Wijnia Jan W, Ooms Marcel E, van Balen Romke
Geriatric Center and Nursing Home Antonius Binnenweg, Rotterdam, The Netherlands.
Prev Med. 2006 Feb;42(2):154-7. doi: 10.1016/j.ypmed.2005.10.005. Epub 2005 Nov 17.
We investigated the performance of the STRATIFY risk assessment for fall risk in nursing home patients.
This prospective study was conducted at the nursing home Antonius Binnenweg in Rotterdam from June 1 to December 31, 2000. Subjects included newly admitted patients of whom a STRATIFY score was obtained. Patients were followed for falls during a person-week observation period of 13 weeks. Measurements were age, sex, admission category, STRATIFY score, length of stay and number of falls.
Of 120 patients (75 women, 45 men, average age 74.5 years), a STRATIFY score was available. Three months after admission 24 of these patients (20%) had died, 56 patients (47%) had been discharged and 40 (33%) still resided in the nursing home. Of the 120 patients included, 36 patients (30%) had fallen during the observation period. The risk of falling in the patient group with a STRATIFY score of 2 or more was 2.35 (95% confidence interval: 1.22, 4.52) times that of patients with a lower score. The sensitivity of the STRATIFY score was 50% (95% CI: 32, 67), specificity was 76.2% (95% CI: 65, 87.5).
The STRATIFY risk score of falls gave disappointing results in our setting.
我们调查了STRATIFY风险评估对养老院患者跌倒风险的评估效果。
这项前瞻性研究于2000年6月1日至12月31日在鹿特丹的Antonius Binnenweg养老院进行。研究对象包括新入院且获得STRATIFY评分的患者。在为期13周的人周观察期内对患者进行跌倒情况随访。测量指标包括年龄、性别、入院类别、STRATIFY评分、住院时间和跌倒次数。
120名患者（75名女性，45名男性，平均年龄74.5岁）有STRATIFY评分。入院三个月后，其中24名患者（20%）死亡，56名患者（47%）出院，40名患者（33%）仍住在养老院。在纳入的120名患者中，36名患者（30%）在观察期内跌倒。STRATIFY评分为2分或更高的患者组跌倒风险是评分较低患者组的2.35倍（95%置信区间：1.22，4.52）。STRATIFY评分的敏感性为50%（95%CI：32，67），特异性为76.2%（95%CI：65，87.5）。
在我们的研究环境中，STRATIFY跌倒风险评分结果令人失望。
