Study On The Application Of Two Fall Prevention Assessment Scales To Predict Falls In Patients With Cerebral Infarction

Objective:Through understand the influencing factors of falls in patients with cerebral infarction,and to compare the application effect of two fall risk assessment scales(Morse Fall assessment scale and Johns Hopkins fall assessment scale)in the fall risk prediction of patients with cerebral infarction.To provide a suitable tool for the fall risk screening of patients with cerebral infarction.Methods:241 patients with cerebral infarction who met the inclusion exclusion criteria were selected.The Morse fall assessment scale and Johns Hopkins fall assessment scale were used to assess and nurse the fall risk of these patients when they were admitted to the hospital.The Morse fall assessment scale and Johns Hopkins fall assessment scale were used to assess the fall risk and care for these patients when they were admitted to the hospital.The fall risk factors of cerebral infarction death were analyzed according to these fall adverse events.Spss21.0 and Medcalc15.2 were used to analyze the effect of Morse Fall assessment scale and Johns Hopkins fall assessment scale in patients with cerebral infarction.Results:(1)A comparative analysis of the scores of the two fall risk assessment scales and the scores of each dimension of the scale:the scores of fall history,multiple medical diagnosis and other dimensions in Morse fall risk assessment scale were related to the occurrence of falls;the scores of more than 2 falls in 6 months?multiple drugs,activity ability and total scores in Johns Hopkins fall risk assessment scale were related to the occurrence of falls.(2)Through the comprehensive application of the two fall risk assessment scales,the accuracy and diagnostic value of the two scales were analyzed.The best diagnostic threshold of Morse fall risk assessment scale was 38 points,AUC was 0.702,Youden index was 0.366,sensitivity was 90.91%,specificity was 45.65%.The best diagnostic threshold of Johns Hopkins fall risk assessment scale is 13 points,AUC is 0.725,Youden index is 0.452,sensitivity is 75.0%,specificity is 70.16%.Conclusion:Johns Hopkins fall risk assessment scale is more suitable for fall risk assessment of patients with cerebral infarction during hospitalization than Morse scale.