A Validation Study of the Missouri Alliance for Home Care Fall Risk Assessment Tool

被引：10

作者：

Calys, Mary ^{[1
]}

Gagnon, Kendra ^{[2
]}

Jernigan, Stephen ^{[2
]}

机构：

[1] North Kansas City Hosp, North Kansas City, MO USA

[2] Univ Kansas, Med Ctr, Kansas City, KS 66103 USA

来源：

HOME HEALTH CARE MANAGEMENT AND PRACTICE | 2013年 / 25卷 / 02期

关键词：

fall risk; fall risk assessment; home health care; validity; sensitivity; specificity; community dwelling elders;

D O I：

10.1177/1084822312457942

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

A retrospective review (n = 2,247) was conducted from July 1st to October 1st 2010 to determine validity of the Missouri Alliance for Home Care Fall Risk Assessment Tool (MAHC-10). Fall risk was identified by a MAHC-10 score = 4. Two sample t test, chi-square, logistic regression, and ROC curve analyses were performed. Fallers (6.35 +/- 1.7, n = 195) and nonfallers (5.70 +/- 1.9, n = 2,052) had significantly different (p = .011) MAHC-10 scores. The MAHC-10 cutoff score of 4 demonstrated 96.9% sensitivity and 13.3% specificity; however, ROC curve analyses revealed a cutoff score of 6 maximized combined sensitivity and specificity. The MAHC-10 is valid for fall risk screening in the home health setting; however, a cutoff score of 6 may more accurately predict fall risk.

引用

页码：39 / 44

页数：6

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