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[The predictive value of a risk assessment tool for falls in elderly hospitalized patients]
Cristina Caldara1, Anne Destrebecq, Luisa Savoldi
1A O Ospedali Riuniti di Bergamo.
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.
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