Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Validation on Adult Fall Assessment Tools: Focusing on Hospitalized Patients in a General Hospital

낙상위험 사정도구의 타당도 비교: 일개 종합병원의 입원 환자를 중심으로

  • Received : 2024.05.28
  • Accepted : 2024.07.17
  • Published : 2024.08.31
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Abstract

Purpose: This study was conducted to verify fall predictive power and reasonable fall risk assessment tool by a comparative analysis of the sensitivity, specificity, positive forecast and negative forecast of each tool by applying Morse Fall Scale (MFS), Johns Hopkins Fall Risk Assessment Tool (JHFRAT), and Fall Assessment Scale-Korean version (FAS-K) through electronic medical records to adult patients hospitalized in a general hospital in Korea. Methods: We performed a retrospective evaluation study from January to December 2018, 123 fall groups experiencing falls during hospitalization and 123 non-falls groups were selected. Data presented a reasonable assessment tool that predicts and distinguishes fall high-risk patients through area comparison based on the ROC curve for each tool. Results: In the ROC curve analysis by fall risk assessment group, the AUC of MFS is shown to be .706 (good), JHFRAT is shown to be .649 (sufficient) and FAS-K is shown to be .804 (very good). FAS-K at a cut-off score of 4, sensitivity, specificity, and positive and negative prediction values were 83.7%, 60.2%, 67.8%, and 78.7%, respectively. Conclusion: Based on the above findings, it is believed that the FAS-K was presented as a suitable and reasonable tool for predicting falls for adult patients in general hospitals.

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References

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