A Case–Control Study of Pediatric Falls Using Electronic Medical Records

Abstract

The purpose of this study was to retrospectively review Humpty Dumpty Falls Scale (HDFS) scores using electronic medical records (EMR) reports at a pediatric hospital to determine characteristics related to falls, injuries, and performance of the HDFS tool. The specific research question was: Is there a significant difference in HDFS total scores between cases (children who fell) and controls (those who did not fall)? Results from 74 cases and 242 controls revealed the number of falls did not differ significantly between those who obtained high HDFS scores and those who obtained low scores. HDFS sensitivity was 57%, specificity was 39%. The pediatric patients who fell were mostly oriented and ambulating; falls with injury did not exceed 19%. Future case-control studies should use larger sample sizes across multiple institutions with EMR capability.

Peri‐implantitis prevalence, incidence rate, and risk factors: A study of electronic health records at a U.S. dental school

“…Use of multivariate logistic regression in EHR datasets is frequently affected by the facts that (a) a significant number of patient records may not include essential covariates necessary to execute the model, and (b) large‐scale imputation may yield biased results (Aagaard et al, ; Pedersen et al, ; White, Daniel, & Royston, ). To address this limitation, a case–control design has been successfully used for population‐based risk factor estimation in studies utilizing EHR datasets, where cases with complete or almost complete sets of confounding variables are matched randomly with controls in a stratified manner (Castro et al, ; Messmer, Williams, & Williams, ). Thus, for the second aim of this study, that is, the identification of risk factors for peri‐implantitis, a nested case–control design was used, as described above.…”

Nurse's interventions in preventing falls in hospitalized children: scoping review

“…In Figure 1, the selection process of the articles with a PRISMA flow chart is presented, with the seven included in the final sample (two articles from EBSCO [CINAHL and MEDLINE] (20)(21) , four articles from PubMed (22)(23)(24)(25) and one article from SciELO (26) ).…”

Analysis of Falls within Paediatric Hospital and Community Healthcare Settings

“…There have been attempts to validate a number of these paediatric-specific tools including; Little Schmidy, Humpty Dumpty Fall Scale, CHAMPS, GRAF-PIF, and I'M SAFE. However there have been significant concerns with the sensitivity and/or specificity of these tools (DiGerolamo & Davis, 2017;Harvey et al, 2010;Messmer, Williams, & Williams, 2013). To date no paediatric fall risk assessment tool has been found to be valid and reliable across institutions and diverse populations (DiGerolamo & Davis, 2017;Harvey et al, 2010;Ryan-Wenger et al, 2012).…”