Predicting fall risk in elderly ındividuals: a comparative analysis of machine learning models using patient characteristics, functional balance tests and computerized dynamic posturography
JOURNAL OF LARYNGOLOGY AND OTOLOGY, vol.139, no.6, pp.464-472, 2025 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 139 Issue: 6
- Publication Date: 2025
- Doi Number: 10.1017/s0022215124002160
- Journal Name: JOURNAL OF LARYNGOLOGY AND OTOLOGY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MLA - Modern Language Association Database
- Page Numbers: pp.464-472
- Keywords: balance, elderly lndividuals, fall risk, machine learning, posturography
- Ankara University Affiliated: Yes
Abstract
Objectives This study aimed to predict the risk of falling using patient characteristics, computerized dynamic posturography and functional balance tests in machine learning.Methods One hundred twenty elderly individuals were included in this study. The fall status, physical characteristics and medical history of individuals were investigated. Pure tone audiometry test, simple functional balance tests and sensory organization test were applied to the individuals.Results The machine learning model that incorporated co-morbidities, physical characteristics and functional balance tests achieved a 100 per cent accuracy in predicting fall risk. Models using only co-morbidities and physical characteristics, functional balance tests or the sensory organization test had accuracies of 87.5 per cent, 83.34 per cent and 91.66 per cent, respectively.Conclusion Advanced balance systems are not always necessary to assess fall risk. Instead, fall risk can be effectively determined using simple balance tests, co-morbidities, and patient characteristics in machine learning.