Comparison of fall prediction by the Hessisch Oldendorf Fall Risk Scale and the Fall Risk Scale by Huhn in neurological rehabilitation: an observational study
- 21 November 2017
- journal article
- research article
- Published by SAGE Publications in Clinical Rehabilitation
- Vol. 32 (5), 671-678
- https://doi.org/10.1177/0269215517741666
Abstract
To calculate scale performance of the newly developed Hessisch Oldendorf Fall Risk Scale (HOSS) for classifying fallers and non-fallers in comparison with the Risk of Falling Scale by Huhn (FSH), a frequently used assessment tool. A prospective observational trail was conducted. The study was performed in a large specialized neurological rehabilitation facility. The study population (n = 690) included neurological and neurosurgery patients during neurological rehabilitation with varying levels of disability. Around the half of the study patients were independent and dependent in the activities of daily living (ADL), respectively. Fall risk of each patient was assessed by HOSS and FSH within the first seven days after admission. Event of fall during rehabilitation was compared with HOSS and FSH scores as well as the according fall risk. Scale performance including sensitivity and specificity was calculated for both scales. A total of 107 (15.5%) patients experienced at least one fall. In general, fallers were characterized by an older age, a prolonged length of stay, and a lower Barthel Index (higher dependence in the ADL) on admission than non-fallers. The verification of fall prediction for both scales showed a sensitivity of 83% and a specificity of 64% for the HOSS scale, and a sensitivity of 98% with a specificity of 12% for the FSH scale, respectively. The HOSS shows an adequate sensitivity, a higher specificity and therefore a better scale performance than the FSH. Thus, the HOSS might be superior to existing assessments.Keywords
This publication has 22 references indexed in Scilit:
- Stürze in der neurologischen Rehabilitation: Entwicklung der Hessisch Oldendorfer Sturzrisiko-Skala (HOSS)Aktuelle Neurologie, 2016
- Prevalence, predictors, and outcomes of poststroke falls in acute hospital settingJournal of Rehabilitation Research and Development, 2010
- Risk factors for falls in stroke patients during inpatient rehabilitationClinical Rehabilitation, 2009
- Risk Factors for Falls During Inpatient RehabilitationAmerican Journal of Physical Medicine & Rehabilitation, 2008
- Practice Parameter: Assessing patients in a neurology practice for risk of falls (an evidence-based review)Neurology, 2008
- Falls in older people: epidemiology, risk factors and strategies for preventionAge and Ageing, 2006
- Falls among chinese stroke patients during rehabilitationArchives of Physical Medicine and Rehabilitation, 2001
- Guideline for the Prevention of Falls in Older PersonsJournal of the American Geriatrics Society, 2001
- Characteristics of falling in patients with strokeJournal of Neurology, Neurosurgery & Psychiatry, 2000
- Performance‐Oriented Assessment of Mobility Problems in Elderly PatientsJournal of the American Geriatrics Society, 1986