Developing a rapid predictive model for falls in older hospitalized patients
Bibliographic Data
| ID | 22067337 |
|---|---|
| Authors | Mengmeng Hu (0000-0002-9625-0295, Wenzhou Medical University), Sujuan Lu (Wenzhou Medical University), Jiangan Guan (Wenzhou Medical University), Wenqian Deng (Wenzhou Medical University), Yu Hu (0000-0001-8388-0696), Yu‐Feng Hu (0000-0001-5715-2070, Wenzhou Medical University), Yao Zhi Huang (0000-0001-7699-4716), Yao Huang (0000-0003-4291-3484, Wenzhou Medical University), Keying Li (0000-0003-4934-7489, Wenzhou Medical University), Mengdan He (Wenzhou Medical University), Zhiyi Wang (0000-0002-6771-4839, Wenzhou Medical University), Chan Chen (0000-0001-5823-8247, Wenzhou Medical University, corresponding author), Xiufang Chen (0000-0002-3789-2124, Wenzhou Medical University, corresponding author) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1421078-1421078 |
| Publication date | 2024-10-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1421078 |
| PMID | 39416931 |
| OpenAlex | W4403080081 |
| Language | EN |
| References cited | 25 |
Background: This study was aimed to identify the independent risk factors for falls n hospitalized older patients and develop a corresponding predictive model. Methods: A retrospective observational study design was adopted, comprising 440 older patients with falls history and 510 older patients without falls history during hospitalization. Data collected included demographic information, vital signs, comorbidities, psychiatric disorder, function absent, current medication, other clinical indicators. Results: Mobility disability, high-risk medications use, frequency of hospitalizations, psychiatric disorder, visual impairment are independent risk factors for falls in older patients. The A-M2-HPV scoring system was developed. The AUC value of the nomogram was 0.884, indicating the model has excellent discriminative ability. The AUC value of the A-M2-HPV score was 0.788, demonstrating better discrimination and stratification capabilities. Conclusion: The A-M2-HPV scoring system provides a valuable tool to assess the risk of falls in hospitalized older patients and to aid in the implementation of preventive measures
Nomogram · Observational study · Physical therapy · Predictive value · Retrospective cohort study · Risk assessment · Risk Stratification · Balance, Gait, and Falls Prevention · Chronic Disease Management Strategies · Frailty in Older Adults · Medicine · Emergency Medicine · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |