Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital , Seoul, Republic of Korea.
Department of Physical Therapy, Seoul Rehabilitation Hospital , Seoul, Republic of Korea.
Top Stroke Rehabil. 2021 Mar;28(2):81-87. doi: 10.1080/10749357.2020.1774723. Epub 2020 Jun 1.
Accurate prediction of fall likelihood is advantageous for instituting fall prevention program in rehabilitation facilities.
This study was designed to determine the clinical measures, which can predict the risk of fall events in a rehabilitation hospital.
Medical records of 166 patients (114 males and 52 females) who were hospitalized in an adult inpatient unit of a rehabilitation hospital were retrospectively analyzed for this study. As predictor variables for assessing fall risk, demographic data and the following measurements were selectively collected from patient's medical records: Tinetti Performance-Oriented Mobility Assessment-Ambulation (POMA-G), Timed Up and Go test (TUG), 10 m walk test, 2 min walk test, Korean version Mini-Mental State Examination (K-MMSE), Korean version of the Modified Barthel Index (KMBI), Berg Balance Scale (BBS), Global Deterioration Scale (GDS), and Morse Fall Scale (Morse FS).
The Morse FS, TUG, and age were found to be risk factors for the classification of faller and non-faller groups.
This study suggests Morse FS, TUG, and age in the routine initial assessment upon admission in a rehabilitation setting, as key variables for screening the risk of fall. Additionally, the cutoff scores of Morse FS and TUG were observed to be more rigid than other clinical settings.
准确预测跌倒的可能性有利于在康复机构中实施跌倒预防计划。
本研究旨在确定可预测康复医院跌倒事件风险的临床指标。
本研究回顾性分析了 166 名（男 114 名，女 52 名）住院于康复医院成人住院部患者的病历。为评估跌倒风险，从患者病历中选择性地收集了人口统计学数据和以下测量值作为预测变量：Tinetti 表现导向的移动评估-步行（POMA-G）、计时起立行走测试（TUG）、10 米步行测试、2 分钟步行测试、韩国版简易精神状态检查（K-MMSE）、韩国版改良巴氏指数（KMBI）、伯格平衡量表（BBS）、总体衰退量表（GDS）和 Morse 跌倒量表（Morse FS）。
Morse FS、TUG 和年龄被发现是跌倒者和非跌倒者分组的危险因素。
本研究表明 Morse FS、TUG 和年龄是康复环境中入院常规初始评估的关键变量，用于筛查跌倒风险。此外，观察到 Morse FS 和 TUG 的截断值比其他临床环境更严格。
