Mao Bijun, Chen Yan, Wang Chunsheng, Ma Yihan, Gu Huifeng, Shen Ya, Liu Luping, Zhou Peihong, Jiang Huiping
Nursing Department, Huzhou Maternity & Child Health Care Hospital, Huzhou, China.
School of Medicine, Huzhou Teachers College School, Huzhou, China.
Nurs Open. 2025 Jan;12(1):e70124. doi: 10.1002/nop2.70124.
The objective of this study is to ascertain the suitability of haemoglobin as a screening factor for falls among obstetrics and gynaecology inpatients and to formulate a stratified scheme for assessing fall risk based on haemoglobin.
A retrospective analysis and Delphi surveys were employed for this investigation.
Initially, a retrospective survey analysed falls among obstetrics and gynaecology inpatients in two hospitals from January 1, 2020, to July 10, 2022. Descriptive statistics, receiver operating characteristic (ROC) curve analysis, Youden index, sensitivity and specificity were utilised for data examination. The conclusions drawn were subsequently validated by Delphi surveys, featuring 21 experts participating in five rounds of consultation. The Kappa value and the coefficient of variation (CV) were employed to assess expert advice.
The area under the Receiver Operating Characteristic curve (AUC) of haemoglobin was 0.762 ± 0.030, 95% CI (0.703, 0.821). The highest Youden index was 0.425, with sensitivity at 0.705 and specificity at 0.720 when haemoglobin was 107.5 g/L. Two consensuses were reached by experts: anaemia was important in causing falls in obstetrics and gynaecology wards, and haemoglobin should be employed as a screening factor for falls. The stratification of anaemia was developed as follows: ≥ 110; 90-109; 60-89; and < 60 g/L. Approval for the final results was unanimous among all experts. The Kappa value (K*) was 1, and the CV of expert advice ranged from 0.092 to 0.219.
Haemoglobin could potentially be used as a predictor of fall risk in Gynaecological and Obstetric Wards. The recommended stratified scheme for anaemia in fall risk assessment is as follows: ≥ 110; 90-109; 60-89; and < 60 g/L.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: What problem did the study address? The study revealed a relationship between falls and haemoglobin in obstetrics and gynaecology inpatients. It also proposed a stratification scheme for assessing fall risk based on haemoglobin levels. What were the main findings? Haemoglobin has a good performance on fall risk prediction in Gynaecological and Obstetric Wards. The stratified scheme of anaemia for fall risk assessment was suggested as follows: ≥ 110; 90-109; 60-89; and < 60 g/L. Where and on whom will the research have an impact? Nurses and inpatients in obstetrics and gynaecology wards will be affected by the results of this study, and it provided a reference for fall prevention.
This study has adhered to relevant EQUATOR guidelines and named the reporting method. No Patient or Public Contribution.
本研究的目的是确定血红蛋白作为妇产科住院患者跌倒筛查因素的适用性，并制定基于血红蛋白的跌倒风险评估分层方案。
本调查采用回顾性分析和德尔菲调查。
首先，进行回顾性调查，分析2020年1月1日至2022年7月10日期间两家医院妇产科住院患者的跌倒情况。采用描述性统计、受试者工作特征（ROC）曲线分析、约登指数、敏感性和特异性进行数据检验。随后通过德尔菲调查对得出的结论进行验证，21名专家参与了五轮咨询。采用Kappa值和变异系数（CV）评估专家意见。
血红蛋白的受试者工作特征曲线（AUC）下面积为0.762±0.030，95%CI（0.703，0.821）。当血红蛋白为107.5g/L时，最高约登指数为0.425，敏感性为0.705，特异性为0.720。专家达成了两点共识：贫血在导致妇产科病房跌倒方面很重要，血红蛋白应作为跌倒的筛查因素。贫血分层如下：≥110；90 - 109；60 - 89；以及<60g/L。所有专家对最终结果一致认可。Kappa值（K*）为1，专家意见的CV范围为0.092至0.219。
血红蛋白有可能作为妇产科病房跌倒风险的预测指标。推荐的跌倒风险评估贫血分层方案如下：≥110；90 - 109；60 - 89；以及<60g/L。
对专业和/或患者护理的影响：该研究解决了什么问题？该研究揭示了妇产科住院患者跌倒与血红蛋白之间的关系。还提出了基于血红蛋白水平的跌倒风险评估分层方案。主要发现是什么？血红蛋白在妇产科病房跌倒风险预测方面表现良好。建议的跌倒风险评估贫血分层方案如下：≥110；90 - 109；60 - 89；以及<60g/L。该研究将对哪些方面和人群产生影响？妇产科病房的护士和住院患者将受到本研究结果的影响，为预防跌倒提供了参考。
本研究遵循了相关的EQUATOR指南并说明了报告方法。无患者或公众参与。
