@article{ref1,
title="Evaluation of the predictive validity of the Hessisch Oldendorf Risk of Falling Scale (HOSS)",
journal="Clinical rehabilitation",
year="2021",
author="Schmidt, Simone B. and Boltzmann, Melanie and Rollnik, Jens D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: This study aims to further validate the Hessisch Oldendorf Risk of Falling Scale (HOSS) for neurological rehabilitation patients. <br><br>DESIGN: The overall scale performance and fall rate was calculated in a retrospective data analysis. SETTING: The study was performed in a subacute care facility during inpatient neurological rehabilitation. SUBJECTS: The study population (n = 512) included neurological and neurosurgical patients with heterogeneous levels of disability. MAIN MEASURES: The HOSS total score and the suspected risk of falling were compared with the number of falls. Characteristics of fallers and non-fallers were compared using non-parametric group comparisons. Overall scale performance was assessed by calculating the area under the receiver operating characteristic curve of the HOSS as well as by calculating the sensitivity and specificity. <br><br>RESULTS: A total of 82 (16%) patients experienced at least one fall. Fallers were characterized by an older age, a longer length of stay, a more severe impairment in the activities of daily living upon admission, a hemiparesis, an orientation disorder, a need of a walking aid device and an urinary incontinence. The number of falls was associated with the HOSS total score. Sixty-four fallers and two hundred seventy-four non-fallers were correctly categorized leading to a sensitivity of 78.0% and a specificity of 63.7%. The area under the receiver operating characteristic curve of the HOSS was 0.778 ± 0.25 (CI = 0.729-0.828, P < 0.001). <br><br>CONCLUSION: The scale performance of the HOSS showed a good sensitivity and an adequate specificity to identify neurological patients who are at high risk of falling during inpatient rehabilitation.<p /> <p>Language: en</p>",
language="en",
issn="0269-2155",
doi="10.1177/02692155211034149",
url="http://dx.doi.org/10.1177/02692155211034149"
}