Title
Predictive model for falling in Parkinson disease patients
Date Issued
01 December 2016
Access level
open access
Resource Type
journal article
Publisher(s)
Elsevier B.V.
Abstract
Background/aims Falls are a common complication of advancing Parkinson's disease (PD). Although numerous risk factors are known, reliable predictors of future falls are still lacking. The aim of this study was to develop a multivariate model to predict falling in PD patients. Methods Prospective cohort with forty-nine PD patients. The area under the receiver-operating characteristic curve (AUC) was calculated to evaluate predictive performance of the purposed multivariate model. Results The median of PD duration and UPDRS-III score in the cohort was 6 years and 24 points, respectively. Falls occurred in 18 PD patients (30%). Predictive factors for falling identified by univariate analysis were age, PD duration, physical activity, and scores of UPDRS motor, FOG, ACE, IFS, PFAQ and GDS (p-value < 0.001), as well as fear of falling score (p-value = 0.04). The final multivariate model (PD duration, FOG, ACE, and physical activity) showed an AUC = 0.9282 (correctly classified = 89.83%; sensitivity = 92.68%; specificity = 83.33%). Conclusions This study showed that our multivariate model have a high performance to predict falling in a sample of PD patients.
Start page
20
End page
24
Volume
5
Language
English
OCDE Knowledge area
Neurología clínica
Scopus EID
2-s2.0-84994588982
Source
eNeurologicalSci
ISSN of the container
24056502
Sponsor(s)
This study was authorized by The Research and Teaching Unit of the Clinica Internacional and was approved by The Ethics Committee of the Universidad de San Martin de Porres . Written informed consent was obtained from all participants before the first assessment. 3
Sources of information: Directorio de Producción Científica Scopus