Prediction of falls using a risk assessment tool in the acute care setting.
Identifieur interne : 000393 ( Ncbi/Merge ); précédent : 000392; suivant : 000394Prediction of falls using a risk assessment tool in the acute care setting.
Auteurs : Alexandra Papaioannou [Canada] ; William Parkinson ; Richard Cook ; Nicole Ferko ; Esther Coker ; Jonathan D. AdachiSource :
- BMC medicine [ 1741-7015 ] ; 2004.
English descriptors
- KwdEn :
- MESH :
- methods : Risk Assessment.
- statistics & numerical data : Accidental Falls.
- Aged, Female, Humans, Male, Observer Variation.
Abstract
The British STRATIFY tool was previously developed to predict falls in hospital. Although the tool has several strengths, certain limitations exist which may not allow generalizability to a Canadian setting. Thus, we tested the STRATIFY tool with some modification and re-weighting of items in Canadian hospitals.
DOI: 10.1186/1741-7015-2-1
PubMed: 14736342
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prediction of falls using a risk assessment tool in the acute care setting.</title><author><name sortKey="Papaioannou, Alexandra" sort="Papaioannou, Alexandra" uniqKey="Papaioannou A" first="Alexandra" last="Papaioannou">Alexandra Papaioannou</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada. papaioannou@hhsc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Parkinson, William" sort="Parkinson, William" uniqKey="Parkinson W" first="William" last="Parkinson">William Parkinson</name></author><author><name sortKey="Cook, Richard" sort="Cook, Richard" uniqKey="Cook R" first="Richard" last="Cook">Richard Cook</name></author><author><name sortKey="Ferko, Nicole" sort="Ferko, Nicole" uniqKey="Ferko N" first="Nicole" last="Ferko">Nicole Ferko</name></author><author><name sortKey="Coker, Esther" sort="Coker, Esther" uniqKey="Coker E" first="Esther" last="Coker">Esther Coker</name></author><author><name sortKey="Adachi, Jonathan D" sort="Adachi, Jonathan D" uniqKey="Adachi J" first="Jonathan D" last="Adachi">Jonathan D. Adachi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:14736342</idno><idno type="pmid">14736342</idno><idno type="doi">10.1186/1741-7015-2-1</idno><idno type="wicri:Area/PubMed/Corpus">001372</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001372</idno><idno type="wicri:Area/PubMed/Curation">001372</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001372</idno><idno type="wicri:Area/PubMed/Checkpoint">001372</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001372</idno><idno type="wicri:Area/Ncbi/Merge">000393</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prediction of falls using a risk assessment tool in the acute care setting.</title><author><name sortKey="Papaioannou, Alexandra" sort="Papaioannou, Alexandra" uniqKey="Papaioannou A" first="Alexandra" last="Papaioannou">Alexandra Papaioannou</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada. papaioannou@hhsc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Parkinson, William" sort="Parkinson, William" uniqKey="Parkinson W" first="William" last="Parkinson">William Parkinson</name></author><author><name sortKey="Cook, Richard" sort="Cook, Richard" uniqKey="Cook R" first="Richard" last="Cook">Richard Cook</name></author><author><name sortKey="Ferko, Nicole" sort="Ferko, Nicole" uniqKey="Ferko N" first="Nicole" last="Ferko">Nicole Ferko</name></author><author><name sortKey="Coker, Esther" sort="Coker, Esther" uniqKey="Coker E" first="Esther" last="Coker">Esther Coker</name></author><author><name sortKey="Adachi, Jonathan D" sort="Adachi, Jonathan D" uniqKey="Adachi J" first="Jonathan D" last="Adachi">Jonathan D. Adachi</name></author></analytic><series><title level="j">BMC medicine</title><idno type="eISSN">1741-7015</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (statistics & numerical data)</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Observer Variation</term><term>Risk Assessment (methods)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Risk Assessment</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Observer Variation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The British STRATIFY tool was previously developed to predict falls in hospital. Although the tool has several strengths, certain limitations exist which may not allow generalizability to a Canadian setting. Thus, we tested the STRATIFY tool with some modification and re-weighting of items in Canadian hospitals.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">14736342</PMID><DateCreated><Year>2004</Year><Month>11</Month><Day>25</Day></DateCreated><DateCompleted><Year>2005</Year><Month>05</Month><Day>10</Day></DateCompleted><DateRevised><Year>2014</Year><Month>06</Month><Day>10</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1741-7015</ISSN><JournalIssue CitedMedium="Internet"><Volume>2</Volume><PubDate><Year>2004</Year><Month>Jan</Month><Day>21</Day></PubDate></JournalIssue><Title>BMC medicine</Title><ISOAbbreviation>BMC Med</ISOAbbreviation></Journal><ArticleTitle>Prediction of falls using a risk assessment tool in the acute care setting.</ArticleTitle><Pagination><MedlinePgn>1</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The British STRATIFY tool was previously developed to predict falls in hospital. Although the tool has several strengths, certain limitations exist which may not allow generalizability to a Canadian setting. Thus, we tested the STRATIFY tool with some modification and re-weighting of items in Canadian hospitals.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a prospective validation cohort study in four acute care medical units of two teaching hospitals in Hamilton, Ontario. In total, 620 patients over the age of 65 years admitted during a 6-month period. Five patient characteristics found to be risk factors for falls in the British STRATIFY study were tested for predictive validity. The characteristics included history of falls, mental impairment, visual impairment, toileting, and dependency in transfers and mobility. Multivariate logistic regression was used to obtain optimal weights for the construction of a risk score. A receiver-operating characteristic curve was generated to show sensitivities and specificities for predicting falls based on different threshold scores for considering patients at high risk.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Inter-rater reliability for the weighted risk score indicated very good agreement (inter-class correlation coefficient = 0.78). History of falls, mental impairment, toileting difficulties, and dependency in transfer / mobility significantly predicted fallers. In the multivariate model, mental status was a significant predictor (P < 0.001) while history of falls and transfer / mobility difficulties approached significance (P = 0.089 and P = 0.077 respectively). The logistic regression model led to weights for a risk score on a 30-point scale. A risk score of 9 or more gave a sensitivity of 91% and specificity of 60% for predicting who would fall.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Good predictive validity for identifying fallers was achieved in a Canadian setting using a simple-to-obtain risk score that can easily be incorporated into practice.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Papaioannou</LastName><ForeName>Alexandra</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada. papaioannou@hhsc.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parkinson</LastName><ForeName>William</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Cook</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Ferko</LastName><ForeName>Nicole</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Coker</LastName><ForeName>Esther</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Adachi</LastName><ForeName>Jonathan D</ForeName><Initials>JD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D023361">Validation Studies</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2004</Year><Month>01</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Med</MedlineTA><NlmUniqueID>101190723</NlmUniqueID><ISSNLinking>1741-7015</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2000 Sep 16;356(9234):1001-2</RefSource><PMID Version="1">11041405</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Intern Med. 2001 Oct 16;135(8 Pt 2):686-93</RefSource><PMID Version="1">11601951</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Gerontol A Biol Sci Med Sci. 2001 Dec;56(12):M761-6</RefSource><PMID Version="1">11723150</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Outcomes Manag. 2003 Jan-Mar;7(1):8-14; quiz 15-6</RefSource><PMID Version="1">12593120</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Am Geriatr Soc. 1985 Dec;33(12):833-41</RefSource><PMID Version="1">4067164</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Acta Orthop Scand. 1986 Oct;57(5):428-30</RefSource><PMID Version="1">3811887</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stat Med. 1987 Jun;6(4):441-8</RefSource><PMID Version="1">3629046</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Gerontol Nurs. 1988 Feb;14(2):31-7</RefSource><PMID Version="1">3343489</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Disabil Stud. 1988;10(2):61-3</RefSource><PMID Version="1">3403500</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 1989;28(1):81-6</RefSource><PMID Version="1">2928815</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Mil Med. 1990 May;155(5):202-7</RefSource><PMID Version="1">2114579</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Technol Assess Health Care. 1993 Winter;9(1):139-44</RefSource><PMID Version="1">8423112</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Appl Nurs Res. 1995 Aug;8(3):129-39</RefSource><PMID Version="1">7668855</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nurs Clin North Am. 1995 Sep;30(3):507-14</RefSource><PMID Version="1">7567575</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>JAMA. 1997 Feb 12;277(6):488-94</RefSource><PMID Version="1">9020274</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMJ. 1997 Jun 28;314(7098):1874</RefSource><PMID Version="1">9224131</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMJ. 1997 Oct 25;315(7115):1049-53</RefSource><PMID Version="1">9366729</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMJ. 1997 Nov 15;315(7118):1309</RefSource><PMID Version="1">9390074</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Can J Nurs Res. 1998 Spring;30(1):97-111</RefSource><PMID Version="1">9726185</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Nurs Care Qual. 1998 Dec;13(2):38-44</RefSource><PMID Version="1">9842174</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Gerontol A Biol Sci Med Sci. 1999 Jan;54(1):M38-43</RefSource><PMID Version="1">10026661</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="Y">Accidental Falls</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC333435</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2003</Year><Month>08</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2004</Year><Month>01</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>1</Month><Day>23</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>5</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>1</Month><Day>23</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">14736342</ArticleId><ArticleId IdType="doi">10.1186/1741-7015-2-1</ArticleId><ArticleId IdType="pii">1741-7015-2-1</ArticleId><ArticleId IdType="pmc">PMC333435</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Hamilton (Ontario)</li></settlement><orgName><li>Université McMaster</li></orgName></list><tree><noCountry><name sortKey="Adachi, Jonathan D" sort="Adachi, Jonathan D" uniqKey="Adachi J" first="Jonathan D" last="Adachi">Jonathan D. Adachi</name><name sortKey="Coker, Esther" sort="Coker, Esther" uniqKey="Coker E" first="Esther" last="Coker">Esther Coker</name><name sortKey="Cook, Richard" sort="Cook, Richard" uniqKey="Cook R" first="Richard" last="Cook">Richard Cook</name><name sortKey="Ferko, Nicole" sort="Ferko, Nicole" uniqKey="Ferko N" first="Nicole" last="Ferko">Nicole Ferko</name><name sortKey="Parkinson, William" sort="Parkinson, William" uniqKey="Parkinson W" first="William" last="Parkinson">William Parkinson</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Papaioannou, Alexandra" sort="Papaioannou, Alexandra" uniqKey="Papaioannou A" first="Alexandra" last="Papaioannou">Alexandra Papaioannou</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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