Instrumentos de avaliação do risco de quedas em idosos residentes na comunidade

Translated title of the contribution: Assessment tools of risk for falls in elderly dwelling in the community

Luis Manuel Mota Sousa*, Cristina Maria Alves Marques-Vieira, Maria Nilza Guimarães Nogueira Caldevilla, Cristina Maria Alves Dias Henriques, Sandy Silva Pedro Severino, Silvia Caldeira

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Falls and risk of falls increase with age and with the level of frailty associated with aging, hence the risk of falls is a phenomenon of interest to nurses. In Portugal, the Directorate-General of Health recommends evaluation tests for mobility, physical and functional fitness. Objective: Identify the tests and the assessment tools used to assess the fall risk in the elderly who dwell in the community. Method: Systematic Literature Review that was based on the recommendations of the Joanna Briggs Institute on PICo strategy and based on PRISMA. The PICo strategy defined the inclusion criteria: Population (P) - the elderly; Interest Area / Intervention (I) - instruments and tests for assessing the risk of falls and Context (Co) -live in the community. The electronic search was conducted in EBSCOHost® CINAHL Complete and MEDLINE Complete, using the search terms fall*, community dwelling, fall risk factors, tools and scale. Results: A sample of 24 studies was selected. Six scales for the assessment of the risk of fall were identified, three scales for the assessment fear of fall and seven tests for the assessment of risk factors that may be predictive of the risk of falls in the elderly living in the community. Conclusions: The results highlight that there are several tools and tests and the importance of using valid, reliable and sensitive instruments by nurses in their clinical practice in order to obtain accurate diagnoses.
Translated title of the contributionAssessment tools of risk for falls in elderly dwelling in the community
Original languagePortuguese
Pages (from-to)490-505
Number of pages16
JournalEnfermeria Global
Issue number2
Publication statusPublished - 2016


  • Accidental fall
  • Aged
  • Risk assessment
  • Risk factors


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