Galeano-Navarro CP1, Forero-Espinosa SM1, Hernández-Álvarez ED2, Barbosa-Meneses NE1, Alvis-Gómez KM3, Martínez- Vallejo TA3, Suárez-Suárez LF3
1Hospital Militar Central, Bogotá, Physiotherapist, Bogota, Colombia, 2Universidad Nacional de Colombia, Human Movement, Bogota, Colombia, 3Universidad Nacional de Colombia, Department of Human Body Movement, Bogota, Colombia
Background: The progressive increase of the adult and senior population, WHO (2009), as well as the distinct prevalence of morbidity and mortality due to chronic noncommunicable diseases (CNCD) in this population, (1)(2) creates a higher occurrence of deficiencies and alterations that affect the function and functioning of the individual, loss of body balance and falls, as a result of these conditions. (2). Falls are a public health problem for this population and especially for the hospitalized population, because of the origination of disability and the high costs of health care. In Colombia, there is no validated and reliable scale to detect the risk of falling, which hinders measurement at the hospital level and the possibility of secondary deficiencies to this condition. This signifies that a battery of tests such as the Timed Up and Go Test for Adults must be used to determine the levels of reliability for its use in the Colombian population.
Purpose: determine the intra- and inter-rater reliability of the Timed Up and Go Test in hospitalized adults and seniors in the Hospital Militar Central of Bogotá.
Methods: Cross-sectional descriptive study determining inter- and intra-rater reliability in hospitalized adult and senior patients of the Hospital Militar Central of Bogotá. The sample was calculated based on the statistical G-power 3.1 package for calculation of samples with a power of 95%, an alpha of 0.05 and an effect of 0.39 used in a Timed Up And Go Test previous in adult patients for the difference of two groups (46). A sample was of 83 patients, where the ICC was used for reliability and the Bland and Altman test to determine the inter and intra-rater concordance.
Results: 83 individuals were included, 51.81% were female, with a mean age of 67.9 years (range: 40-87, SD: 12.9); 13 - 30 Minimental Test in 99% of the patients. The CCI were 0.99 (95%, CI = 0.989-0.996) in the intra-rater tests and 0.98 (95%, 0.976- 0.99) Pearson Rho coefficient 0.99 (Bland & Altman, 1986).
Conclusion(s): The results show an adequate correlation between the pairs of measurements (P>0.05). It is verified that the Timed and Go Test has a high intra and inter-rater reliability that allows to affirm that its use in hospitalized environments is adequate, enabling the prediction of the risk of falls in the adult and senior population hospitalized.
Implications: Having the validated Timed and Go test for the Colombian adult and senior population hospitalized facilitates, on the one hand, the implementation of physiotherapeutic interaction protocols that prevent the risk of falls, and on the other, the measurement of the impact of physiotherapeutic interactions in the reduction of a public health problem, such as the risk of falls and comorbidity derived from this condition.
Keywords: Risk of Falls, Timed and Go Test, Adult Seniors
Funding acknowledgements: Hospital Militar Central and Department of Human Body Movement - Universidad Nacional de Colombia.
Purpose: determine the intra- and inter-rater reliability of the Timed Up and Go Test in hospitalized adults and seniors in the Hospital Militar Central of Bogotá.
Methods: Cross-sectional descriptive study determining inter- and intra-rater reliability in hospitalized adult and senior patients of the Hospital Militar Central of Bogotá. The sample was calculated based on the statistical G-power 3.1 package for calculation of samples with a power of 95%, an alpha of 0.05 and an effect of 0.39 used in a Timed Up And Go Test previous in adult patients for the difference of two groups (46). A sample was of 83 patients, where the ICC was used for reliability and the Bland and Altman test to determine the inter and intra-rater concordance.
Results: 83 individuals were included, 51.81% were female, with a mean age of 67.9 years (range: 40-87, SD: 12.9); 13 - 30 Minimental Test in 99% of the patients. The CCI were 0.99 (95%, CI = 0.989-0.996) in the intra-rater tests and 0.98 (95%, 0.976- 0.99) Pearson Rho coefficient 0.99 (Bland & Altman, 1986).
Conclusion(s): The results show an adequate correlation between the pairs of measurements (P>0.05). It is verified that the Timed and Go Test has a high intra and inter-rater reliability that allows to affirm that its use in hospitalized environments is adequate, enabling the prediction of the risk of falls in the adult and senior population hospitalized.
Implications: Having the validated Timed and Go test for the Colombian adult and senior population hospitalized facilitates, on the one hand, the implementation of physiotherapeutic interaction protocols that prevent the risk of falls, and on the other, the measurement of the impact of physiotherapeutic interactions in the reduction of a public health problem, such as the risk of falls and comorbidity derived from this condition.
Keywords: Risk of Falls, Timed and Go Test, Adult Seniors
Funding acknowledgements: Hospital Militar Central and Department of Human Body Movement - Universidad Nacional de Colombia.
Topic: Older people; Outcome measurement; Neurology
Ethics approval required: Yes
Institution: Hospital Militar Central
Ethics committee: Research Ethics Committee of the Hospital Militar Central
Ethics number: 22/2015 # 37388
All authors, affiliations and abstracts have been published as submitted.
