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Advisor(s)
Abstract(s)
Background: Several tools for the assessment of the risk of
falling are used commonly by clinical nurses, but none
have been validated in Portuguese.
Aims: To adapt and evaluate the Hendrich II Fall Risk Model
(HIIFRM) for use with elderly Portuguese inpatients.
Method: We conducted a prospective study of 586 older
inpatients in acute care hospitals, from November 2007 to
May 2010.
Results: The study involved 270 men and 316 women. The
most frequent risk factor on admission and at discharge
was a score âĄ3 on the âGet Up and Goâ test. The adapted
HIIFRM showed a sensitivity of 93.2% and 75.7%, and a specificity of 35% and 46.7%, on admission and at discharge,
respectively. A positive predictive value of 17.2%
on admission and 17% at discharge and a negative
predictive value of 97.3% and 93%, respectively, were
estimated.
Conclusions: The HIIFRM was shown to be a useful tool in
predicting falls by patients. Nevertheless, the research
model suggested that only four risk factors affected the
occurrence of falls significantly on admission and two risk
factors at discharge. Further research is required in Portuguese
hospital settings.
Description
Keywords
Aged Humans Portugal Accidental Falls Adaptation, Physiological Cross-Cultural Comparison Models, Theoretical Translating
Citation
Scand J Caring Sci; 2013; 27; 468â474
Publisher
Wiley