Comparison of the application of United States CDC self-rated fall risk questionnaire and Morse fall scale in hospitalized elderly patients in China
Objective To evaluate the applicability of the self-rated fall risk questionnaire(FRQ)in community-dwelling published by the United States Centers for Disease Control and Prevention in the assessment of fall risk in elderly inpatients in China through compared it with the Chinese version of the Morse fall scale(CMFS).Methods This study was a cross-sectional study using convenience sampling method.A total of 420 elderly inpatients who met the inclusion criteria in a tertiary hospital in Changsha,Hunan Province from January to June 2023 were selected as the study subjects.General patient information,Chinese version of FRQ(CFRQ)and CMFS scores,and the incidence of falls within 90 days after the initial survey were collected,and the receiver operating characteristic(ROC)curve,sensitivity,specificity,and the optimal critical value were analyzed.Results When"whether falls occurred in the past year"was used as the state variable,the area under the curve(AUC)values of CFRQ and CMFS were 0.829 and 0.767,respectively.When the optimal critical values of CFRQ and CMFS were 4.5 and 47.5 points,respectively,the Youden index were 0.506 and 0.467,with sensitivity of 81.8％and 51.9％,and specificity of 68.8％and 94.8％,respectively.When using the"occurrence of falls within 90 days after the initial investigation"as the state variable and the grouping under the optimal critical value as the test variable,the AUC values of the CFRQ group and the CMFS group were 0.678 and 0.643,respectively,with sensitivity of 75.0％and 41.7％,and specificity of 60.5％and 87.0％.Conclusion Compared with CMFS,CFRQ has better diagnostic value,authenticity,and sensitivity.
Self-rated fall risk questionnaireMorse fall scaleHospitalizationElderly patientsPredictive value
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万方数据
