Fall prediction in inpatients by bedside nurses using the St. Thomas's Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) instrument: A multicenter study

Journal of the American Geriatrics Society

Volumn 55, Issue 5, 2007, Pages 725-733

  Milisen, Koen ^a   Staelens, Nele ^a,b   Schwendimann, René ^c   De Paepe, Leen ^a   Verhaeghe, Jeroen ^a,e   Braes, Tom ^a   Boonen, Steven ^a   Pelemans, Walter ^a   Kressig, Reto W ^d   Dejaeger, Eddy ^a  

^a UNIVERSITY OF LEUVEN   (Belgium)

^b Amgen NV   (Belgium)

^c UNIVERSITY OF BASEL   (Switzerland)

^d Geriatrische Universitatsklinik   (Switzerland)

^e Groeninge Hospital   (Belgium)

Author keywords

Falls; Inpatients; Instruments; Nursing; Risk assessment

Indexed keywords

AGED; ARTICLE; FALL RISK ASSESSMENT; FALLING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NURSE PATIENT RELATIONSHIP; PREDICTION; RISK ASSESSMENT; ST THOMAS'S RISK ASSESSMENT TOOL IN FALLING ELDERLY INPATIENTS INSTRUMENT;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; FEMALE; GERIATRIC ASSESSMENT; HUMANS; INPATIENTS; MALE; MIDDLE AGED; NURSING ASSESSMENT; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; SENSITIVITY AND SPECIFICITY;

EID: 34247606134     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2007.01151.x     Document Type: Article

References (41)

1. von Renteln-Kruse W, Krause T. Sturzereignisse stationärer geriatrischer Patienten [Fall events in geriatric hospital in-patients - results of prospective recording over a 3 year period]. Z Gerontol Geriatr 2004 37 : 9 14. German.
2. Conley D. The challenge of predicting patients at risk for falling: Development of the Conley scale. Medsurg Nurs 1999 8 : 348 354.
3. Halfon P, Eggli Y, Van Melle G et al. Risk of falls for hospitalized patients: A predictive model based on routinely available data. J Clin Epidemiol 2001 54 : 1258 1266.
4. Kimbell S. Breaking the fall factor. Nurs Manage 2002 33 : 22 25.
5. Morse JM, Morse RM, Tylko SJ. Development of a scale to identify the fall-prone patient. Can J Aging 1989 8 : 366 377.
6. Rawsky E. Review of the literature on falls among the elderly. Image J Nurs Sch 1998 30 : 47 52.
7. Schwendimann R. Frequency and circumstances of falls in acute care hospitals: A pilot study Pflege 1998 11 : 335 341. German.
8. Tutuarima JA, van der Meulen JH, De Haan RJ et al. Risk factors for falls in hospitalized stroke patients. Stroke 1997 28 : 297 301.
9. American Geriatrics Society, British Geriatric Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001 49 : 664 672.
10. Gentleman B, Malozemoff W. Falls and feelings: Description of a psychosocial group nursing intervention. J Gerontol Nurs 2001 27 : 35 39.
11. Hendrich A, Nyhuis A, Kippenbrock T et al. Hospital falls: Development of a predictive model for clinical practice. Appl Nurs Res 1995 8 : 129 139.
12. Oliver D, Britton M, Seed P et al. Development and evaluation of an evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: Case-control and cohort studies. BMJ 1997 315 : 1049 1053.
13. Kannus P, Sievanen H, Palvanen M et al. Prevention of falls and consequent injuries in elderly people. Lancet 2005 366 : 1885 1893.
14. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med 2002 18 : 141 158.
15. Brians LK, Alexander K, Grota P et al. The development of the RISK tool for fall prevention. Rehabil Nurs 1991 16 : 67 69.
16. Fitzgibbon M, Roberts FM. Prevention of accidents to hospital patients. Recent Adv Nurs 1988 22 : 33 48.
17. Sweeting HL. Patient fall prevention - a structured approach. J Nurs Manage 1994 2 : 187 192.
18. Turkoski B, Pierce LL, Schreck S et al. Clinical nursing judgment related to reducing the incidence of falls by elderly patients. Rehabil Nurs 1997 22 : 124 130.
19. Chang JT, Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trials. BMJ 2004 328 : 680.
20. Oliver D, Daly F, Martin FC et al. Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review. Age Ageing 2004 33 : 122 130.
21. Shorr RI, Guillen MK, Rosenblatt LC et al. Restraint use, restraint orders, and the risk of falls in hospitalized patients. J Am Geriatr Soc 2002 50 : 526 529.
22. McCarter-Bayer A, Bayer F, Hall K. Preventing falls in acute care: An innovative approach. J Gerontol Nurs 2005 31 : 25 33.
23. Oliver D, Hopper A, Seed P. Do hospital fall prevention programs work? A systematic review. J Am Geriatr Soc 2000 48 : 1679 1689.
24. Myers H. Hospital fall risk assessment tools: A critique of the literature. Int J Nurs Pract 2003 9 : 223 225.
25. Perell KL, Nelson A, Goldman RL et al. Fall risk assessment measures: An analytic review. J Gerontol A Biol Sci Med Sci 2001 56A : M761 M766.
26. Coker E, Oliver D. Evaluation of the STRATIFY falls prediction tool on a geriatric unit. Outcomes Manag 2003 7 : 8 14.
27. Papaioannou A, Parkinson W, Cook R et al. Prediction of falls using a risk assessment tool in the acute care setting. BMC Med 2004 2 : 1.
28. Vassallo M, Stockdale R, Sharma JC et al. A comparative study of the use of four fall risk assessment tools on acute medical wards. J Am Geriatr Soc 2005 53 : 1034 1038.
29. Lamb SE, Jorstad-Stein EC, Hauer K et al. Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. J Am Geriatr Soc 2005 53 : 1618 1622.
30. Nederlandse Vereniging voor Klinische Geriatrie. Richtlijn preventie van valincidenten bij ouderen [on-line]. Available at Accessed July 28, 2006.
31. Enloe M, Wells TJ, Mahoney J et al. Falls in acute care: An academic medical center six-year review. J Patient Saf 2005 1 : 208 214.
32. Rohde JM, Myers AH, Vlahov D. Variation in risk for falls by clinical department. Implications for prevention. Infect Control Hosp Epidemiol 1990 11 : 521 524.
33. Schwendimann R. Patient falls: A key issue in patient safety in hospitals. Doctoral dissertation, Institute of Nursing Science, University of Basel, Switzerland, 2006.
34. Hitcho EB, Krauss MJ, Birge S et al. Characteristics and circumstances of falls in a hospital setting: A prospective analysis. J Gen Intern Med 2004 19 : 732 739.
35. Fischer ID, Krauss MJ, Dunagan WC et al. Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infect Control Hosp Epidemiol 2005 26 : 822 827.
36. Mahoney JE. Immobility and falls. Clin Geriatr Med 1998 14 : 699 726.
37. Creditor MC. Hazards of hospitalization of the elderly. Ann Intern Med 1993 118 : 219 223.
38. Gillick MR, Serrell NA, Gillick LS. Adverse consequences of hospitalization in the elderly. Soc Sci Med 1982 16 : 1033 1038.
39. Vassallo M, Sharma JC, Allen SC. Characteristics of single fallers and recurrent fallers among hospital in-patients. Gerontology 2002 48 : 147 150.
40. Gaebler S. Predicting which patient will fall again... and again. J Adv Nurs 1993 18 : 1895 1902.
41. Defloor T, Grypdonck MF. Validation of pressure ulcer risk assessment scales: A critique. J Adv Nurs 2004 48 : 613 621.