Aim. Falls represent a significant problem in acute care settings, and are responsible of severe complications, especially in older adults. Although the literature has suggested a large number of instruments for the assessment of fall risk, their validity is questionable. Objective. A prospective cohort study was designed to test the performance of FRASS (Fall Risk Assessment Scoring System) in identifying at risk patients. Methods and Subjects. All patients aged > 65 years admitted to seven Medical Units of Bergamo Hospital (Italy) between November 1, 2007 and January 31, 2008 were screened with the FRASS. Results. Falls occurred in 16/564 (2.8%) patients. FRASS sensitivity and specificity were low (50% and 59%, respectively). Since this instrument classifies too many patients who do not fall as at risk, and some patients who fall at no risk, its implementation in our hospital cannot be recommended.

Determinazione del valore predittivo di una scala di valutazione del rischio di cadute in pazienti ospedalizzati / C. Caldara, A. Destrebecq, L. Savoldi. - In: ASSISTENZA INFERMIERISTICA E RICERCA. - ISSN 1592-5986. - 27:3(2008), pp. 151-155.

Determinazione del valore predittivo di una scala di valutazione del rischio di cadute in pazienti ospedalizzati

A. Destrebecq
Secondo
;
2008

Abstract

Aim. Falls represent a significant problem in acute care settings, and are responsible of severe complications, especially in older adults. Although the literature has suggested a large number of instruments for the assessment of fall risk, their validity is questionable. Objective. A prospective cohort study was designed to test the performance of FRASS (Fall Risk Assessment Scoring System) in identifying at risk patients. Methods and Subjects. All patients aged > 65 years admitted to seven Medical Units of Bergamo Hospital (Italy) between November 1, 2007 and January 31, 2008 were screened with the FRASS. Results. Falls occurred in 16/564 (2.8%) patients. FRASS sensitivity and specificity were low (50% and 59%, respectively). Since this instrument classifies too many patients who do not fall as at risk, and some patients who fall at no risk, its implementation in our hospital cannot be recommended.
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/47793
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