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Identification of patients at risk for falls in an inpatient rehabilitation program. Rehabil Nurs 2012;37(6):292-7

Date

12/06/2012

Pubmed ID

23212954

DOI

10.1002/rnj.036

Scopus ID

2-s2.0-84871753109 (requires institutional sign-in at Scopus site)   23 Citations

Abstract

PURPOSE: To determine if there is a more sensitive method to identify inpatient rehabilitation patients at high risk for falls rather than the Morse fall scale.

METHOD: Retrospective analysis of falls occurring during 6-month period in 2009. Age and diagnosis were used to create comparison groups between patients who fell and those who did not. T-tests were used to determine differences between the two groups in FIM scores and Morse fall scores.

RESULTS: Patients who had stroke as a primary diagnosis were more likely to fall than other patients. Length of stay was greater for patients who fell (p = .008). The positive predictive value of the Morse fall scale for patients who fell was 57%, suggesting that it is not a sensitive predictor of falls in rehabilitation patients. Patients who fell had significantly lower FIM expression scores (p = .02).

Author List

Salamon LA, Victory M, Bobay K

Author

Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette University




MESH terms used to index this publication - Major topics in bold

Accidental Falls
Adult
Aged
Aged, 80 and over
Female
Humans
Inpatients
Male
Middle Aged
Rehabilitation Centers
Rehabilitation Nursing
Retrospective Studies
Risk Factors
Risk Management
Stroke
Young Adult