Michaela Miertová, Ivana Bóriková, Martina Tomagová, Jaroslav Madleňák, M. Grendár, A. Barnau
{"title":"神经系统疾病住院患者跌倒的危险因素-跌倒后分析","authors":"Michaela Miertová, Ivana Bóriková, Martina Tomagová, Jaroslav Madleňák, M. Grendár, A. Barnau","doi":"10.5114/MS.2021.104996","DOIUrl":null,"url":null,"abstract":"Introduction: Post-fall analysis of fall risk factors is an effective intervention in minimizing the fall risk in inpatients. Aim of the research: To identify significant fall risk factors in patients with neurological disease, who fell during hospitalization. Material and methods: Forty adult inpatients were included in a retrospective quantitative cross-sectional study, who fell in the neurological department in the period 01/2014–01/2020. The research protocol contains selected fall risk factors, the Morse Fall Scale (MFS), and the Barthel ADL Index. The Random Forest method was used to identify significant fall risk fac- tors. ROC with AUC was used to assess the predictive value of fall risk factors. Results: The mean age of the sample was 70.50 ±15.20 years. The most common fall risk factors in the sample included the following: gait, balance and mobility disorders, polymorbidity ≥ 5 medical diagnoses, and polypharmacotherapy ≥ 5 drug classes. The mean MFS score was high (75.8 ±26.6), and the after-fall MFS score increased (97.8 fall predictive of fall risk","PeriodicalId":81014,"journal":{"name":"Contributions in medical studies","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Risk factors of falling among hospitalized patients with neurological disease – post-fall analysis\",\"authors\":\"Michaela Miertová, Ivana Bóriková, Martina Tomagová, Jaroslav Madleňák, M. Grendár, A. Barnau\",\"doi\":\"10.5114/MS.2021.104996\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Post-fall analysis of fall risk factors is an effective intervention in minimizing the fall risk in inpatients. Aim of the research: To identify significant fall risk factors in patients with neurological disease, who fell during hospitalization. Material and methods: Forty adult inpatients were included in a retrospective quantitative cross-sectional study, who fell in the neurological department in the period 01/2014–01/2020. The research protocol contains selected fall risk factors, the Morse Fall Scale (MFS), and the Barthel ADL Index. The Random Forest method was used to identify significant fall risk fac- tors. ROC with AUC was used to assess the predictive value of fall risk factors. Results: The mean age of the sample was 70.50 ±15.20 years. The most common fall risk factors in the sample included the following: gait, balance and mobility disorders, polymorbidity ≥ 5 medical diagnoses, and polypharmacotherapy ≥ 5 drug classes. The mean MFS score was high (75.8 ±26.6), and the after-fall MFS score increased (97.8 fall predictive of fall risk\",\"PeriodicalId\":81014,\"journal\":{\"name\":\"Contributions in medical studies\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contributions in medical studies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5114/MS.2021.104996\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contributions in medical studies","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/MS.2021.104996","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Risk factors of falling among hospitalized patients with neurological disease – post-fall analysis
Introduction: Post-fall analysis of fall risk factors is an effective intervention in minimizing the fall risk in inpatients. Aim of the research: To identify significant fall risk factors in patients with neurological disease, who fell during hospitalization. Material and methods: Forty adult inpatients were included in a retrospective quantitative cross-sectional study, who fell in the neurological department in the period 01/2014–01/2020. The research protocol contains selected fall risk factors, the Morse Fall Scale (MFS), and the Barthel ADL Index. The Random Forest method was used to identify significant fall risk fac- tors. ROC with AUC was used to assess the predictive value of fall risk factors. Results: The mean age of the sample was 70.50 ±15.20 years. The most common fall risk factors in the sample included the following: gait, balance and mobility disorders, polymorbidity ≥ 5 medical diagnoses, and polypharmacotherapy ≥ 5 drug classes. The mean MFS score was high (75.8 ±26.6), and the after-fall MFS score increased (97.8 fall predictive of fall risk