Identification of Patients at Risk for Falls in an Inpatient Rehabilitation Program
Article first published online: 4 DEC 2012
© 2012 Association of Rehabilitation Nurses
Volume 37, Issue 6, pages 292–297, November/December 2012
How to Cite
Salamon, L. A., Victory, M. and Bobay, K. (2012), Identification of Patients at Risk for Falls in an Inpatient Rehabilitation Program. Rehabilitation Nursing, 37: 292–297. doi: 10.1002/rnj.036
- Issue published online: 4 DEC 2012
- Article first published online: 4 DEC 2012
To determine if there is a more sensitive method to identify inpatient rehabilitation patients at high risk for falls rather than the Morse fall scale.
Retrospective analysis of falls occurring during 6-month period in 2009. Age and diagnosis were used to create comparison groups between patients who fell and those who did not. T-tests were used to determine differences between the two groups in FIM scores and Morse fall scores.
Patients who had stroke as a primary diagnosis were more likely to fall than other patients. Length of stay was greater for patients who fell (p = .008). The positive predictive value of the Morse fall scale for patients who fell was 57%, suggesting that it is not a sensitive predictor of falls in rehabilitation patients. Patients who fell had significantly lower FIM expression scores (p = .02).