Validation of the Hendrich II fall risk model: A large concurrent case/control study of hospitalized patients

被引:269
作者
Hendrich, AL
Bender, PS
Nyhuis, A
机构
[1] Methodist Hosp, Indianapolis, IN USA
[2] Eli Lilly & Co, Indianapolis, IN 46285 USA
关键词
D O I
10.1053/apnr.2003.YAPNR2
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This large case/control study of fall and non-fall patients, in an acute care tertiary facility, was designed to concurrently test the Hendrich Fall Risk Model. Cases and controls (355/780) were randomly enrolled and assessed for more than 600 risk factors (intrinsic/extrinsic). Standardized instruments were used for key physical attributes as well as clinician assessments. A risk factor model was developed through stepwise logistic regression. Two-way interactions among the risk factors were tested for significance. The best fitting model included 2 Log L chi square statistic as well as sensitivity and specificity values retrospectively. The result of the study is an easy to use validated Hendrich Fall Risk Model with eight assessment parameters for high-risk fall identification tested in acute care environments. Copyright 2003, Elsevier Science (USA). All rights reserved.
引用
收藏
页码:9 / 21
页数:13
相关论文
共 19 条
[1]  
CAMPBELL J, 1991, DRUGS AGING, V1, P289
[2]   Use of psychoactive drugs and related falls among older people living in a community in Brazil [J].
Chaimowicz, F ;
Ferreira, TDXM ;
Miguel, DFA .
REVISTA DE SAUDE PUBLICA, 2000, 34 (06) :631-635
[3]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[4]   An evaluation of risk factors for in-patient falls in acute and rehabilitation elderly care wards [J].
Gluck, T ;
Wientjes, HJFM ;
Rai, GS .
GERONTOLOGY, 1996, 42 (02) :104-107
[5]  
HENDRICH A, 1995, APPL NURS RES, V8, P29
[6]  
Hendrich A., 1992, FALLS IMMOBILITY RES
[7]  
Hendrich A L, 1988, J Nurs Qual Assur, V3, P28
[9]   A BRIEF DEPRESSION SCALE FOR USE IN THE MEDICALLY ILL [J].
KOENIG, HG ;
COHEN, HJ ;
BLAZER, DG ;
MEADOR, KG ;
WESTLUND, R .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1992, 22 (02) :183-195
[10]  
KOENIG HG, 1995, J AM GERIATR SOC, V12, P1447