Keywords

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

 

Authors

  1. Craig, Francesco PhD
  2. Castelnuovo, Rosanna MSN, RN
  3. Pacifico, Rossella MSN, RN
  4. Leo, Rosaria MSN, RN
  5. Trabacca, Antonio MD
  6. BIM Falls Study Group*

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.