TY - JOUR
T1 - Discriminating high fall risk on an inpatient rehabilitation unit
AU - Gilewski, Michael J.
AU - Roberts, Pamela
AU - Hirata, Jodi
AU - Riggs, Richard
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PY - 2007
Y1 - 2007
N2 - The objective of this study was to identify on admission the most discriminating fall predictors for patients to an inpatient rehabilitation unit. Medical information from 34 patients who fell over a consecutive 7-month period and 102 controls (1:3 ratio) matchedfor diagnosis, age, and gender was analyzed to identify a set of best predictors. Admission mobility and problem solving FIMTM scores accountedfor 17% of variance in whether a fall occurred during the admission. After statistically deriving optimal cutoff thresholds for decision making, high fall risk was retroactively assigned to patients. Logistic regression revealed increased odds of having fallen by 5.1 times for poorer mobility and 2.4 times for poorer problem solving. The practical benefits of the evidence-based risk assessment were discussed.
AB - The objective of this study was to identify on admission the most discriminating fall predictors for patients to an inpatient rehabilitation unit. Medical information from 34 patients who fell over a consecutive 7-month period and 102 controls (1:3 ratio) matchedfor diagnosis, age, and gender was analyzed to identify a set of best predictors. Admission mobility and problem solving FIMTM scores accountedfor 17% of variance in whether a fall occurred during the admission. After statistically deriving optimal cutoff thresholds for decision making, high fall risk was retroactively assigned to patients. Logistic regression revealed increased odds of having fallen by 5.1 times for poorer mobility and 2.4 times for poorer problem solving. The practical benefits of the evidence-based risk assessment were discussed.
KW - Accident prevention
KW - Accidental falls
KW - Risk factors
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U2 - 10.1002/j.2048-7940.2007.tb00180.x
DO - 10.1002/j.2048-7940.2007.tb00180.x
M3 - Article
C2 - 18065144
SN - 0278-4807
VL - 32
SP - 234
EP - 240
JO - Rehabilitation Nursing
JF - Rehabilitation Nursing
IS - 6
ER -