Original Articles
Validation of the Hendrich II Fall Risk Model: A large concurrent case/control study of hospitalized patients*

https://doi.org/10.1053/apnr.2003.016009Get rights and content

Abstract

This large case/control study of fall and non-fall patients, in an acute care tertiary facility, was designed to concurrently test the Hendrich Fall Risk Model. Cases and controls (355/780) were randomly enrolled and assessed for more than 600 risk factors (intrinsic/extrinsic). Standardized instruments were used for key physical attributes as well as clinician assessments. A risk factor model was developed through stepwise logistic regression. Two-way interactions among the risk factors were tested for significance. The best fitting model included 2 Log L chi square statistic as well as sensitivity and specificity values retrospectively. The result of the study is an easy to use validated Hendrich Fall Risk Model with eight assessment parameters for high-risk fall identification tested in acute care environments. © 2003 Ann Hendrich & Associates Inc. Published by Elsevier. All rights reserved.

References (19)

  • M.F. Folstein et al.

    Mini-mental state: A practical method of grading the cognitive state of patients for the clinician

    Journal of Psychiatric Residency

    (1975)
  • J Campbell

    Drug treatment as a cause of falls in old age: A review of the offending agents

    Drugs and Aging

    (1991)
  • F. Chaimowicz et al.

    Use of psychoactive drugs and related falls among older people living in a community in Brazil

    Revista de Saude Publica

    (2000)
  • T. Gluck et al.

    An evaluation of risk factors for in-patient falls in acute and rehabilitation elderly care wards

    Gerontology

    (1996)
  • A.L. Hendrich

    An effective uni-based fall prevention plan

    Journal of Nursing Quality Assurance

    (1988)
  • A Hendrich

    Falls, Immobility, and Restraints: A Resource Manual

    (1992)
  • A. Hendrich et al.

    Hospital Falls: Development of a Predictive Model for Clinical Practice

    Applied Nursing Research

    (1995)
  • S Katz

    Assessing self-maintenance: Activities of daily living, mobility, and instrumental activities of daily living

    Journal of the American Geriatric Society

    (1983)
  • H.G. Koenig et al.

    A Brief Depression Scale for Use in the Medically Ill

    International Journal of Psychiatric Medicine

    (1992)
There are more references available in the full text version of this article.

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*

Address reprint requests to Ann L. Hendrich, MS, RN, 430 W. CR 200N, Greencastle, IN.

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