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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2016 Aprile;52(2):152-8
Feasibility of using the International Classification of Functioning, Disability and Health Core Set for evaluation of fall-related risk factors in acute rehabilitation settings
Shih W. HUANG 1, 2, 3, Li F. LIN 1, 4, Lin C. CHOU 1, Mei J. WU 5, 6, Chun D. LIAO 1, 7, Tsan H. LIOU 1, 2, 8 ✉
1 Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei, Medical University, Taipei, Taiwan; 2 Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taiwan; 3 Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan, Taiwan; 4 School of Gerontology and Health Management, Taipei Medical University, Taipei, Taiwan; 5 Department of Quality Control, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; 6 School of Nursing, Taipei Medical University, Taipei, Taiwan; 7 School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; 8 Graduate Institute of Injury Prevention, Taipei Medical University, Taipei, Taiwan
BACKGROUND: Previously, we reported the use of an International Classification of Functioning (ICF) core set that can provide a holistic framework for evaluating the risk factors of falls; however, data on the feasibility of applying this core set are lacking.
AIM: To investigate the feasibility of applying the fall-related ICF risk-factor core set in the case of patients in an acute-rehabilitation setting.
DESIGN: A cross-sectional and descriptive correlational design.
SETTING: Acute-rehabilitation ward.
POPULATION: A total of 273 patients who experienced fall at acute-rehabilitation ward.
METHODS: The data on falls were collected from the hospital’s Nursing Information System (NIS) and the fall-reporting system (Adverse Event Reporting System, AERS) between 2010 and 2013. The relationship of both systems to the fall-related ICF core set was analyzed to assess the feasibility of their clinical application. We evaluated the feasibility of using the fall-related ICF risk-factor core set by using the frequency and the percentage of the fall patients in of the listed categories.
RESULTS: The fall-related ICF risk-factor core set category b735 (muscle tone functions) exhibited a high feasibility (85.95%) for clinical application, and the category b730 (muscle power functions) covered 77.11% of the patients. The feasibility of application of the category d410 (change basic body position) was also high in the case of all fall patients (81.69%).
CONCLUSIONS: In the acute-rehabilitation setting, the feasibility of application of the fall-related ICF risk-factor core set is high.
CLINICAL REHABILITATION IMPACT: The fall-related ICF risk-factor core set can help multidisciplinary teams develop fall-prevention strategies in acute rehabilitation wards.