在急性康复中评估跌倒风险:比较两个评估工具
Heidi E Menard1, Sandra Castro-Pearson2, Nate Dahle1
1Courage Kenny Rehabilitation Institute, part of Allina Health, Minneapolis, MN, USA.
概括
目前的跌倒风险工具,如亨德里希II跌倒风险模型 (HIIFRM) 和Sunnyview测试尺度,在急性康复中显示精度较差. 个体化评估对于这些患者有效预防跌倒至关重要.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 患者安全 患者安全
背景情况:
- 有许多可用的落风险评估工具.
- 这些工具在急性康复环境中存在有限的验证.
研究的目的:
- 为了比较亨德里希二世跌倒风险模型 (HIIFRM) 和Sunnyview测试尺度在急性康复中跌倒的预测准确度.
- 为了确定与患者特异性因素相关的下降,在这个人群.
主要方法:
- 追溯队列研究的设计.
- 利用来自两个急性住院康复病房的电子健康记录数据.
- 使用接收器操作特征 (ROC) 曲线分析,比较了HIIFRM和Sunnyview测试尺度的预测有效性.
主要成果:
- 样本包括134名失败者和1667名非失败者.
- 无论是HIIFRM (AUC = 0.62) 和Sunnyview测试尺度 (AUC = 0.60),都表现出类似的,差的预测性能 (AUC < 0.70).
结论:
- 现有的跌倒风险评估工具对于急性康复环境是不够的.
- 为了有效预防跌倒,需要个性化风险因素评估的框架.
- 需要进一步的研究来确定特定于住院康复患者跌倒风险的独特变量.
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