Falls in hospitalized children

Pediatric nursing

This study was conducted to validate the CHAMPS pediatric fall risk assessment tool for hospitalized children. At the time of this study, there was a lack of published evidence for a valid pediatric fall risk assessment tool for hospitalized children. Adult instruments were the only valid tools for fall risk assessment, and they were being used in populations where the validity had not been established. A prospective cohort study was conducted to analyze the sensitivity and specificity of the CHAMPS pediatric fall risk assessment tool. Analysis was conducted to further establish validity. The CHAMPS instrument had a sensitivity of 0.75 and a specificity of 0.79, with a relative risk of 3.5, excess risk of 200%, and an odds ratio of 10.8. This instrument can be categorized as moderate to strong in prediction of pediatric falls, while specificity was found to be slightly stronger than sensitivity.

Journal of Pediatric Nursing, 2020

Journal for Specialists in Pediatric Nursing, 2011

International Journal of Scientific Research, 2012

International Journal of Injury Control and Safety Promotion, 2013

2020

Summary: Falls and the related sequelae represent hazards recognized by healthcare organizations, but evidence describing the incidence and risks of falls in pediatric ambulatory settings is limited. This study engaged parents to assess fall incidence and to investigate predictors of patients who fell from those that did not. References: • McNeely HL, Thomason KK, Tong S. Pediatric fall risk assessment tool comparison and validation study, JPN. (2018); 41: 96103.https://doi.org/10.1016/j.pedn.2018.02.010 • DiGerolamo K, Davis KF. An integrative review of pediatric fall risk assessment tools, JPN. (2017); 34: 23-28. • Benning S, Webb T. Taking the fall for kids: A journey to reducing pediatric falls, JPN. (2019); 46: 100-108. • Parker C, Kellaway J, Stockton K. Analysis of falls within pediatric hospital and community healthcare settings, JPN. (2020); 50: 31-36. • Garrard L, Boyle DK, Simon M, Dunton N, Gajewski B. Reliability and validity of the NDNQI® injury falls measure, WJNR. (2...

Emergency medicine journal : EMJ, 2006

The aim of this study was to determine the general characteristics of childhood falls, factors affecting on mortality, and to compare the Injury Severity Score (ISS) and the New Injury Severity Score (NISS) as predictors of mortality and length of hospital stay in childhood falls. We retrospectively analysed over a period of 8 years children aged younger than14 years who had sustained falls and who were admitted to our emergency department. Data on the patients' age, sex, type of fall, height fallen, arrival type, type of injuries, scoring systems, and outcome were investigated retrospectively. The ISS and NISS were calculated for each patient. Comparisons between ISS and NISS for prediction of mortality were made by receiver operating characteristic (ROC) curve and Hosmer-Lemeshow (HL) goodness of fit statistics. In total, there were 2061 paediatric trauma patients. Falls comprised 36 (n = 749) of these admissions. There were 479 male and 270 female patients. The mean (SD) age ...

European Journal of Trauma and Emergency Surgery, 2012

The Israel Medical Association journal : IMAJ, 2008

Falls are a common problem among hospitalized patients, having a significant impact on quality of life and resource utilization. To develop and validate a fall-risk assessment tool for patients hospitalized in the department of medicine that will combine simplicity with adequate accuracy for routine use. This observational cohort study was conducted on the medical wards of an urban tertiary teaching hospital, and included all patients who fell in the medical wards during a 1 year period (n = 140) compared to other hospitalized patients. Significant correlates of falls were previous falls, impairing medical conditions, impaired mobility, and altered mental state. In multivariate logistic regression analyses, only previous falls (odds ratio 3.8 with 95% confidence interval 2.65-5.45, P < 0.0001) and acute impairing medical conditions (OR 1.56, CI 1.06-2.29, P < 0.05) correlated independently with a higher risk for falls. Impaired mobility retained an OR of 1.46 (CI 0.95-2.24, P ...