Falls in hospitalized children with neurodevelopmental conditions: A cross-sectional, correlational study

Francesco Craig, Rosanna Castelnuovo, Rossella Pacifico, Rosaria Leo, Antonio Trabacca, Elisabetta Lucarelli, Isabella Fanizza, Leonarda Gennaro, Luciana Losito, Maria Grazia Pasca, Marta De Rinaldis, Bellanova Katia, Carmela Marzio, Chianura Anna Rita, Epifani Cosimo, Frassanito Laura, Martucci Anna Maria, Mastromarino Pasqua, Nigro Cosima, Saponaro Francesco

Research output: Contribution to journalArticle

Abstract

Purpose The aim of the current study was to investigate in-hospital falls among children with neurological or neurodevelopmental conditions and investigated associated child characteristics. Design A cross-sectional, correlational study design was used in this study. A total of 446 patients were enrolled in the study, of which 298 were admitted with neurological conditions and 148 with neurodevelopmental conditions. Methods Intelligent quotient (IQ) was assessed according to age, and the Humpty Dumpty Falls Scale (HDFS) was completed and scored for each participant. Findings The neurodevelopmental group showed higher HDFS total mean score (p =.001) compared to the neurological group. We found that fall rates are more frequent (p =.003) in the neurodevelopmental group (12.9%) compared with the neurological group (5.1%). In addition, we found that, in both groups, HDFS total mean score correlates negatively with children's age, gender and IQ. Conclusions and Clinical Relevance The results of this study suggest that the fall prevention programs must be implemented in children with neurodevelopmental conditions, not only in children with neurological conditions.

Original languageEnglish
Pages (from-to)335-342
Number of pages8
JournalRehabilitation Nursing
Volume43
Issue number6
DOIs
Publication statusPublished - Nov 1 2018

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Keywords

  • Children
  • fall risk
  • inpatient falls
  • neurodevelopmental conditions
  • pediatric neurological conditions

ASJC Scopus subject areas

  • Nursing(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Craig, F., Castelnuovo, R., Pacifico, R., Leo, R., Trabacca, A., Lucarelli, E., Fanizza, I., Gennaro, L., Losito, L., Pasca, M. G., De Rinaldis, M., Katia, B., Marzio, C., Rita, C. A., Cosimo, E., Laura, F., Maria, M. A., Pasqua, M., Cosima, N., & Francesco, S. (2018). Falls in hospitalized children with neurodevelopmental conditions: A cross-sectional, correlational study. Rehabilitation Nursing, 43(6), 335-342. https://doi.org/10.1097/rnj.0000000000000112