The analysis of sensitivity and specificity of Humpty Dumpty pediatric fall assessment tool for hospitalized children
10.3760/cma.j.issn.1672-7088.2019.12.010
- VernacularTitle: Humpty Dumpty儿童跌落风险评估量表敏感度和特异度的评价
- Author:
Haiying ZHU
1
;
Nan LIU
;
Hui ZENG
Author Information
1. Shanghai Children′s Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
- Publication Type:Clinical Trail
- Keywords:
Sensitivity;
Specificity;
Pediatric fall;
Assessment scale
- From:
Chinese Journal of Practical Nursing
2019;35(12):924-928
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To determine the sensitivity and specificity of the Humpty Dumpty Fall Scale (HDFS) in predicting the falls in hospitalized children.
Methods:A retrospective matched case-control study was conducted. A chart review of 52 pediatric cases who fell and 52 controls who did not fall, were pair-matched by age, gender and diagnosis and matching ratio of 1∶1. The HDFS was used to evaluate the risk factors.
Results:The area of the ROC curve was 0.610. When the cutoff point of HDFS was 16, the sensitivity of it was 0.558, and the specificity was 0.635. There was a significant difference in two groups when the cutoff point was 13 (P<0.05), the score in fall case and non-fall case was (15.77 ± 1.46), (15.22 ± 1.21) points.
Conclusions:The HDFS can identify high risk of falls in hospitalized children in some degree. The optimal operating point is 13. The theoretical diagnostic value of the scale is at a low level. Further research is needed to verify or to improve the assessment tool that contribute to fall reduction.
