Predictive Factors for Inpatient Falls among Children with Cerebral Palsy

Alemdaroğlu, Ebru; Özbudak, Sibel Demir; Mandıroğlu, Sibel; Biçer, Seda; Özgirgin, Neşe; Uçan, Halil

doi:10.1016/j.pedn.2016.08.005

Cited by 15 publications

(11 citation statements)

References 27 publications

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“…Comparison between studies is difficult given the varied research methods, ways of reporting incident rates (bed days vs. patient days), definitions, and categorization of pediatric falls (Da Rin Della Mora, Bagnasco, & Sasso, ; Jamerson et al, ; Kingston et al, ). Attributable risk factors associated with paediatric falls are fairly consistent and include child age, gender, unfamiliar hospital environment (Pauley, Houston, Cheng, & Johnston, ; Schaffer et al, ) and parents being present during the fall (Alemdaroglu et al, ; Graf, ; Kingston et al, ; Matteson, Henderson‐Williams, & Nelson, ; Razmus et al, ; Schaffer et al, ; Wallace, ).…”

Section: Introductionmentioning

confidence: 99%

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

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Purpose While there has been extensive published research into adult inpatient falls, less is known about pediatric falls in Australia. Falls pose a safety risk to pediatric patients potentially causing harm, increased length of stay, and death. Parents play a central role in reducing falls‐related incidents given that, as parents, they provide care and/or oversee care delivered to their child at the bedside. Developing a better understanding of what parents and carers know about falls and associated risks, particularly those hospital‐naïve, is central to developing family centered strategies and targeted education to meet the needs of parents. Our study aimed to explore Australian parents’ knowledge and awareness of pediatric inpatient falls. Design Qualitative methods utilizing descriptive thematic analysis. Methods Parents of children and/or young people hospitalized during the last 6 months were eligible to participate. Potential participants attending the outpatient clinics of two tertiary pediatric outpatient clinics hospitals in Sydney, Australia were invited to participate in the study. Willing participants consented to complete a face to face in‐depth interview. Open‐ended questions sought to explore participants’ knowledge, knowledge acquisition, and awareness of inpatient falls. Interviews were digitally recorded and transcribed verbatim. Data familiarization and open coding were completed by researchers independently. Researchers explored and discussed emerging categories until patterns emerged and a consensus of dominant themes were agreed upon. ResultsInterviews were conducted with mothers (n = 17), fathers ( n = 4), or both parents together (n = 2) of a child or a young person who had been recently hospitalized. Four dominant themes emerged from the data namely: Supervision: falls won't happen, unexpected, parent priorities, and ways of learning about inpatient falls and risks. Despite parents' awareness of falls risk, parents were unaware that falls occur within a hospital setting and did not prioritize “falls prevention” during admission. Practice implications Findings have implications for nursing practice, particularly in the delivery, content, and timing of falls prevention education.

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Section: Introductionmentioning

confidence: 99%

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

View full text Add to dashboard Cite

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“…As we did not have information on mobility status, by including both ambulatory and non‐ambulatory adults with CP we may have underestimated the burden of falls in ambulatory adults. A study of 93 ambulatory and non‐ambulatory children with CP found the prevalence of falls during an in‐patient hospital stay was 27%, with the number of falls reported to nursing staff ranging from 1 to 6 per child . While these results are more similar to our findings, the mean length of hospital stay was just 40.3 days.…”

Section: Discussionmentioning

confidence: 99%

“…Balance, gait speed, and other temporal‐spatial gait parameters such as step width, cadence, and double support time did not differ between fallers and non‐fallers . Among ambulatory and non‐ambulatory children with CP, parent‐reported behavioural problems, a history of frequent falls, the ability to balance on knees without support, and not having a contracture of the hip were risk factors for falls during an in‐patient hospital stay . The latter two factors suggest that mobility is associated with falls, with those being more mobile having a higher risk of a fall.…”

Section: Discussionmentioning

confidence: 99%

Incidence of falls among adults with cerebral palsy: a cohort study using primary care data

Ryan

Cameron

Liverani

et al. 2019

Develop Med Child Neuro

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Aim To compare the rate of falls between adults with and without cerebral palsy (CP). Method We used primary care data on 1705 adults with CP and 5115 adults without CP matched for age, sex, and general practice attended. We compared odds of experiencing a fall between adults with and without CP using conditional logistic regression. We compared the rate of falls using a negative binomial model. Results Participants were 3628 males (53%) and 3192 females (47%) (median age 29y, interquartile range 20–42y) at the start of follow‐up. Follow‐up was 14 617 person‐years for adults with CP and 56 816 person‐years for adults without CP. Of adults with CP, 15.3% experienced at least one fall compared to 5.7% of adults without CP. Adults with CP had 3.64 times (95% confidence interval [CI] 2.98–4.45) the odds of experiencing a fall compared to adults without CP. The rate of falls was 30.5 per 1000 person‐years and 6.7 per 1000 person‐years for adults with and without CP respectively (rate ratio 5.83, 95% CI 4.84–7.02) Interpretation Adults with CP are more likely to fall, and fall more often, than adults without CP. The causes and consequences of falls in adults with CP need examination. What this paper adds Twenty adults with CP and 5.3 adults without CP experienced at least one fall per 1000 person‐years. Adults with CP experienced 30.5 falls per 1000 person‐years compared to 6.7 falls per 1000 person‐years among adults without CP. Adults with CP had 3.64 times the odds of experiencing a fall compared to adults without CP. Adults with CP experienced 5.83 times more falls than adults without CP.

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“…Children with CP are prone to fall. The fall rate of inpatient children with CP was reported to be 27% in a prospective study [4]. Approximately 35% of children reported daily falling, and 30% of them fell monthly or weekly according to a retrospective study [5].…”

Section: Introductionmentioning

confidence: 98%

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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Predictive Factors for Inpatient Falls among Children with Cerebral Palsy

Cited by 15 publications

References 27 publications

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Incidence of falls among adults with cerebral palsy: a cohort study using primary care data

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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