Schoene, D and Wu, SM-S and Mikolaizak, AS and Menant, JC and Smith, ST and Delbaere, K and Lord, SR, Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis, Journal of the American Geriatrics Society, 61, (2) pp. 202-208. ISSN 0002-8614 (2013) [Refereed Article]
Copyright 2013 The Authors
Objectives: To investigate the discriminative ability and diagnostic accuracy of the Timed Up and Go Test (TUG) as a clinical screening instrument for identifying older people at risk of falling.
Design: Systematic literature review and meta-analysis.
Setting and Participants: People aged 60 and older living independently or in institutional settings.
Measurements: Studies were identified with searches of the PubMed, EMBASE, CINAHL, and Cochrane CENTRAL data bases. Retrospective and prospective cohort studies comparing times to complete any version of the TUG of fallers and non-fallers were included.
Results: Fifty-three studies with 12,832 participants met the inclusion criteria. The pooled mean difference between fallers and non-fallers depended on the functional status of the cohort investigated: 0.63 seconds (95% confidence (CI) = 0.14–1.12 seconds) for high-functioning to 3.59 seconds (95% CI = 2.18–4.99 seconds) for those in institutional settings. The majority of studies did not retain TUG scores in multivariate analysis. Derived cut-points varied greatly between studies, and with the exception of a few small studies, diagnostic accuracy was poor to moderate.
Conclusion: The findings suggest that the TUG is not useful for discriminating fallers from non-fallers in healthy, high-functioning older people but is of more value in less-healthy, lower-functioning older people. Overall, the predictive ability and diagnostic accuracy of the TUG are at best moderate. No cut-point can be recommended. Quick, multifactorial fall risk screens should be considered to provide additional information for identifying older people at risk of falls.
|Item Type:||Refereed Article|
|Keywords:||accidental falls, screening/assessment, aged, Timed Up and Go Test, mobility|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Aged Health Care|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Public Health (excl. Specific Population Health) not elsewhere classified|
|Author:||Smith, ST (Associate Professor Stuart Smith)|
|Web of Science® Times Cited:||91|
|Deposited By:||Health Sciences A|
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