Identification of Patients at Risk for Falls in an Inpatient Rehabilitation Program
Article first published online: 26 JUN 2012
© 2012 Association of Rehabilitation Nurses
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. doi: 10.1002/rnj.36
- Article first published online: 26 JUN 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).