Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales
Purpose: This study was conducted to obtain data for the development of an effective fall risk assessment tool for pediatric inpatients through a systematic review and meta-analysis of the diagnostic test accuracy of existing scales. Methods: A literature search using Medline, Science Direct, CINAHL...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Academy of Child Health Nursing
2019-01-01
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| Series: | Child Health Nursing Research |
| Subjects: | |
| Online Access: | http://www.e-chnr.org/upload/pdf/chnr-25-1-56.pdf |
| _version_ | 1818644935911407616 |
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| author | Eun Joo Kim Ji Young Lim Geun Myun Kim Mi Kyung Lee |
| author_facet | Eun Joo Kim Ji Young Lim Geun Myun Kim Mi Kyung Lee |
| author_sort | Eun Joo Kim |
| collection | DOAJ |
| description | Purpose: This study was conducted to obtain data for the development of an effective fall risk assessment tool for pediatric inpatients through a systematic review and meta-analysis of the diagnostic test accuracy of existing scales. Methods: A literature search using Medline, Science Direct, CINAHL, EMBASE, and the Cochrane Library was performed between March 1 and 31, 2018. Of 890 identified papers, 10 were selected for review. Nine were used in the meta-analysis. Stata version 14.0 was used to create forest plots of sensitivity and specificity. A summary receiver operating characteristic curve was used to compare all diagnostic test accuracies. Results: Four studies used the Humpty Dumpty Falls Scale. The most common items included the patient's diagnoses, use of sedative medications, and mobility. The pooled sensitivity and specificity of the nine studies were .79 and .36, respectively. Conclusion: Considering the low specificity of the pediatric fall risk assessment scales currently available, there is a need to subdivide scoring categories and to minimize items that are evaluated using nurses' subjective judgment alone. Fall risk assessment scales should be incorporated into the electronic medical record system and an automated scoring system should be developed. |
| first_indexed | 2024-12-17T00:22:46Z |
| format | Article |
| id | doaj.art-78b6ccc6a78b417d87fb886c568c50c2 |
| institution | Directory Open Access Journal |
| issn | 2287-9110 2287-9129 |
| language | English |
| last_indexed | 2024-12-17T00:22:46Z |
| publishDate | 2019-01-01 |
| publisher | Korean Academy of Child Health Nursing |
| record_format | Article |
| series | Child Health Nursing Research |
| spelling | doaj.art-78b6ccc6a78b417d87fb886c568c50c22022-12-21T22:10:32ZengKorean Academy of Child Health NursingChild Health Nursing Research2287-91102287-91292019-01-01251566410.4094/chnr.2019.25.1.561630Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment ScalesEun Joo Kim0Ji Young Lim1Geun Myun Kim2Mi Kyung Lee3 Assistant Professor, Department of Nursing, Gangneung-Wonju National University, WonJu, Korea Professor, Department of Nursing, Inha University, Incheon, Korea Associate Professor, Department of Nursing, Gangneung-Wonju National University, WonJu, Korea PhD Candidate, Department of Nursing, Korea University, Seoul, KoreaPurpose: This study was conducted to obtain data for the development of an effective fall risk assessment tool for pediatric inpatients through a systematic review and meta-analysis of the diagnostic test accuracy of existing scales. Methods: A literature search using Medline, Science Direct, CINAHL, EMBASE, and the Cochrane Library was performed between March 1 and 31, 2018. Of 890 identified papers, 10 were selected for review. Nine were used in the meta-analysis. Stata version 14.0 was used to create forest plots of sensitivity and specificity. A summary receiver operating characteristic curve was used to compare all diagnostic test accuracies. Results: Four studies used the Humpty Dumpty Falls Scale. The most common items included the patient's diagnoses, use of sedative medications, and mobility. The pooled sensitivity and specificity of the nine studies were .79 and .36, respectively. Conclusion: Considering the low specificity of the pediatric fall risk assessment scales currently available, there is a need to subdivide scoring categories and to minimize items that are evaluated using nurses' subjective judgment alone. Fall risk assessment scales should be incorporated into the electronic medical record system and an automated scoring system should be developed.http://www.e-chnr.org/upload/pdf/chnr-25-1-56.pdfFallsRiskSensitivity and specificityPediatrics |
| spellingShingle | Eun Joo Kim Ji Young Lim Geun Myun Kim Mi Kyung Lee Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales Child Health Nursing Research Falls Risk Sensitivity and specificity Pediatrics |
| title | Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales |
| title_full | Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales |
| title_fullStr | Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales |
| title_full_unstemmed | Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales |
| title_short | Meta-analysis of the Diagnostic Test Accuracy of Pediatric Inpatient Fall Risk Assessment Scales |
| title_sort | meta analysis of the diagnostic test accuracy of pediatric inpatient fall risk assessment scales |
| topic | Falls Risk Sensitivity and specificity Pediatrics |
| url | http://www.e-chnr.org/upload/pdf/chnr-25-1-56.pdf |
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