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Published Dec 31, 2010
Leandro Pecchia Peter A. Bath Neil Pendleton Marcelo Bracale

Abstract

Falls occur frequently among older people and represent the most common cause of injury-related morbidity and mortality in later life. Preventing falls is an important way to reduce injuries, hospitalizations, and injury-related morbidity and mortality among older people. The research literature has identified hundreds of risk factors for falls among elderly people. Prioritizing risk factors for falls is useful for designing effective and efficacious prevention programs. The aim of this study was to use the Analytic Hierarchy Process to develop a hierarchy of risk factors for falls based on the knowledge and experience of experts working in this field. We designed and developed a web portal for participants to submit responses to electronic questionnaires in order to reach the highest number of respondents quickly and to reduce errors in responding. We contacted the person responsible for the Falls sections of four scientific societies. Finally, we propose a correction method to modify respondents’ relative importance on based on the coherence of their responses, in order not to exclude experts who had submitted the questionnaire twice.


http://dx.doi.org/10.13033/ijahp.v2i2.61

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Keywords

falls, web, risk assessment, elderly

References
AGS/BGS/AAOS Panel on Falls Prevention (2001). Guideline for the prevention of falls
in older persons. Journal of the American Geriatrics Society, 49: 664–72.
Dong Y.C., Xu Y.F., Li, H.Y., et al. (2008). A comparative study of the numerical scales
and the prioritization methods in AHP. European Journal Of Operational Research,
186(1): 229-242.
Gillespie, L.D., Gillespie, W.J., Cumming, R., Lamb, S.E., & Rowe, B.H. (2000).
Interventions for preventing falls in the elderly. Cochrane Database Syst Rev., Issue: 2
Pages: CD000340 Published: 2000.
Ji P., & Jiang, R. (2003). Scale transitivity in the AHP, Journal of the Operational
Research Society, 54 896–905.
Finan, J.S., & Hurley, W.J. (1999). Transitive calibration of the AHP verbal scale.
European Journal of Operational Research, 112 367–372.
King, M.B., & Tinetti, M.E. (1995). Falls in Community-Dwelling Older Persons.
Journal of the American Geriatrisc Society, 43:1146-1154.
Lootsma, F.A. (1993). Scale sensitivity in the multiplicative AHP and SMART, Journal
of Multi-Criteria Decision Analysis, 2 87–110.
Lord, S.R., Sherrington, C., Menz, H.B., & Close, J.C.T. (2007). Falls in older people:
risk factors and strategies for prevention. 2nd edition. Cambridge University Press.
Masud, T., & Morris R.O. (2001). Epidemiology of falls, Age and Ageing; 30-S4: 3–7.
Nevitt, M.C., Cummings, S.R., Kidd, S., & Black, D. (1989). Risk factors for recurrent
non-syncopal falls. A prospective study. Journal of the American Medical Association,
261: 2663–8.
Oakley, A; Dawson, MF; Holland, J, et al. (1996). Preventing falls and subsequent injury
in older people. Quality In Health Care. 5(4): 243-249
Parry, S.W., Steen, N., Galloway, S. R., Kenny, R.A., & Bond, J. (2001). Falls and
confidence related quality of life outcome measures in an older British cohort,
Postgraduate Medical Journal, 77:103–108.
Pecchia, L., Mirarchi, L., Torino S., & Bracale M. (2008). Assessment of quality control
in US: a web service for preventive maintenance, International Journal of CARS 3 (Suppl
1):S9-S10.
Pecchia, L., Bath, P.A., Pendleton, N., Bracale, M. (2009). AHP and risk management: a
case study for assessing risk factors for falls in community-dwelling older patients.
Proceedings ISAHP 2009 Symposium, July 29–August 1, 2009, Pittsburgh, PA.
Rubenstein, L.Z. (2006). Falls in older people: epidemiology, risk factors and strategies
for prevention. Age and Ageing, 35-S2: ii37–ii41.
Rubenstein, L.Z., & Josephson, K.R. (1996). Falls. In Kenny R.A. ed. Syncope in the
Older Patient. London: Chapman and Hall.
Saaty, T.L., & Özdemir M.S. (2005). The Encyclicon, A Dictionary of Decisions with
Dependence and Feedback based on the Analytic Network Process. Pittsburgh, PA: RWS
Publications.
Saaty, T.L. (1980). The Analytic Hierarchy Process: Planning, Priority Setting, Resource
Allocation. New York: McGraw-Hill.
Saaty, T.L. (1996). The Fundamentals of Decision Making and Priority Theory with the
Analytic Hierarchy Process, Vol. IV of the Analytic Hierarchy Process Series. Pittsburgh,
PA: RWS Publications.
Saaty, T.L. (2005). Theory and Applications of the Analytic Network Process: Decision
Making with Benefits, Opportunities, Costs and Risks. Pittsburgh, PA: RWS
Publications.
Saaty, T.L. & Özdemir, M.S. (2003). Why the Magic Number Seven Plus or Minus two.
Mathematical and Computer Modelling, 38:233-244.
Saaty ,T.L. (1994). Highlights and critical points in the theory and application of the
analytic hierarchy process. European Journal of Operational Research, 74 426– 447.
Saaty, T.L. (2010). Principia Mathematica Decernendi: Mathematical Principles of
Decision Making. Pittsburgh, PA: RWS Publications.
Salo, A.A., & Hamalainen R.P. (1997). On the measurement of preferences in the
analytic hierarchy process. Journal of Multi-Criteria Decision Analysis, 6, 309–319.
Sutton, A.J., Abrams, K.R., Jones, D.R., Sheldon, T.A., & Song, F. (2000). Methods for
Meta-Analysis in Medical Research. Chichester, UK: John Wiley.
Tinetti, M.E., Baker, D.I., McAvay, G., et al. (1994). A multifactorial intervention to
reduce the risk of falling among elderly people living in the community. New England
Journal of Medicine, 331:821–7.
Tinetti, M.E., McAvay, G., & Claus, E. (1996). Does multiple risk factor reduction
explain the reduction in fall rate in the Yale FICSIT trial. American Journal of
Epidemiology,144:389–99.
Tonelli, M.R. (2001). The limits of evidence-based medicine. Respiratory Care, Dec;
46(12):1435-40
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