Fall Risk Assessment Score of Hagino et a for a Hospitalized Patient

Description

Hagino et al reported a Fall Risk Assessment Score for identifying a hospitalized patient who is at increased risk for fall in the hospital. The authors are from Kofu National Hospital and University of Yamanashi in Japan.

Patient selection: hospitalized patient

Parameters:

(1) age in years

(2) fall history

(3) period of rapid change (recovery or deterioration) in diagnosis or disability

(4) number of days since admission or bed change

(5) starting rehabilitation or training

(6) tendency to act without pressing the nurse call button

(7) strength of leg

(8) mobility

(9) ability to stand without support

(10) bedridden status

(11) impaired memory or judgment

(12) use of wheelchair, walker or handrail (mobility assistance)

(13) need for assistance with mobility and excretion (personal ADL)

(14) uses sleep medication

(15) uses anti-Parkinsonian drug or muscle relaxant

(16) uses a narcotic

Parameter	Finding	Points
age in years	< 70 years	0
	>= 70 years	1
fall history	in past 3 months OR during previous hospitalization	1
	other	0
period of rapid change	no	0
	yes	1
time in hospital or bed	less than 7 days since admission	1
	less than 7 days since change of ward or bed (AND age >= 65 years)	1
	neither	0
starting rehabilitation	no	0
	yes	1
tendency to act	no	0
	yes	1
strength of leg	weak	1
	not weak	0
mobility	can walk independently with unstable gait	1
	other	0
unstable when standing without support	no	1
	yes	0
bedridden	no	0
	yes and can move body in bed	1
	yes and cannot move body in bed	0
impaired memory or judgment	no	0
	yes	1
use of mobility assistance	no	0
	yes
need for assistance in personal ADL	no	0
	yes	1
uses sleep medication	no	0
	yes	1
uses anti-Parkinson drug or muscle relaxant	no	0
	yes	1
uses a narcotic	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 16

Total Score	Risk Level	Fall Rate
0 to 3	I	1.1%
4 to 9	II	6.8%
10 to 16	III	21.5%

Performance:

• The area under the ROC curve is 0.81.

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Fall Risk Assessment Score of Hagino et a for a Hospitalized Patient

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