Purpose
To develop a fall risk assessment tool to predict fall risk in pediatric inpatients.
Methods
Three tools widely used in clinical practice (Humpty Dumpty Fall Scale, General Risk Assessment for Pediatric Inpatient Falls, and Seoul National University Hospital Pediatric Fall Risk Scale) were examined, and assessment items were extracted. Employing a case-control design, 29 children who experienced falls during hospital stays were selected as the "fall" group, and a control group (93 children) was selected based on age and sex matching. The sensitivity, specificity, and positive and negative predictive values of the newly developed tool ("Newfs-PI") were analyzed.
Results
The Newfs-PI consisted of seven items: age, activity, history of falls, length of hospital stay, and medication. The total score ranged from 0 to 15. Its sensitivity and specificity were 62.07% and 74.19%, respectively.
Conclusion
The Newfs-PI has high specificity and sensitivity, which are essential for a fall risk assessment tool that complements existing tools. These values are high relative to those of existing assessment tools and satisfy both sensitivity and specificity criteria. As the EMR enables monitoring of the components of the Newfs-PI, the tool can be used as a fall risk assessment and prevention scale for pediatric inpatients.

Citations

• Sarcopenia in children: Lecture
  A. N. Zavyalova, V. P. Novikova, M. N. Yakovleva
  Meditsinskiy sovet = Medical Council.2024; (1): 245.     CrossRef
• Fall prevention in a pediatric unit: a best practice implementation project
  Nydjia Lawrence, Robin Christian, Michelle Palokas, Linda Upchurch
  JBI Evidence Implementation.2024; 22(2): 149.     CrossRef
• Development of an evidence‐based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test
  Lixia Chen, Wenjing Liu, Hong Li
  Nursing Open.2023; 10(3): 1715.     CrossRef
• Escala Humpty Dumpty: adaptação transcultural e validação para cultura brasileira
  Elke Sandra Alves Rodrigues, Daniela Fernanda dos Santos Alves, Ana Márcia Chiaradia Mendes-Castillo, Thaís Moreira São-João, Giselli Cristina Villela Bueno, Deborah Hill-Rodriguez, Renata Cristina Gasparino
  Acta Paulista de Enfermagem.2023;[Epub]     CrossRef
• The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study
  Nadir YALÇIN, Mehmet Akif GÖKTAŞ, Ersin GÜMÜŞ
  Akademik Gastroenteroloji Dergisi.2023; 22(2): 103.     CrossRef
• The revised Humpty Dumpty Fall Scale: An update to improve tool performance and predictive validity
  Danielle Altares Sarik, Deborah Hill-Rodriguez, Karina A. Gattamorta, Jacqueline L. Gonzalez, Jenny Esteves, Katherine Zamora, Jennifer Cordo
  Journal of Pediatric Nursing.2022; 67: 34.     CrossRef