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Validation of the Casa Colina Fall Risk Assessment Scale in Predicting Falls in Inpatient Rehabilitation Facilities

Kaplan, Stephanie E., DPT, ATP1; Cournan, Michele, DNP, CRRN2; Gates, Jason, PT, MHA, NCS, RN3; Thorne, Melanie, RN, BS, CRRN3; Jones, Annette, PT1; Ponce, Tom, PT1; Rosario, Emily R., PhD1

doi: 10.1097/rnj.0000000000000180
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Objective The aim of this study was to assess the validity, efficacy, and generalizability of a fall risk assessment tool created specifically for inpatient rehabilitation facilities (IRFs).

Design The Casa Colina Falls Risk Assessment Scale (CCFRAS) was assessed both retrospectively and prospectively on consecutive patients at three IRFs to determine the sensitivity and specificity of this tool in predicting fall risk.

Setting The setting was in three IRFs.

Participants Individuals admitted to three IRFs participated in the study.

Main Outcomes Measures Each IRF quantified the number of falls detected for the patient population under evaluation and determined the site-specific sensitivity and specificity of the CCFRAS.

Results The sensitivity and specificity of the CCFRAS ranged from 75% to 80% and from 47% to 70%, respectively, for the different IRFs. Using a logistic regression analysis, we identified the optimal CCFRAS cutoff score for identifying high-risk patients at each individual facility, thus improving the specificity to 70%–79%.

Conclusion Multisite evaluation of this assessment tool indicates that the CCFRAS is effective and broadly generalizable for predicting patients at high risk for falling.

1 Casa Colina Hospital and Centers for Healthcare, Pomona, CA, USA

2 Sunnyview Rehabilitation Hospital, Schenectady, NY, USA,

3 Jim Thorpe Clinical, Oklahoma City, OK, USA

Correspondence: Emily R. Rosario, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Avenue, Pomona, CA 91769. E-mail: erosario@casacolina.org

Cite this article as: Kaplan, S. E., Cournan, M., Gates, J., Thorne, M., Jones, A., Ponce, P. T., & Rosario, E. R. (2019). Validation of the Casa Colina Fall Risk Assessment Scale in predicting falls in inpatient rehabilitation facilities. Rehabilitation Nursing, 00(0), 00–00. doi: 10.1097/rnj.0000000000000180

© 2019 Association of Rehabilitation Nurses.
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