Predictive Effects of Previous Fall History on Accuracy of Fall Risk Assessment Tool in Acute Care Settings / 기본간호학회지
Journal of Korean Academy of Fundamental Nursing
;
: 444-452, 2012.
Article
Dans Coréen
| WPRIM
| ID: wpr-656478
ABSTRACT
PURPOSE:
To explore the usefulness of previous fall history as a triage variable for inpatients.METHODS:
Medical records of 21,382 patients, admitted to medical units of one tertiary hospital, were analyzed retrospectively. Inpatient falls were identified from the hospital's self-report system. Non-falls in 1,125 patients were selected by a stratified matching sampling with 125 patients with falls (0.59%). A comparative and predictive accuracy analysis was conducted to describe differences between the two groups with and without a history of falls. Logistic regression was used to measure the effect size of the fall history.RESULTS:
The fall history group showed higher prevalence by 9 fold than the non-fall history group. The relationships between falls and relevant variables which were significant in the non-fall history group, were not significant for the fall history group. Falls in the fall history group were 25 times more likely than in the non-fall group. Predictive accuracy of the risk assessment tool showed almost zero specificity in the fall history group.CONCLUSION:
The presence of fall history, the fall prevalence, variables relevant to falls, and the accuracy of the risk tool were different, which support the usefulness of the fall history as a triage variable.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Chutes accidentelles
/
Modèles logistiques
/
Dossiers médicaux
/
Prévalence
/
Valeur prédictive des tests
/
Études rétrospectives
/
Triage
/
Sensibilité et spécificité
/
Appréciation des risques
/
Centres de soins tertiaires
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude observationnelle
/
Étude de prévalence
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Academy of Fundamental Nursing
Année:
2012
Type:
Article
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