An analysis of fall incidence rate and risk factors in an inpatient rehabilitation unit: A retrospective study. Issue 2 (17th February 2021)

• Record Type: Journal Article
• Authors: Lee, Kyu-Bum; Lee, Jee-Sun; Jeon, In-Pyo; Choo, Do-Yeon; Baik, Mi-Jung; Kim, Eun-Hye; Kim, Woo-Suck; Park, Chang-Sik; Kim, Jin-Young; Shin, Young-Il; Bae, Ji-Eun; Kim, Jeong-Soo
• Is Part Of: Topics in stroke rehabilitation. Volume 28:Issue 2(2021)
• Page Start: 81
• Page End: 87
• Publication Date: 2021-02-17
• Subjects: Falls -- fall risk -- inpatients -- stroke -- rehabilitation; Cerebrovascular disease -- Patients -- Rehabilitation -- Periodicals; Cerebrovascular disease -- Periodicals; 616.810305
• DOI: 10.1080/10749357.2020.1774723
• Languages: English
• ISSNs: 1074-9357

Abstract

ABSTRACT: Background: Accurate prediction of fall likelihood is advantageous for instituting fall prevention program in rehabilitation facilities. Objective: This study was designed to determine the clinical measures, which can predict the risk of fall events in a rehabilitation hospital. Methods: Medical records of 166 patients (114 males and 52 females) who were hospitalized in an adult inpatient unit of a rehabilitation hospital were retrospectively analyzed for this study. As predictor variables for assessing fall risk, demographic data and the following measurements were selectively collected from patient's medical records: Tinetti Performance-Oriented Mobility Assessment-Ambulation (POMA-G), Timed Up and Go test (TUG), 10 m walk test, 2 min walk test, Korean version Mini-Mental State Examination (K-MMSE), Korean version of the Modified Barthel Index (KMBI), Berg Balance Scale (BBS), Global Deterioration Scale (GDS), and Morse Fall Scale (Morse FS). Results: The Morse FS, TUG, and age were found to be risk factors for the classification of faller and non-faller groups. Conclusion: This study suggests Morse FS, TUG, and age in the routine initial assessment upon admission in a rehabilitation setting, as key variables for screening the risk of fall. Additionally, the cutoff scores of Morse FS and TUG were observed to be more rigid than other clinical settings.