Adaptation and validation of a hospitalized pediatric patients fall risk assessment instrument
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Abstract
Introduction: A significant number of patients who attend health institutions have a risk of fall anytime during their hospitalization. Taking care of these patients requires diverse interventions and clinical assessments.
Objective: To adapt and validate a hospitalized pediatric patient fall risk assessment instrument.
Methods: The J. H. Downton instrument was adapted and validated. Specificity and sensibility tests, negative and positive predictive value, and Kuder-Richardson (KR) and ROC curve analysis internal consistency were all assessed using the SPSS ® v. 15 and Epidat 3.1 statistics programs.
Results: KR internal consistency of 0.92, sensibility of 86.92, specificity of 99.4, PP of 99.56, and PN of 81.52 with a confidence interval of 95% were obtained.
Conclusions: Validated scales such as the St. Thomas have good sensibility and specificity values (93% and 88%), but this scale is adapted for elder patients. The validated scale of this study had better sensibility and specificity values than two other hospitalized pediatric population scales: the Humpty Dumpty and the CHAMPS, suggesting that the modified H. Downton scale is highly sensible and specific to predict hospitalized pediatric patient fall risks.
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