This resource outlines the Hendrich II Fall Risk Model TM and explains why its use in acute care is a best practice approach to identifying adults at risk for falls. TARGET POPULATION: The Hendrich II Fall Risk Model is intended to be used in the acute care setting to identify adults at risk for falls. The Model is being. To translate, validate and examine the reliability and validity of a Chinese version of the Hendrich II Fall risk Model (HFRM) in predicting falls in.
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The panel group agreed that all items of the HFRM were relevant to detect the likelihood of falls in at-risk patients. Flal ranged from 60 to 92 years, for a mean of Since the HFRM is easy to use, the present study aimed to translate, validate and examine the reliability and validity of a Chinese version of mosel HFRM tool in predicting falls in elderly inpatients.
The present study was approved by the ethical committee of the Peking Union Medical College Hospital. The data was processed using statistical analysis software SPSS The independent sample t test was used to analyze discriminant validity of Stratify, Hendrich II Fall Dall Model and Morse Fall Scale, and the Spearman rank correlation coefficient was adopted to analyze their correlativity.
From October to December,a total of elderly inpatients in the affiliated hospital of Qingdao university were selected. However, falls still happen. The panel rall also evaluated the content validity of HFRM.
After the first evaluation, all participants were evaluated every week using the same instrument. There are dozens of fall related assessment tools, but lack of reliability and validity of studies, so they cannot be generalized.
Stratify is applied for the elderly patients in this study, with a better discrimination validity between the fall patients and fwll patients, it can assess the fall risk of patients effectively.
After obtaining the consent of the author Dr. Preventing fall is the key to decrease osteoporotic fracture and other relevant impairments in the elderly, and to identify and evaluate the fall risk of them is an antecedent to prevent and interfere it effectively.
In this study, falls occurred for32 patients during hospitalization. The epidemiologic data on falls, — DOCX Click here for additional data file. Patients were eligible for the study if they were over 60 years old and had no consciousness disorders, and if they could walk by themselves or assistive devices, and if they had no severe physiological defect or organic diseases and understanding or communication disorders.
Relationship between occurrence of falls and fall-risk scores in an acute care setting using the Hendrich II fall risk model. The area under the curve AUC was 0. Assessing patients in a neurology practice for risk of falls an evidence-based review: With the aging trend of the social population, fall has become an important issue, which seriously affects the health of the elderly, and its incidence in the world has a higher proportion.
And the correlativity modrl the risk of falling in the patients which were evaluated by the three rating scales were tested by the Spearman rank correlation coefficients.
So it can help to distinguish the high risk group in the elderly patients. First, all participants were recruited from one hospital; thus, the results might not be extrapolated to the general Chinese elderly population.
Indeed, a study had compared the reliability and validity of these three scales in an Australia hospital using cases, and every case was assessed using these three scales; finally, the HFRM had the best balance of sensitivity and specificity, but STRATIFY required the less time to complete [ 13 ]. The participants were recruited from seven departments in the Peking Union Medical College Hospital neurology, endocrinology, nephrology, infectious diseases, respiratory medicine, Chinese medicine and geriatric wards.
In addition, this scale is simple which consumes less time, so nurse can use it to screen the patients on admission, implementing the preventive measures for falling timely. A fall refers to a falling down on the ground or on a lower level without intention, hedrich does not include those caused by violence, loss of consciousness, hemiplegia, or seizure. According to the history of fall in recent one hendrch, these patients were divided into fall group and nonfall group, patients a group.
Published online Nov 6. When testing, the patients were permitted to use ambulatory aids, such as cane and walking aids, but no help from other people.
Hospital medical workers have no time to lose in using long and complicated scales [ 12 ]. Data Availability All relevant data are within the paper and its Supporting Information files. The items and grading standards are following: However, due to its fall risk factors of assessment, such as consciousness, gait, history of falling and vision, it is recommended to be selected for the assessment of the elderly population who are older and frail, and have unstable gait and poor vision.
The other 60 patients was recruited in order to determine the inter-rater reliability.