Razmus Ivy, Wilson David, Smith River, Newman Elana
Saint Francis Health System, Tulsa, OK, USA.
Pediatr Nurs. 2006 Nov-Dec;32(6):568-72.
To identify risk factors in hospitalized children using two validated adult fall risk scales.
For each fall patient identified, a non-fall patient was matched for chronological age and year of hospitalization. The retrospective chart review coded the presence or absence of risk factors and completed both the Morse Fall Scale and Hendrich II Fall Risk Model.
Overall, a significant difference was detected between pediatric fallers and non-fallers on the Morse Fall Scale. The Morse Fall Scale's sensitivity, specificity and false positive rate suggested that the scale does little better than chance at detecting true fallers and may inaccurately identify non-fallers as high risk.
Episodes of disorientation and fall history were the best predictors of pediatric falls for this sample.
使用两种经过验证的成人跌倒风险量表来确定住院儿童的风险因素。
对于每一位确定发生跌倒的患者，匹配一名按实际年龄和住院年份的非跌倒患者。回顾性病历审查对风险因素的存在与否进行编码，并完成莫尔斯跌倒量表和亨德里克二世跌倒风险模型。
总体而言，在莫尔斯跌倒量表上，儿科跌倒者与非跌倒者之间存在显著差异。莫尔斯跌倒量表的敏感性、特异性和假阳性率表明，该量表在检测真正的跌倒者方面并不比随机猜测好多少，并且可能会将非跌倒者错误地识别为高风险。
对于该样本，定向障碍发作和跌倒史是儿科跌倒的最佳预测因素。
