Development and application of a combined fall risk assessment scale for older inpa-tients
Objective To develop a fall risk assessment scale for older inpatients,and to promote assessment accuracy.Methods We integrated the Johns Hopkins Fall Risk Assessment Tool and Hendrich Ⅱ Fall Risk Model.Then a prospective observational study was performed among 42 490 older inpatients.Incidence of falls and the related factors were collected.Potential risk factors were identified through chi-square test and logistic regression analysis for the development of a combined risk assessment scale.At last,the scale was validated in 1 663 older inpatients.Results Logistic regression analysis identified 18 risk factors,then value of each risk factor was assigned based on the odds ratio,with a total score of 100.Validation results indicated that the area under the ROC curve for the combined fall risk assessment scale was 0.825(95％CI:0.798-0.852).The optimal cutoff value was 7.5 points,with a sensitivity of 0.736 and specificity of 0.771.Conclusion The combined fall risk assessment scale for older inpatients can ef-fectively predict fall risk of elderly inpatients,and help nurses to identify the high-risk patient,so as to provide targeted interven-tions.
the elderlyinpatientsfallincontinencerisk factorassessment toolsensitivityspecificity
万方数据
维普
