TY  - JOUR
PY  - 2012//
TI  - Challenges and conundrums in the validation of pediatric fall risk assessment tools
JO  - Pediatric nursing
A1  - Ryan-Wenger, Nancy A.
A1  - Kimchi-Woods, Judy
A1  - Erbaugh, Melanie A.
A1  - LaFollette, Lauren
A1  - Lathrop, Janet
SP  - 159
EP  - 167
VL  - 38
IS  - 3
N2  - The 10-item Pediatric Fall Risk Assessment (PFRA) was developed to evaluate patients at low- or high-risk for falling. To avoid the unnecessary use of resources for children not likely to fall, children evaluated as high-risk are targeted for more intensive fall prevention interventions. In a retrospective, case-control design, the precision, accuracy, and error rate of the PFRA with patients ages 1 month to 24 years were evaluated. Cases included children who fell (n = 326), and controls (n = 326) were children from the same cohort who did not fall. Inter-rater agreement (precision) on PFRA cut-off scores was 95.1%, but accuracy was unacceptably low due to 60% false-positive and 58.5% false-negative risk ratings. Neither the PFRA nor three other widely used pediatric fall risk scales have sufficient precision or accuracy to justify implementing or withholding a high-risk fall prevention protocol. Several logistic and methodological challenges must be addressed before further development of these tools.<p />  <p>Language: en</p>
LA  - en
SN  - 0097-9805
UR  - http://dx.doi.org/
ID  - ref1
ER  -