Falls in Hospitalized Children With Neurodevelopmental Conditions: A Cross-sectional, Correlational Study

Craig, Francesco; Castelnuovo, Rosanna; Pacifico, Rossella; Leo, Rosaria; Trabacca, Antonio

doi:10.1097/rnj.0000000000000112

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…also plays a major role in pediatric falls. In a cross-sectional study, HDFS total mean score correlates negatively with age, gender, and intelligence quotient in children with neurological and neurodevelopmental conditions (18). Similarly, in our study, the cognitive functions of almost a quarter of the patients were determined as "forget limitations" or "not aware of limitations".…”

Section: Data Collection and Sample Characteristicssupporting

confidence: 68%

“…The patients were also monitored for a certain period of time following the procedure. When the patients were evaluated with HDFS after the endoscopic procedure, the median (range) score was 12 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). According to the HDFS taking cut-off value as 12 points, 44 (22.9%) of the patients had a low risk for and 148 (77.1%) had a high-risk for a fall (Table 2).…”

Section: Data Collection and Sample Characteristicsmentioning

confidence: 99%

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The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

YALÇIN,

GÖKTAŞ,

GÜMÜŞ

2023

Akademik Gastroenteroloji Dergisi

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Background and Aims: The aim of this study is to evaluate the fall risk with Humpty Dumpty Fall Scale and determine related risk factors in pediatric patients undergoing gastrointestinal endoscopy. Materials and Methods: A prospective descriptive study was conducted in a large tertiary pediatric hospital. Patients' demographics, type of endoscopy, duration of endoscopic procedures, type of procedural sedation, doses of administered drugs during anesthesia, and post-procedure Humpty Dumpty Fall Scale scores were collected. Post-hoc and logistic regression analyses were performed to identify within-group differences and independent predictors of patient outcomes. Results: One hundred ninety-two pediatric patients (54.2% female) with a mean (standard deviation) age of 11.16 (5.32) years were admitted for a diagnostic gastrointestinal endoscopy. During procedures, the most commonly administered sedatives were midazolam (98.9%), propofol (96.9%), fentanyl (63.0%), and ketamine (34.9%). According to the Humpty Dumpty Fall Scale, 148 (77.1%) patients had a high risk for falls. No falls after endoscopic procedures was observed in the patients. When the predictive factors determining being at high-risk for falls were examined, the simultaneous application of esophagogastroduodenoscopy and colonoscopy under the same procedural sedation increases the risk of being high-risk 5.2 times compared to the performing esophagogastroduodenoscopy alone (p = 0.047). Conclusion: To the best of our knowledge, this is the first study evaluating the use of Humpty Dumpty Fall Scale to predict falls in pediatric patients undergoing gastrointestinal endoscopy with procedural sedation. Although 77.1% of the patients were found to be at high risk for falls, there was no fall event after the endoscopic procedures due to precautionary measures. Our results indicate that pediatric patients undergoing gastrointestinal endoscopy with sedation are at increased risk of falling and preventive measures should be taken.

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Section: Data Collection and Sample Characteristicssupporting

confidence: 68%

Section: Data Collection and Sample Characteristicsmentioning

confidence: 99%

The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

YALÇIN,

GÖKTAŞ,

GÜMÜŞ

2023

Akademik Gastroenteroloji Dergisi

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“…(18,19) A correlação encontrada entre o risco de queda e o domínio Paciente indica que quanto mais alterações psicomotoras, déficit de desenvolvimento, mobilidade prejudicada, uso de dispositivos para alimentação, eliminação e oxigenoterapia, maior o risco de queda. (4,15) Esse domínio engloba as possibilidades de a criança e/ou o adolescente realizarem atividades compatíveis para idade, mobilidade, deambulação, higiene corporal, bem como oxigenação, alimentação, hidratação e eliminações. (20,21) No que se refere ao domínio Procedimentos terapêuticos, foi possível inferir que quanto maior a necessidade de verificação de sinais vitais e medicamentos, mais comprometimento a criança e/ou adolescente pode apresentar e, consequentemente, maior o risco de queda.…”

Section: Discussionunclassified

“…(3) Apesar de sua importância, a maior parte das evidências disponíveis na literatura está direcionada aos pacientes adultos e idosos; entretanto, as quedas ameaçam a segurança da criança, especialmente no ambiente hospitalar, pois configura-se como a quarta causa de morte não intencional entre crianças e adolescentes. (4)(5)(6) Nas instituições de saúde, as quedas são eventos adversos subnotificados, em decorrência da cultu-ra de vincular as quedas infantis como intrínsecas ao crescimento e desenvolvimento das crianças. (5) A falta de dados para gerenciar indicadores relacionados às quedas pediátricas contribui para ausência de implementação de protocolos de prevenção; no entanto, estratégias de prevenção são essenciais e devem considerar o risco da população atendida.…”

Section: Introductionunclassified

Escala Humpty Dumpty: adaptação transcultural e validação para cultura brasileira

Rodrigues¹,

Alves²,

Mendes-Castillo³

et al. 2023

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar.Resumo Objetivo: Adaptar e validar a The Humpty Dumpty Falls Scale para a cultura brasileira. Métodos: Estudo metodológico, que seguiu, para a adaptação transcultural, os estágios de tradução, síntese, retrotradução, avaliação por especialistas, pré-teste e avaliação pela autora do instrumento original. Foram selecionadas 103 crianças/adolescentes internados em um hospital público do interior do estado de São Paulo. Foram utilizados ficha de caracterização, The Humpty Dumpty Falls Scale e o Instrumento de Classificação de Pacientes Pediátricos, o qual foi utilizado para avaliar a validade de construto, com o coeficiente de correlação de Spearman. A confiabilidade interobservador foi avaliada pelo Coeficiente de Correlação Intraclasse e pelo coeficiente Kappa. Resultados: O comitê de 12 especialistas avaliou as equivalências, a clareza e a relevância dos itens e, após três rodadas, foi alcançado o percentual de 100% de concordância. As reformulações tornaram os itens mais compreensíveis e, após avaliação da autora, foi obtida a versão final do instrumento. Correlações positivas e significantes foram encontradas entre a Escala Humpty Dumpty e os domínios Paciente (r=0,5184; p<0,0001) e Procedimentos terapêuticos (r=0,2143; p<0,0332) do instrumento de classificação de pacientes. Com o domínio Família (r=0,0676; p=0,5060), não foram alcançadas relações significantes. Evidências satisfatórias de confiabilidade (Coeficiente de Correlação Intraclasse de 0,93 e coeficiente Kappa de 0,80) foram observadas. Conclusão: The Humpty Dumpty Falls Scale foi adaptada transculturalmente, sendo denominada Ferramenta de Avaliação de Risco de Queda -Escala Humpty Dumpty. Demonstrou evidências satisfatórias de validade e confiabilidade para avaliar o risco de queda em crianças e adolescentes, no cenário brasileiro.

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“…Approximately 35% of children reported daily falling, and 30% of them fell monthly or weekly according to a retrospective study [ 5 ]. Although most falls cause few consequences with no more than cuts and bruises, these nonfatal injuries could lead to a significant healthcare burden with increased pain, disability, length of stay, absence for treatment, and financial expenses [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Kinect V2-Based Gait Analysis for Children with Cerebral Palsy: Validity and Reliability of Spatial Margin of Stability and Spatiotemporal Variables

Mithraratne

Wilson

et al. 2021

Sensors

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Children with cerebral palsy (CP) have high risks of falling. It is necessary to evaluate gait stability for children with CP. In comparison to traditional motion capture techniques, the Kinect has the potential to be utilised as a cost-effective gait stability assessment tool, ensuring frequent and uninterrupted gait monitoring. To evaluate the validity and reliability of this measurement, in this study, ten children with CP performed two testing sessions, of which gait data were recorded by a Kinect V2 sensor and a referential Motion Analysis system. The margin of stability (MOS) and gait spatiotemporal metrics were examined. For the spatiotemporal parameters, intraclass correlation coefficient (ICC2,k) values were from 0.83 to 0.99 between two devices and from 0.78 to 0.88 between two testing sessions. For the MOS outcomes, ICC2,k values ranged from 0.42 to 0.99 between two devices and 0.28 to 0.69 between two test sessions. The Kinect V2 was able to provide valid and reliable spatiotemporal gait parameters, and it could also offer accurate outcome measures for the minimum MOS. The reliability of the Kinect V2 when assessing time-specific MOS variables was limited. The Kinect V2 shows the potential to be used as a cost-effective tool for CP gait stability assessment.

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Falls in Hospitalized Children With Neurodevelopmental Conditions: A Cross-sectional, Correlational Study

Abstract: The results of this study suggest that the fall prevention programs must be implemented in children with neurodevelopmental conditions, not only in children with neurological conditions.

Cited by 5 publications

References 18 publications

The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

Escala Humpty Dumpty: adaptação transcultural e validação para cultura brasileira

Kinect V2-Based Gait Analysis for Children with Cerebral Palsy: Validity and Reliability of Spatial Margin of Stability and Spatiotemporal Variables

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