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  • Should elderly patients be screened for their ‘falls risk’? Validity of a falls screening tool and predictors of falls in a large acute hospital

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    Author(s)
    Webster, Joan
    Courtney, Mary
    O'Rourke, Peter
    Marsh, Nicole
    Gale, Catherine
    Abbott, Belynda
    McRae, Prue
    Mason, Kate
    Griffith University Author(s)
    Webster, Joan
    Marsh, Nicole M.
    Year published
    2008
    Metadata
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    Abstract
    SIR-Falls are not uncommon in hospitals settings at rates between 1.3 and 12.2% of all admissions [ 1-3] in acute facilities. Approximately 6% of falls result in serious injury such as bleeding or laceration, fracture and haematoma [ 4, 5]. Falls in hospital may lead to prolonged stay [ 6] or litigation [ 7]. Unfortunately, studies of interventions to prevent hospital-related falls are limited or of low quality [ 8] and provide no conclusive evidence that falls, in acute facilities, can be reduced through falls prevention programmes [ 9-11]. Despite this, screening to identify patients who may be at risk of falling ...
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    SIR-Falls are not uncommon in hospitals settings at rates between 1.3 and 12.2% of all admissions [ 1-3] in acute facilities. Approximately 6% of falls result in serious injury such as bleeding or laceration, fracture and haematoma [ 4, 5]. Falls in hospital may lead to prolonged stay [ 6] or litigation [ 7]. Unfortunately, studies of interventions to prevent hospital-related falls are limited or of low quality [ 8] and provide no conclusive evidence that falls, in acute facilities, can be reduced through falls prevention programmes [ 9-11]. Despite this, screening to identify patients who may be at risk of falling is widespread. For example, recent Australian guidelines [ 12] recommend screening and assessment of all older people for risk of falling using the St Thomas' Risk Assessment Tool (STRATIFY tool) [ 13]. However, published studies about the ability of the STRATIFY tool to discriminate accurately between those with and without a high risk of falling [ 14-18] have been contradictory (Table 1 ). In addition, recent systematic reviews of fall screening tools have urged caution with their use because of their tendency to over-classify patients as high risk, leading to poorly targeted interventions [ 19-21]. The aim of the current study was to test the validity of the tool in our own setting, before introducing it as a standard practice.
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    Journal Title
    Age and Ageing
    Volume
    37
    Issue
    6
    DOI
    https://doi.org/10.1093/ageing/afn153
    Copyright Statement
    © 2008 Oxford University Press. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The definitive publisher-authenticated version, Should elderly patients be screened for their 'falls risk'? Validity of a falls screening tool and predictors of falls in a large acute hospital, Age and Ageing, Vol. 37(6), 2008, pp. 702-706 is available online at: http://dx.doi.org/10.1093/ageing/afn153.
    Subject
    Clinical sciences
    Aged care nursing
    Community and primary care
    Publication URI
    http://hdl.handle.net/10072/38555
    Collection
    • Journal articles

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