A comparative study of the use of four fall risk assessment tools on acute medical wards
Authors: Vassallo, M., Stockdale, R., Sharma, J.C., Briggs, R. and Allen, S.
Journal: Journal of the American Geriatrics Society
Volume: 53
Issue: 6
Pages: 1034-1038
eISSN: 1532-5415
ISSN: 0002-8614
DOI: 10.1111/j.1532-5415.2005.53316.x
Abstract:OBJECTIVES: To compare the effectiveness of four falls risk assessment tools (STRATIFY, Downton, Tullamore, and Tinetti) by using them simultaneously in the same environment. DESIGN: Prospective, open, observational study. SETTING: Two acute medical wards admitting predominantly older patients. PARTICIPANTS: One hundred thirty-five patients, 86 female, mean age ±standard deviation 83.8 ± 8.01 (range 56-100). MEASUREMENTS: A single clinician prospectively completed the four falls risk assessment tools. The extent of completion and time to complete each tool was recorded. Patients were followed until discharge, noting the occurrence of falls. The sensitivity, specificity, negative predictive accuracy, positive predictive accuracy, and total predictive accuracy were calculated. RESULTS: The number of patients that the STRATIFY correctly identified (n = 90) was significantly higher than the Downton (n = 46; P < .001), Tullamore (n = 66; P = .005), or Tinetti (n = 52; P < .001) tools, but the STRATIFY had the poorest sensitivity (68.2%). The STRATIFY was also the only tool that could be fully completed in all patients (n = 135), compared with the Downton (n = 130; P = .06), Tullamore (n = 130; P = .06), and Tinetti (n = 17; P < .001). The time required to complete the STRATIFY tool (average 3.85 minutes) was significantly less than for the Downton (6.34 minutes; P < .001), Tinetti (7.4 minutes; P < .001), and Tullamore (6.25 minutes; P < .001). The Kaplan-Meier test showed that the STRATIFY (log rank P = .001) and Tullamore tools (log rank P < .001) were effective at predicting falls over the first week of admission. The Downton (log rank P = .46) and Tinetti tools (log rank P = .41) did not demonstrate this characteristic. CONCLUSION: Significant differences were identified in the performance and complexity between the four risk assessment tools studied. The STRATIFY tool was the shortest and easiest to complete and had the highest predictive value but the lowest sensitivity. © 2005 by the American Geriatrics Society.
Source: Scopus
A comparative study of the use of four fall risk assessment tools on acute medical wards.
Authors: Vassallo, M., Stockdale, R., Sharma, J.C., Briggs, R. and Allen, S.
Journal: J Am Geriatr Soc
Volume: 53
Issue: 6
Pages: 1034-1038
ISSN: 0002-8614
DOI: 10.1111/j.1532-5415.2005.53316.x
Abstract:OBJECTIVES: To compare the effectiveness of four falls risk assessment tools (STRATIFY, Downton, Tullamore, and Tinetti) by using them simultaneously in the same environment. DESIGN: Prospective, open, observational study. SETTING: Two acute medical wards admitting predominantly older patients. PARTICIPANTS: One hundred thirty-five patients, 86 female, mean age+/-standard deviation 83.8+/-8.01 (range 56-100). MEASUREMENTS: A single clinician prospectively completed the four falls risk assessment tools. The extent of completion and time to complete each tool was recorded. Patients were followed until discharge, noting the occurrence of falls. The sensitivity, specificity, negative predictive accuracy, positive predictive accuracy, and total predictive accuracy were calculated. RESULTS: The number of patients that the STRATIFY correctly identified (n=90) was significantly higher than the Downton (n=46; P<.001), Tullamore (n=66; P=.005), or Tinetti (n=52; P<.001) tools, but the STRATIFY had the poorest sensitivity (68.2%). The STRATIFY was also the only tool that could be fully completed in all patients (n=135), compared with the Downton (n=130; P=.06), Tullamore (n=130; P=.06), and Tinetti (n=17; P<.001). The time required to complete the STRATIFY tool (average 3.85 minutes) was significantly less than for the Downton (6.34 minutes; P<.001), Tinetti (7.4 minutes; P<.001), and Tullamore (6.25 minutes; P<.001). The Kaplan-Meier test showed that the STRATIFY (log rank P=.001) and Tullamore tools (log rank P<.001) were effective at predicting falls over the first week of admission. The Downton (log rank P=.46) and Tinetti tools (log rank P=.41) did not demonstrate this characteristic. CONCLUSION: Significant differences were identified in the performance and complexity between the four risk assessment tools studied. The STRATIFY tool was the shortest and easiest to complete and had the highest predictive value but the lowest sensitivity.
Source: PubMed
A comparative study of the use of four fall risk assessment tools on acute medical wards
Authors: Vassallo, M., Stockdale, R., Sharma, J.C., Briggs, R. and Allen, S.
Journal: JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume: 53
Issue: 6
Pages: 1034-1038
ISSN: 0002-8614
DOI: 10.1111/j.1532-5415.2005.53316.x
Source: Web of Science (Lite)
A Comparative Study of the Use of Four Fall Risk Assessment Tools on Acute Medical Wards
Authors: Vassallo, M., Stockdale, R., Sharma, J.C., Briggs, R.S.J. and Allen, S.C.
Journal: Journal of the American Geriatrics Society
Volume: 53
Pages: 1034
ISSN: 0002-8614
DOI: 10.1111/j.1532-5415.2005.53316.x
Abstract:Objectives: To compare the effectiveness of four falls risk assessment tools (STRATIFY, Downton, Tullamore, and Tinetti) by using them simultaneously in the same environment.
Design: Prospective, open, observational study.
Setting: Two acute medical wards admitting predominantly older patients.
Participants: One hundred thirty-five patients, 86 female, mean age±standard deviation 83.8±8.01 (range 56–100).
Measurements: A single clinician prospectively completed the four falls risk assessment tools. The extent of completion and time to complete each tool was recorded. Patients were followed until discharge, noting the occurrence of falls. The sensitivity, specificity, negative predictive accuracy, positive predictive accuracy, and total predictive accuracy were calculated.
Results: The number of patients that the STRATIFY correctly identified (n=90) was significantly higher than the Downton (n=46; P<.001), Tullamore (n=66; P=.005), or Tinetti (n=52; P<.001) tools, but the STRATIFY had the poorest sensitivity (68.2%). The STRATIFY was also the only tool that could be fully completed in all patients (n=135), compared with the Downton (n=130; P=.06), Tullamore (n=130; P=.06), and Tinetti (n=17; P<.001). The time required to complete the STRATIFY tool (average 3.85 minutes) was significantly less than for the Downton (6.34 minutes; P<.001), Tinetti (7.4 minutes; P<.001), and Tullamore (6.25 minutes; P<.001). The Kaplan-Meier test showed that the STRATIFY (log rank P=.001) and Tullamore tools (log rank P<.001) were effective at predicting falls over the first week of admission. The Downton (log rank P=.46) and Tinetti tools (log rank P=.41) did not demonstrate this characteristic.
Conclusion: Significant differences were identified in the performance and complexity between the four risk assessment tools studied. The STRATIFY tool was the shortest and easiest to complete and had the highest predictive value but the lowest sensitivity.
, FRCP §
http://www3.interscience.wiley.com/journal/118681260/abstract
Source: Manual
Preferred by: Stephen Allen
A comparative study of the use of four fall risk assessment tools on acute medical wards.
Authors: Vassallo, M., Stockdale, R., Sharma, J.C., Briggs, R. and Allen, S.
Journal: Journal of the American Geriatrics Society
Volume: 53
Issue: 6
Pages: 1034-1038
eISSN: 1532-5415
ISSN: 0002-8614
DOI: 10.1111/j.1532-5415.2005.53316.x
Abstract:Objectives
To compare the effectiveness of four falls risk assessment tools (STRATIFY, Downton, Tullamore, and Tinetti) by using them simultaneously in the same environment.Design
Prospective, open, observational study.Setting
Two acute medical wards admitting predominantly older patients.Participants
One hundred thirty-five patients, 86 female, mean age+/-standard deviation 83.8+/-8.01 (range 56-100).Measurements
A single clinician prospectively completed the four falls risk assessment tools. The extent of completion and time to complete each tool was recorded. Patients were followed until discharge, noting the occurrence of falls. The sensitivity, specificity, negative predictive accuracy, positive predictive accuracy, and total predictive accuracy were calculated.Results
The number of patients that the STRATIFY correctly identified (n=90) was significantly higher than the Downton (n=46; P<.001), Tullamore (n=66; P=.005), or Tinetti (n=52; P<.001) tools, but the STRATIFY had the poorest sensitivity (68.2%). The STRATIFY was also the only tool that could be fully completed in all patients (n=135), compared with the Downton (n=130; P=.06), Tullamore (n=130; P=.06), and Tinetti (n=17; P<.001). The time required to complete the STRATIFY tool (average 3.85 minutes) was significantly less than for the Downton (6.34 minutes; P<.001), Tinetti (7.4 minutes; P<.001), and Tullamore (6.25 minutes; P<.001). The Kaplan-Meier test showed that the STRATIFY (log rank P=.001) and Tullamore tools (log rank P<.001) were effective at predicting falls over the first week of admission. The Downton (log rank P=.46) and Tinetti tools (log rank P=.41) did not demonstrate this characteristic.Conclusion
Significant differences were identified in the performance and complexity between the four risk assessment tools studied. The STRATIFY tool was the shortest and easiest to complete and had the highest predictive value but the lowest sensitivity.Source: Europe PubMed Central