Comparative Study of the Accuracy of At-Point Clinical Frailty Scale and Morse Fall Scale in Identifying High-Risk Fall Patients among Hospitalized Adults

Sunghwan Ji; Hee-Won Jung; Jeounghee Kim; Younghye Kwon; Yeonmi Seo; Semin Choi; Hyoun Jin Oh; 백지연; Il-Young Jang; Eunju Lee; for the Asan Multidisciplinary Committee for Seniors (AMCS)

doi:10.4235/agmr.23.0057

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저자정보: Sunghwan Ji (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Hee-Won Jung (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Jeounghee Kim (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Younghye Kwon (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Yeonmi Seo (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Semin Choi (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Hyoun Jin Oh (Department of Nursing Asan Medical Center University of Ulsan College of Medicine Seoul Korea) 백지연 (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Il-Young Jang (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Eunju Lee (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea) for the Asan Multidisciplinary Committee for Seniors (AMCS) (for the Asan Multidisciplinary Committee for Seniors (AMCS))

저널정보: 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.27 No.2

발행연도: 2023.6

수록면: 99 - 105 (7page)

DOI: 10.4235/agmr.23.0057

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Background: Falls are a major concern among hospitalized adults, and it is essential to identify high-risk patients to prevent falls. This retrospective cohort study conducted at the Asan Medical Center, Korea, compared the screening abilities of the at-point Clinical Frailty Scale (CFS) and Morse Fall Scale (MFS) to identify patients at high risk for falls among hospitalized adults. Methods: We assessed the records of at-point CFS, MFS, and fall incidence during hospitalization of 2,028 patients aged 18 or older included in this study. We calculated the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) for each tool. Results: Twenty-five patients (1.23%) experienced falls during hospitalization. The mean at-point CFS score was significantly higher in those with falls than in those without falls. The mean MFS score did not differ significantly between the two groups. The optimal cutoff points for the at-point CFS and MFS scores were 5 and 45, respectively. At these cutoffs, the at-point CFS demonstrated a sensitivity of 76.0%, specificity of 54.0%, PPV of 2.0%, and NPV of 99.4%, whereas the MFS demonstrated a sensitivity of 60.0%, specificity of 68.1%, PPV of 2.2%, and NPV of 99.4%. The AUC values for the at-point CFS and MFS were 0.68 and 0.63, respectively, with no significant difference (p=0.31). Conclusion: The at-point CFS is a valid screening tool for assessing fall risk in hospitalized adults, as it effectively identifies fall risk with a performance similar to that of the MFS.

#Accidental falls #Frailty #Patient safety

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Sunghwan Ji

소속기관 Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea

주요연구분야 의약학 > 임상의학 > 가정의학

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Hee-Won Jung