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Falls in Hospitalized Children with Neurodevelopmental Conditions: A Cross-sectional, Correlational Study

doi: 10.1097/RNJ.0000000000000208
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Back to Top | Article Outline


Purpose: To present a study investigating in-hospital falls among children who have neurological or neurodevelopmental conditions, including determining which children are at an increased risk of falling, the predictors of inpatient falls, and characteristics such as age, gender, and intelligence quotient (IQ).

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Recall the background data helpful for understanding the factors that contribute to in-hospital falls among children who have neurodevelopmental disorders.

2. Describe the methodology of the study of the factors increasing the risk for in-hospital falls among children who have neurodevelopmental disorders.

3. Summarize the results of the study.

  1. Which of the following was identified by both Kingston et al (2010) and Razmus and Davis (2012) as a factor increasing fall risk?
    1. sedating medications
    2. separation issues
    3. impulsivity
  2. Higher-order neurological processes and cognition are required for
    1. cardiovascular function.
    2. divided attention.
    3. proprioception.
  3. Lyons and Oates (1993) reported that the majority of falls in their longitudinal review were of younger children who
    1. climbed onto furniture.
    2. tripped while walking.
    3. fell from cribs.
  4. An example of an intrinsic factor to be included on a fall risk assessment tool is
    1. anesthesia.
    2. developmental status.
    3. environmental conditions.
  5. For purposes of this study, bleeding from any wound caused by a fall would be classified as which injury-severity level?
    1. minor
    2. moderate
    3. major
  6. What standardized assessment tool was used for children who had speech and language impairment?
    1. Wechsler Intelligence Scale for Children-IV
    2. Leiter International Performances Scale-Revised
    3. Wechsler Preschool and Primary Scale of Intelligence-III
  7. Results of this study indicated that, compared with the neurological group of participants, the risk for falls in the neurodevelopmental group was
    1. higher.
    2. about the same.
    3. lower.
  8. In this study, children with which of the following conditions had the highest prevalence of falls?
    1. attention deficit/hyperactivity disorder
    2. autism spectrum disorder
    3. global developmental delay
  9. In both the neurological and neurodevelopmental groups, the authors found that most falls occurred in children aged
    1. younger than 3 years.
    2. 3 to 12 years.
    3. older than 12 years.
  10. Based on the IQ assessments in this study, cognitive impairment was shown to
    1. decrease fall risk.
    2. increase fall risk.
    3. be unrelated to fall risk.
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