摘要
目的探讨简易躯体能力评定量表在老年住院患者跌倒风险评估的作用。方法对某院年龄≥65岁170例住院患者分别采用简易躯体能力评定和Morse跌倒评估量表,绘制两量表受试者工作特性曲线(ROC)并计算曲线下面积(AUC)计算两个量表的灵敏度、特异度及正确指数来评价量表的效力。结果三个月内发生跌倒患者两个量表的分数均高于未发生跌倒患者,且具有统计学差异(P=0.00)。简易躯体能力评定量表的灵敏度和特异度分别为96%、59.4%,阳性预测值为25.5%,阴性预测值为92.4%,AUC为0.754.Morse跌倒评估量表的灵敏度和特异度为86.4%、84.5%,阳性预测值为53.3%,阴性预测值为98.7%,AUC为0.962.两种量表对患者跌倒均有筛选价值。Morse跌倒评估量表的正确诊断指数(0.675)高于简易躯体评定量表(0.543)。结论简易躯体能力评定量表也可以进行跌倒的预测,其灵敏度较高,可以作为预测老年患者跌倒的工具量表。
Objective To explore the role of simple physical capacity scale in fall risk assessment in elderly patients.Methods A simple somatic assessment and Morse fall assessment scale were used for 170 inpatients with a hospital age of more than 65 years.Draw the work characteristics curve(ROC)of the two scale subjects and calculate the area under the curve(AUC)to calculate the sensitivity,specificity and correct index of the two scales to evaluate the effectiveness of the scale.Results The scores of the two scales in patients with falls occurred within three months were higher than those in patients without falls,and there was a statistical difference(P=0.00).The sensitivity and specificity were 96%and 59.4%,respectively.Positive predictive value was 25.5%,negative predictive value was 92.4%,AUC was 0.754.The sensitivity and specificity of Morse fall assessment scale were 86.4%,84.5%,The positive predictive value was 53.3%,the negative predictive value was 98.7%,and the AUC was 0.962.The two kinds of scales have the screening value for the patients to fall.The correct diagnostic index(0.675)of the morse fall assessment scale was higher than that of the simple somatic assessment scale(0.543).Conclusion Simple somatic ability rating scale can also be used to predict falls,and its sensitivity is high,which can be used as a tool to predict falls in elderly patients.Simple somatic ability rating scale can also be used to predict falls,and its sensitivity is high,which can be used as a tool to predict falls in elderly patients.
作者
张英
蔺建宇
王月红
Zhang Ying;Lin Jianyu;Wang Yuehong(Integrated Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
出处
《中国病案》
2020年第2期98-101,共4页
Chinese Medical Record
