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Updated: May 23, 2026

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
The epidemiology of falls in hospitalized children
1Saint Francis Health System, Tulsa, OK, USA.
Insights
This study validates the CHAMPS pediatric fall risk assessment tool for hospitalized children. The tool shows moderate to strong predictive ability for pediatric falls, with higher specificity than sensitivity.
Area of Science:
- Pediatric healthcare
- Patient safety research
- Clinical assessment tools
Background:
- Lack of validated pediatric fall risk assessment tools for hospitalized children.
- Reliance on adult instruments in pediatric populations without established validity.
- Need for reliable tools to prevent falls in pediatric inpatients.
Purpose of the Study:
- To validate the CHAMPS pediatric fall risk assessment tool for hospitalized children.
- To establish the sensitivity and specificity of the CHAMPS tool.
- To provide evidence for a reliable pediatric fall risk assessment.
Main Methods:
- Prospective cohort study design.
- Analysis of sensitivity and specificity of the CHAMPS instrument.
- Statistical analysis including relative risk and odds ratio calculation.
Main Results:
- CHAMPS demonstrated a sensitivity of 0.75 and specificity of 0.79.
- Relative risk was 3.5, excess risk 200%, and odds ratio 10.8.
- The tool exhibits moderate to strong predictive power for pediatric falls.
Conclusions:
- The CHAMPS tool is a valid instrument for assessing fall risk in hospitalized children.
- Specificity (0.79) was found to be slightly stronger than sensitivity (0.75).
- This validated tool can enhance patient safety and inform fall prevention strategies in pediatric care.
Abstract:
This study was conducted to validate the CHAMPS pediatric fall risk assessment tool for hospitalized children. At the time of this study, there was a lack of published evidence for a valid pediatric fall risk assessment tool for hospitalized children. Adult instruments were the only valid tools for fall risk assessment, and they were being used in populations where the validity had not been established. A prospective cohort study was conducted to analyze the sensitivity and specificity of the CHAMPS pediatric fall risk assessment tool. Analysis was conducted to further establish validity. The CHAMPS instrument had a sensitivity of 0.75 and a specificity of 0.79, with a relative risk of 3.5, excess risk of 200%, and an odds ratio of 10.8. This instrument can be categorized as moderate to strong in prediction of pediatric falls, while specificity was found to be slightly stronger than sensitivity.
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