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The Humpty Dumpty Falls Scale: a case-control study
Deborah Hill-Rodriguez1, Patricia R Messmer, Phoebe D Williams
1Miami Children's Hospital, Miami, FL, USA.
Purpose:
The purpose of this descriptive study was to assess whether the Humpty Dumpty Falls Scale (HDFS) identifies hospitalized pediatric patients at high risk for falls.
Design And Methods:
The study was a matched case-control design. A chart review of 153 pediatric cases who fell and 153 controls who did not fall were pair-matched by age, gender, and diagnosis.
Results:
High-risk patients fell almost twice as often as low-risk patients (odds ratio 1.87, confidence interval = 1.01, 3.53, p = .03).
Practice Implications:
A Falls Prevention Pediatric Program with the HDFS tool addresses the Joint Commission Patient Safety Goals, but further research is needed to examine HDFS sensitivity-specificity.
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