Epidemiological Survey of Quantitative Ultrasound in Risk Assessment of Falls in Middle-Aged and Elderly People
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{"title"=>"Epidemiological Survey of Quantitative Ultrasound in Risk Assessment of Falls in Middle-Aged and Elderly People", "type"=>"journal", "authors"=>[{"first_name"=>"Ling-Chun", "last_name"=>"Ou"}, {"first_name"=>"Zih-Jie", "last_name"=>"Sun"}, {"first_name"=>"Yin-Fan", "last_name"=>"Chang"}, {"first_name"=>"Chin-Sung", "last_name"=>"Chang"}, {"first_name"=>"Ting-Hsing", "last_name"=>"Chao"}, {"first_name"=>"Po-Hsiu", "last_name"=>"Kuo"}, {"first_name"=>"Ruey-Mo", "last_name"=>"Lin"}, {"first_name"=>"Chih-Hsing", "last_name"=>"Wu"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0071053", "pmid"=>"23951077"}, "id"=>"9cef345c-d7e5-3658-a318-36e4ab653782", "abstract"=>"UNLABELLED: The risk assessment of falls is important, but still unsatisfactory and time-consuming. Our objective was to assess quantitative ultrasound (QUS) in the risk assessment of falls. Our study was designed as epidemiological cross-sectional study occurring from March 2009 to February 2010 by community survey at a medical center. The participants were collected from systemic sample of 1,200 community-dwelling people (Male/Female = 524/676) 40 years old and over in Yunlin County, Mid-Taiwan. Structural questionnaires including socioeconomic status, living status, smoking and drinking habits, exercise and medical history were completed. Quantitative ultrasound (QUS) at the non-dominant distal radial area (QUS-R) and the left calcaneal area (QUS-C) were measured. The overall prevalence of falls was 19.8%. In men, the independently associated factors for falls were age (OR: 1.04; 95%CI: 1.01~1.06), fracture history (OR: 1.89; 95%CI: 1.12~3.19), osteoarthritis history (OR: 3.66; 95%CI: 1.15~11.64) and speed of sound (OR: 0.99; 95%CI: 0.99~1.00; p<0.05) by QUS-R. In women, the independently associated factors for falls were current drinking (OR: 3.54; 95%CI: 1.35∼9.31) and broadband ultrasound attenuation (OR: 0.98; 95%CI: 0.97~0.99; p<0.01) by QUS-C. The cutoffs at -2.5< T-score<-1 derived using QUS-R (OR: 2.85; 95%CI: 1.64~4.96; p<0.01) in men or T-score ≦-2.5 derived using QUS-C (OR: 2.72; 95%CI: 1.42~5.21; p<0.01) in women showed an independent association with falls. The lowest T-score derived using either QUS-R or QUS-C was also revealed as an independent factor for falls in both men (OR: 2.13; 95%CI: 1.03~4.43; p<0.05) and women (OR: 2.36; 95%CI: 1.13~4.91; p<0.05).\\n\\nCONCLUSIONS: Quantitative ultrasounds, measured either at the radial or calcaneal area, are convenient tools by which to assess the risk of falls in middle-aged and elderly people.", "link"=>"http://www.mendeley.com/research/epidemiological-survey-quantitative-ultrasound-risk-assessment-falls-middleaged-elderly-people-5", "reader_count"=>14, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Student > Postgraduate"=>2, "Student > Master"=>8, "Lecturer"=>1, "Unspecified"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Student > Postgraduate"=>2, "Student > Master"=>8, "Lecturer"=>1, "Unspecified"=>2}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>3, "Agricultural and Biological Sciences"=>1, "Medicine and Dentistry"=>6, "Sports and Recreations"=>2, "Unspecified"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>6}, "Sports and Recreations"=>{"Sports and Recreations"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>1}

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Relative Metric

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