Meta-analysis of Fall-Risk Tools in Hospitalized Adults

作者: Linda Harrington , Rosemary Luquire , Nancy Vish , Melissa Winter , Claudia Wilder

DOI: 10.1097/NNA.0B013E3181F88FBD

关键词: MedicineMeta-analysisMorse Fall ScaleHealth careGerontologyYouden's J statisticPoison controlConfidence intervalNursingRisk assessmentRisk management toolsLeadership and ManagementGeneral Medicine

摘要: OBJECTIVE:: The aim of the study was to identify which fall-risk tool is most accurate for assessing adults in hospital setting. BACKGROUND:: Falls can have physical, emotional, social, and financial consequences. Risk assessment affords first opportunity prevention. METHODS:: To standardize use a across Baylor Health Care System, nurse executives undertook meta-analysis published research on tools used with adult inpatients. RESULTS:: Both random-effects fixed-effects models showed that Morse Fall Scale had significantly higher sensitivity than St Thomas's Assessment Tool (STRATIFY). Specificity lower STRATIFY model, but model opposite. Youden index (P = .001), result from indicated no significant difference .117). sensitivity, specificity, fell within 95% confidence intervals. CONCLUSIONS:: Meta-analysis useful methodology evaluating current evidence when variation exists literature. Language: en

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