522/ptj.20080160

Berg K. O., 1992, Archives of Physical Medicine and Rehabilitation, 73, 1073

10.2340/1650197719952736

10.3138/ptc.41.6.304

Berg K. O., 1992, Canadian Journal of Public Health, 83, S7

10.1016/j.apmr.2010.12.032

Bidwell S., Jensen M. F. (2004). Using a search protocol to identify sources of information: The COSI model. In Topfer L. A., Auston I. (Eds.), E-text on health technology assessment (HTA) information resources (Chapter 3). Bethesda, MD: National Information Center on Health Services Research and Health Care Technology, U.S. National Library of Medicine. Retrived from: http://www.nlm.nih.gov/archive/20060905/nichsr/ehta/chapter3.html#1

10.1186/1471-2296-13-76

10.2522/ptj.20070205

Centers for Disease Control and Prevention. (2016). Important facts about falls. Retrieved from http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html

10.1080/dre.25.1.45.50

10.1093/ptj/86.2.195

10.1371/journal.pone.0041061

10.1682/JRRD.2007.09.0150

10.1097/01.NPT.0000282569.70920.dc

10.1155/2012/237673

10.1080/09593980701389576

10.1111/j.1532-5415.2007.01147.x

10.1016/S0167-5877(00)00115-X

Haines T. P., 2007, Journal of Gerontology, 62, 664

10.1097/NNA.0b013e3181f88fbd

Health Care Improvement Scotland. (2015). Scottish Intercollegiate Guidelines Network (SIGN): Search filters. Retrieved from http://www.sign.ac.uk/methodology/filters.html#diag

10.1093/ije/dyn204

10.1002/sim.1186

10.1136/bmj.327.7414.557

10.2522/ptj.20120070

10.1212/WNL.0b013e3181e7b688

10.1016/S0167-4943(03)00082-7

10.1097/NPT.0b013e3181761330

10.2522/ptj.20100113

Macaskill P., Gatsonis C., Deeks J., Harbord R., Takwoingi T. (2010). Cochrane handbook for systematic reviews of diagnostic test accuracy version 1.0. Available from http://www.cochrane-handbook.org

10.1016/j.apmr.2006.09.004

10.1177/147323000903700313

10.1161/01.STR.0000012516.63191.C5

10.1111/jan.12542

10.1097/01.PHM.0000151944.22116.5A

10.1080/02699050601082057

10.7326/0003-4819-151-4-200908180-00135

10.2522/ptj.20070251

10.1097/JPT.0b013e3181ff2b0e

10.1093/ageing/afn203

10.1177/1545968312445638

10.1177/10547739922158287

10.1080/09593980590922299

10.1053/apmr.2001.24907

10.1590/S1413-35552011000200003

10.1093/ptj/77.8.812

10.1016/j.apmr.2005.03.004

10.1093/ptj/76.6.576

10.1002/sim.1099

10.1093/ptj/84.5.430

10.1016/S0003-9993(02)04940-7

10.7326/0003-4819-155-8-201110180-00009

Wood-Dauphinee S., 1997, Canadian Journal of Rehabilitation, 10, 35

10.3760/cma.j.issn.0254-6450.2016.05.024

10.1186/1471-2288-6-31