J Korean Clin Nurs Res.  2019 Aug;25(2):142-150. 10.22650/JKCNR.2019.25.2.142.

Evaluation of the Humpty Dumpty Falls Scale: An Analysis of Electronic Medical Records

• Cho YH
• Kim YJ

• KMID: 2457425
• DOI: http://doi.org/10.22650/JKCNR.2019.25.2.142

Abstract

PURPOSE
The aim of this study was to evaluate the efficiency of the Humpty Dumpty Falls Scale as one of the falls risk assessment tools, and also to evaluate risk factors as predictors of falls in pediatric patient populations.
METHODS
In a retrospective, case-control design with data from the electronic medical records of 13 pediatric patients who fell and 1,941 who did not fall before matching and 429 who did not fall after matching by gender, age, diagnosis, and length of stay.
RESULTS
All the variables showed no significant differences after matching. At the cutoff score of 13, sensitivity, specificity, negative and positive predictive values were 92.3%, 37.1%, 99.9%, and 0.01%, respectively. The area under the Receiver Operating Characteristics was 0.597. The results from the logistic regression showed that the pediatric inpatient population who had higher risk scores was significantly associated with falls. The odds ratios ranged from 1.31 to 4.71 with 90% confidence interval.
CONCLUSION
The saturation impairments criterion as one of the diagnostic parameter was negatively associated with falls, but the relative risk score was higher than the other criteria. Therefore, it seems that the diagnostic parameter seems to be required to verify results through large sample studies.

Keyword

Accidental Falls; Instrumentation; Child; Hospitalized; Sensitivity and Specificity

MeSH Terms

Accidental Falls*
Case-Control Studies
Child
Diagnosis
Electronic Health Records*
Humans
Inpatients
Length of Stay
Logistic Models
Odds Ratio
Retrospective Studies
Risk Assessment
Risk Factors
ROC Curve
Sensitivity and Specificity