Revision of Fall Assessment and Classification of Risk in Acute Care Wards Using Latent Rank Theory

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  • TAMURA Shuntaro
    Department of Rehabilitation, Fujioka General Hospital Department of Basic Rehabilitation, School of Health Sciences, Gunma University
  • KOBAYASHI Makoto
    Department of Rehabilitation, Fujioka General Hospital
  • SAITO Yasuyuki
    Fujioka General Hospital Safety Management Center
  • ASAKURA Tomoyuki
    Graduate School of Health Sciences, Gunma University
  • USUDA Shigeru
    Graduate School of Health Sciences, Gunma University

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Other Title
  • 急性期病棟における転倒・転落アセスメントシートの改訂と潜在ランク理論を用いた危険度の分類
  • キュウセイキ ビョウトウ ニ オケル テントウ ・ テンラク アセスメントシート ノ カイテイ ト センザイ ランク リロン オ モチイタ キケンド ノ ブンルイ

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Description

<p>[Purpose] To revise a fall assessment method to create a valid and simple assessment for use in acute care wards. [Participants and Methods] This retrospective study included 1309 inpatients. Risk factors were extracted and weighted based on the results of a fall assessment sheet and the presence or absence of falls. Then, the revised fall score and prediction accuracy were calculated. For the revised score, risk was classified according to the latent rank. [Results] The number of fall factors was reduced from 39 to seven. The sensitivity and specificity of prediction and the area under the curve for the conventional and revised scores were 88.5%, 43.0%, and 0.700 vs. 65.6%, 71.0%, and 0.718, respectively. The number of falls significantly differed for each potential rank according to the revised scores. [Conclusion] Fall prediction based on revised scores and risk classification using latent rank theory is appropriate.</p>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 35 (5), 621-627, 2020

    The Society of Physical Therapy Science

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