SynthesisBMC health services research2013
Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review and meta-analysis.
Synthesis in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.
- Predicting geriatric falls following an episode of emergency department care: a systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Pooled it
- The effect of osteoporosis on fall risk, balance, and fear of falling in postmenopausal women: a controlled cross-sectional study.Irish journal of medical science · 2026Article
- Machine Learning-Based Prediction of In-Hospital Falls in Adult Inpatients: Retrospective Observational Multicenter Study.JMIR medical informatics · 2025Observational
- Association Between Decision-Making Styles, Personality Traits, and Socio-Demographic Factors in Women Choosing Voluntary Pregnancy Termination: A Cross-Sectional Study.European journal of investigation in health, psychology and education · 2025Article
- Development and Validation of a Dynamic Online Nomogram for Predicting Inpatient Fall Risk: A Cohort Study.Journal of multidisciplinary healthcare · 2025Article
- Validation and Improvement of the Saga Fall Risk Model: A Multicenter Retrospective Observational Study.Clinical interventions in aging · 2024Observational
- Validation of the stratify scale for the prediction of falls among hospitalized adults in a tertiary hospital in Colombia: a retrospective cohort study.Scientific reports · 2023Article
- Nurses' perspectives on inpatient falls in a large academic hospital in South Africa.Curationis · 2023Article
- Utilizing standardized nursing terminologies in implementing an AI-powered fall-prevention tool to improve patient outcomes: a multihospital study.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Developing and validating an integrated instrument for nursing assessments in adult hospitalization units: Study protocol.Nursing open · 2023Article
- The Next Frontier of Remote Patient Monitoring: Hospital at Home.Journal of medical Internet research · 2023Article
- Living Conditions and the Incidence and Risk of Falls in Community-Dwelling Older Adults: A Multifactorial Study.International journal of environmental research and public health · 2023Article
- Clinical study of falls among inpatients with hematological diseases and exploration of risk prediction models.Frontiers in public health · 2023Article
- Article
- Applying artificial intelligence to predict falls for inpatient.Frontiers in medicine · 2023Article
- The role of the pregnancy heart team in clinical practice.Frontiers in cardiovascular medicine · 2023Review
- Development and validation of interpretable machine learning models for inpatient fall events and electronic medical record integration.Clinical and experimental emergency medicine · 2022Article
- Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review.International journal of environmental research and public health · 2022Review
- Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I).International journal of environmental research and public health · 2022Article
- Development of an Assessment Scale for the Risk of Falling in Pregnant Women.Global journal on quality and safety in healthcare · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls are a serious problem for hospitalized patients, reducing the duration and quality of life. It is estimated that over 84% of all adverse events in hospitalized patients are related to falls. Some fall risk assessment tools have been developed and tested in environments other than those for which they were developed with serious validity discrepancies. The aim of this review is to determine the accuracy of instruments for detecting fall risk and predicting falls in acute hospitalized patients.
methodsSystematic review and meta-analysis. Main databases, related websites and grey literature were searched. Two blinded reviewers evaluated title and abstracts of the selected articles and, if they met inclusion criteria, methodological quality was assessed in a new blinded process. Meta-analyses of diagnostic ORs (DOR) and likelihood (LH) coefficients were performed with the random effects method. Forest plots were calculated for sensitivity and specificity, DOR and LH. Additionally, summary ROC (SROC) curves were calculated for every analysis.
resultsFourteen studies were selected for the review. The meta-analysis was performed with the Morse (MFS), STRATIFY and Hendrich II Fall Risk Model scales. The STRATIFY tool provided greater diagnostic validity, with a DOR value of 7.64 (4.86 - 12.00). A meta-regression was performed to assess the effect of average patient age over 65 years and the performance or otherwise of risk reassessments during the patient's stay. The reassessment showed a significant reduction in the DOR on the MFS (rDOR 0.75, 95% CI: 0.64 - 0.89, p = 0.017).
conclusionsThe STRATIFY scale was found to be the best tool for assessing the risk of falls by hospitalized acutely-ill adults. However, the behaviour of these instruments varies considerably depending on the population and the environment, and so their operation should be tested prior to implementation. Further studies are needed to investigate the effect of the reassessment of these instruments with respect to hospitalized adult patients, and to consider the real compliance by healthcare personnel with procedures related to patient safety, and in particular concerning the prevention of falls.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.