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Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis

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dc.contributor.author Barry, Emma
dc.contributor.author Galvin, Rose
dc.contributor.author Keogh, Claire
dc.contributor.author Horgan, Frances N.
dc.contributor.author Fahey, Tom
dc.date.accessioned 2015-11-30T15:36:08Z
dc.date.available 2015-11-30T15:36:08Z
dc.date.issued 2014
dc.identifier.uri http://hdl.handle.net/10344/4758
dc.description peer-reviewed en_US
dc.description.abstract Background: The Timed Up and Go test (TUG) is a commonly used screening tool to assist clinicians to identify patients at risk of falling. The purpose of this systematic review and meta-analysis is to determine the overall predictive value of the TUG in community-dwelling older adults. Methods: A literature search was performed to identify all studies that validated the TUG test. The methodological quality of the selected studies was assessed using the QUADAS-2 tool, a validated tool for the quality assessment of diagnostic accuracy studies. A TUG score of ≥13.5 seconds was used to identify individuals at higher risk of falling. All included studies were combined using a bivariate random effects model to generate pooled estimates of sensitivity and specificity at ≥13.5 seconds. Heterogeneity was assessed using the variance of logit transformed sensitivity and specificity. Results: Twenty-five studies were included in the systematic review and 10 studies were included in meta-analysis. The TUG test was found to be more useful at ruling in rather than ruling out falls in individuals classified as high risk (>13.5 sec), with a higher pooled specificity (0.74, 95% CI 0.52-0.88) than sensitivity (0.31, 95% CI 0.13-0.57). Logistic regression analysis indicated that the TUG score is not a significant predictor of falls (OR = 1.01, 95% CI 1.00-1.02, p = 0.05). Conclusion: The Timed Up and Go test has limited ability to predict falls in community dwelling elderly and should not be used in isolation to identify individuals at high risk of falls in this setting. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries BMC Geriatrics;14:14
dc.subject community dwelling en_US
dc.subject older adults en_US
dc.subject TUG en_US
dc.subject risk of falling en_US
dc.title Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/1471-2318-14-14
dc.contributor.sponsor HRB en_US
dc.relation.projectid HRC/2007/1 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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