Messmer Patricia Ruth, Williams Phoebe D, Williams Arthur R
School of Nursing, Miami Dade College, Miami, FL, USA.
Rehabil Nurs. 2013 Mar-Apr;38(2):73-9. doi: 10.1002/rnj.73.
The purpose of this study was to retrospectively review Humpty Dumpty Falls Scale (HDFS) scores using electronic medical records (EMR) reports at a pediatric hospital to determine characteristics related to falls, injuries, and performance of the HDFS tool. The specific research question was: Is there a significant difference in HDFS total scores between cases (children who fell) and controls (those who did not fall)? Results from 74 cases and 242 controls revealed the number of falls did not differ significantly between those who obtained high HDFS scores and those who obtained low scores. HDFS sensitivity was 57%, specificity was 39%. The pediatric patients who fell were mostly oriented and ambulating; falls with injury did not exceed 19%. Future case-control studies should use larger sample sizes across multiple institutions with EMR capability.
本研究的目的是回顾性分析一家儿童医院电子病历（EMR）报告中的矮胖子跌倒量表（HDFS）评分，以确定与跌倒、损伤及HDFS工具性能相关的特征。具体研究问题为：病例组（跌倒儿童）与对照组（未跌倒儿童）的HDFS总分是否存在显著差异？74例病例和242例对照的结果显示，HDFS高分者与低分者的跌倒次数无显著差异。HDFS敏感性为57%，特异性为39%。跌倒的儿科患者大多意识清醒且能行走；受伤跌倒的比例不超过19%。未来的病例对照研究应在多个具备EMR能力的机构中使用更大的样本量。
