Razmus Ivy, Davis Donna
Saint Francis Health System, Tulsa, OK, USA.
Pediatr Nurs. 2012 Jan-Feb;38(1):31-5.
This study was conducted to validate the CHAMPS pediatric fall risk assessment tool for hospitalized children. At the time of this study, there was a lack of published evidence for a valid pediatric fall risk assessment tool for hospitalized children. Adult instruments were the only valid tools for fall risk assessment, and they were being used in populations where the validity had not been established. A prospective cohort study was conducted to analyze the sensitivity and specificity of the CHAMPS pediatric fall risk assessment tool. Analysis was conducted to further establish validity. The CHAMPS instrument had a sensitivity of 0.75 and a specificity of 0.79, with a relative risk of 3.5, excess risk of 200%, and an odds ratio of 10.8. This instrument can be categorized as moderate to strong in prediction of pediatric falls, while specificity was found to be slightly stronger than sensitivity.
本研究旨在验证用于住院儿童的CHAMPS儿科跌倒风险评估工具。在本研究开展之时，尚缺乏已发表的关于有效住院儿童儿科跌倒风险评估工具的证据。成人工具是唯一有效的跌倒风险评估工具，且被应用于尚未确立其有效性的人群中。开展了一项前瞻性队列研究，以分析CHAMPS儿科跌倒风险评估工具的敏感性和特异性。进行分析以进一步确立其有效性。CHAMPS工具的敏感性为0.75，特异性为0.79，相对风险为3.5，超额风险为200%，优势比为10.8。该工具在预测儿科跌倒方面可归类为中等至强，而发现特异性略强于敏感性。
