+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Validation of the STRATIFY falls risk-assessment tool for acute-care hospital patients and nursing home residents: study protocol



Validation of the STRATIFY falls risk-assessment tool for acute-care hospital patients and nursing home residents: study protocol



Journal of Advanced Nursing 71(8): 1948-1957



To evaluate the accuracy of the STRATIFY tool in detecting and predicting fall risk in acute-care hospitals and nursing homes for the older people. Falls are the predominant cause of injury in people aged over 65 years. Testing the falls risk-assessment tools in settings other than those for which they were originally developed obtained conflicting results and has highlighted difficulties in their adoption for widespread use. Current guidelines for practice call into question the appropriateness of using these instruments. Two-stage study: a cross-cultural adaptation and psychometric validation; and a longitudinal, prospective follow-up of the cohort of patients recruited. A cross-cultural adaptation of STRATIFY, followed by its empirical validation will be performed, on a total sample of 2097 patients. The diagnostic validity will be assessed by calculating the sensitivity, specificity, positive and negative predictive values and the ratios of positive and negative probability. Data for statistical reliability and the internal consistency of the instrument will be calculated; construct validity will be assessed by factor analysis and criterion validity determined according to the Downton index. The incidence and the hazard ratio of falls will be analysed for the study factors included. Funding of the review was confirmed in December 2013. The rigorous assessment of STRATIFY using large samples, in populations with different levels of risk and implementing a longitudinal follow-up to determine the effect of revaluation on the incidence of falls, will give stronger evidence for the establishment of future recommendations in Clinical Practice Guidelines.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059229895

Download citation: RISBibTeXText

PMID: 25778931

DOI: 10.1111/jan.12651


Related references

Should elderly patients be screened for their 'falls risk'? Validity of the STRATIFY falls screening tool and predictors of falls in a large acute hospital. Age and Ageing 37(6): 702-706, 2008

The STRATIFY falls risk assessment tool was not useful in predicting falls in patients with acute stroke. Evidence-BasedNursing9(3):91, 2006

Validation of a Falls Risk Screening Tool Derived From InterRAI Acute Care Assessment. Journal of Patient Safety 2018:, 2018

The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes. Clinical Rehabilitation 30(10): 972-983, 2016

Use of the 'STRATIFY' falls risk assessment in patients recovering from acute stroke. Age and Ageing 35(2): 138-143, 2006

Use of risk assessment tool for inpatient traumatic intracranial hemorrhage after falls in acute care hospital setting. Global Journal of Health Science 4(3): 64-71, 2012

Differing risk factors for falls in nursing home and intermediate-care residents who can and cannot stand unaided. Journal of the American Geriatrics Society 51(11): 1645-1650, 2003

Accurate falls risk assessment and interventions for preventing falls in patients in the acute care setting within a private hospital in a large capital city: a best practice implementation project. Jbi Database of Systematic Reviews and Implementation Reports 13(9): 386-406, 2015

Pragmatic development of an evidence-based intensive care unit-specific falls risk assessment tool: The Tyndall Bailey Falls Risk Assessment Tool. Australian Critical Care 2019:, 2019

Low specificity and high false-positive rates limit the usefulness of the STRATIFY tool and clinical judgement in predicting falls in older patients in an acute hospital setting. Evidence-BasedNursing13(2):54, 2010

Factors related to falls, weight-loss and pressure ulcers--more insight in risk assessment among nursing home residents. Journal of Clinical Nursing 25(7-8): 940-950, 2016

The role of geriatric assessment tests and anthropometric measurements in identifying the risk of falls in elderly nursing home residents. Saudi Medical Journal 37(10): 1101-1108, 2017

Psychotropic drug initiation or increased dosage and the acute risk of falls: a prospective cohort study of nursing home residents. Bmc Geriatrics 13: 19, 2013

Use of Acute Hospital Care by Nursing Home Residents. Age and Ageing 27(Suppl 2): 32-32, 1998

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting. Journal of Nursing Care Quality 31(4): 310-317, 2017