Identification of patients at risk for falls in an inpatient rehabilitation program. Rehabil Nurs 2012;37(6):292-7
Date
12/06/2012Pubmed ID
23212954DOI
10.1002/rnj.036Scopus ID
2-s2.0-84871753109 (requires institutional sign-in at Scopus site) 23 CitationsAbstract
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 KAuthor
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
Accidental FallsAdult
Aged
Aged, 80 and over
Female
Humans
Inpatients
Male
Middle Aged
Rehabilitation Centers
Rehabilitation Nursing
Retrospective Studies
Risk Factors
Risk Management
Stroke
Young Adult