The rule performed with a sensitivity of 90% (44/49 outcomes; 95%
conﬁdence interval [CI] 79% to 96%) and a speciﬁcity of 33% (95% CI 32% to
Rule performance to predict serious outcomes was sensitivity 74% (95% CI
61% to 84%), speciﬁcity 57% (95% CI 53% to 61%)
The rule was 98% sensitive (95% conﬁdence interval [CI] 89% to 100%) and
56% speciﬁc (95% CI 52% to 60%) to predict these events.
Falls in the elderly
•Usually with an associated “anginal equivalent” (lethargy,
diaphoresis, shortness of breath)
•If isolated blackout with no symptoms prior or after then
unlikely (quoted <1% pick up rate for trops in syncope)
•Difﬁculty given baseline ECG changes and renal function
Found on the ﬂoor...
If they’re now back to baseline?
Timed up and go [>20 secs abnormal]
There is no good, reliable test
•Have they fallen in the past year