A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting
A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting
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DOI：
10.1016/j.jclinepi.2005.07.017
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发表时间：
2006-02-01
影响因子：
7.2
通讯作者：
Hill, KD
中科院分区：
文献类型：
--
作者：
Haines, TP;Bennell, KL;Hill, KD
背景和目的：描述诊断的准确性和实际应用的彼得詹姆斯中心福尔斯风险评估工具（PJC-FRAT），多学科的福尔斯风险筛查和干预部署instrument.Methods：在第1阶段，前瞻性比较的准确性PJC-FRAT的金标准（STRATIFY）的一个队列的亚急性住院患者（n = 122）。在第2阶段，使用后续队列（n = 316）对PJC-FRAT进行了时间重新评估，并将结果与第1阶段的结果进行了比较。主要结局为福尔斯（事件）、跌倒者（跌倒的患者）和PJC-FRAT的医院完成率。在第1阶段，PJC-FRAT识别颤抖的准确性显示灵敏度为73%，（bootstrap 95%置信区间CI = 55，90），特异性为75%（95% CI = 66，83），而STRATIFY（临界值>= 2/5）的敏感性为77%（95% CI = 59，92），特异性为51%（95% CI = 41，61）。这种差异不显著。在第2阶段，护理人员使用PJC-FRAT的准确性较低。结论：PJC-FRAT作为福尔斯的预测工具和福尔斯预防干预的部署工具是实用的，相对准确的，尽管可能需要持续的员工教育来保持其准确性。(c)2006年爱思唯尔公司All rights reserved.
Background and Objective: To describe the diagnostic accuracy and practical application of the Peter James Centre Falls Risk Assessment Tool (PJC-FRAT), a multidisciplinary falls risk screening and intervention deployment instrument.Methods: In phase 1, the accuracy of the PJC-FRAT was prospectively compared to a gold standard (the STRATIFY) on a cohort of subacute hospital patients (n = 122). In phase 2, the PJC-FRAT was temporally reassessed using a subsequent cohort (n = 316), with results compared to those of phase 1. Primary outcomes were falls (events), fallers (patients who fell), and hospital completion rates of the PJC-FRAT.Results: In phase 1, PJC-FRAT accuracy of identifying falters showed sensitivity of 73% (bootstrap 95% confidence interval CI = 55, 90) and specificity of 75% (95% CI = 66, 83), compared with the STRATIFY (cutoff >= 2/5) sensitivity of 77% (95% CI = 59, 92) and specificity of 51% (95% CI = 41, 61). This difference was not significant. In phase 2, accuracy of nursing staff using the PJC-FRAT was lower. PJC-FRAT completion rates varied among disciplines over both phases: nurses and physiotherapists, >= 90%; occupational therapists, >= 82%; and medical officers, >= 57%.Conclusion: The PJC-FRAT was practical and relatively accurate as a predictor of falls and a deployment instrument for falls prevention interventions, although continued staff education may be necessary to maintain its accuracy. (c) 2006 Elsevier Inc. All rights reserved.