Hendrich et al reported a model for predicting the risk of fall in an older adult.
NOTE: A subsequent modification is the Hendrich II Fall Risk Model.
Parameters:
(1) confusion or disorientation
(2) recent history of falls
(3) altered elimination patterns
(4) altered mobility
(5) dizziness or vertigo
(6) depression
|
Parameter
|
Finding
|
Points
|
|
confusion
|
absent
|
0
|
|
|
present
|
3
|
|
recent fall
|
absent
|
0
|
|
|
present
|
7
|
|
altered eliminations
|
absent
|
0
|
|
|
present
|
3
|
|
altered mobility
|
absent
|
0
|
|
|
present
|
2
|
|
dizziness or vertigo
|
absent
|
0
|
|
|
present
|
3
|
|
depression
|
absent
|
0
|
|
|
present
|
4
|
where:
• The original score included a seventh parameter for "primary cancer diagnosis", but this was later dropped.
• Corrigan et al modified the score with the addition of "poor judgment" (needs assistance with transfer or ambulation but regards self as independent) scored at 3 points if present.
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
• maximum score for the modification of Corrigan et al.
• The higher the score the greater the risk for fall.
• A patient with a score >= 3 is at increased risk.
Performance:
• The original score had a sensitivity of 77% and specificity of 72%.
