Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients.

摘要

QUESTION How well does the STRATIFY tool predict falls in hospital and geriatric rehabilitation inpatients? iEVIEW SCOPE Included studies evaluated the STRATIFY tool (score range 0- 5) for predicting falls in hospital inpatients exclusively, and reported sufficient data to calculate the outcomes of interest, including number of falls or patients who fell, sensitivity, and specificity. REVIEW METHODS Medline, CINAHL, EMBASE/Excerpta Medica, AARP Ageline, Cochrane Database of Systematic Reviews, AC? Journal Club, DARE, and Controlled Clinical Trials Register (all 1997 to Feb 2006), and reference lists were searched for prospective studies that included original data and were published in peer-reviewed journals or letters to the editor. Studies that used the STRATIFY tool with a cut-off score> = 2 exclusively in a geriatric rehabilitation population to predict patients who fell were included in the meta-analysis. 8 studies met the selection criteria: 4 (n = 1285, mean age range 67-81 y, mean follow-up 10-50 d) were done in geriatric rehabilitation settings, and 4 (n = 2599, mean age range 78-84 y, mean follow-up 15 d to 2 mo) were done in acute medical or mixed medical/rehabilitation settings.