Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review protocol

Authors

  • Marta Aranda-Gallardo MSc RN,

    Head Nurse, Corresponding author
    • Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain
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  • Jose Miguel Morales Asencio BSc PhD RN,

    Professor
    1. University of Malaga, Faculty of Health Sciences, Spain
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  • Jose Carlos Canca-Sanchez MSN PhD RN,

    Director of Nursing
    1. Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain
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  • Ana Maria Mora-Banderas MSc RN,

    Head Nurse
    1. Quality of Health Care Unit, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain
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  • Ana Belen Moya-Suarez MSc RN,

    Head Nurse
    1. Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain
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  • Group for preventing falls in Hospital Costa del Sol

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    • Group for preventing falls in Hospital Costa del Sol. Members: Silvia Barrero-Sojo (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Claudia Perez-Jimenez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Angeles Morales-Fernandez (RN, PT, MSc), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Margarita Enriquez de Luna-Rodriguez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Sandra Saldaña-Del Campo (RN, Speech Therapist), Research Unit, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain.

Correspondence to M. Aranda-Gallardo: e-mail: maranda@hcs.es

Abstract

Aim

The purpose of this article is to present the research protocol of a systematic review about fall risk assessment tools in acute hospitalized patients.

Background

Various risk assessment tools for falls have been developed, but with uncertainties derived from validation in heterogeneous environments and variations in their sensitivity, specificity and predictive validity.

Design

Systematic review and meta-analysis.

Methods

Two independent reviewers will extract data in a blinded process. Quality of studies will be assessed using various standardized instruments. A meta-analysis will be performed if applicable. For all studies, sensitivity, specificity, positive and negative predictive values, together with the positive and negative likelihood ratios and Youden index will be calculated. The diagnostic odds ratio of the studies and the hierarchical summary Relative Operating Characteristic curve and bivariate model will be applied. Calculations will be made from random effects models. Forest-plot diagrams for sensitivity and specificity and likelihood ratios, in addition to Cochrane's Q test and the I2 statistic, will be calculated. Funding of the review was confirmed in December 2010.

Discussion

The results of this review will help to clarify some uncertainties provoked by earlier research findings and enable informed choice of a validated, reproducible instrument for assessing the risk of falls by hospital patients, so that preventive action may be taken to minimize this risk.

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