American journal of physical medicine & rehabilitation · 2026
Cognitive-Executive Screening as a Predictor of Falls in Inpatient Rehabilitation Hospitals: A Retrospective Observational Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hogue Deborah, Cabacungan JoAnn, Richman Steven, Aey Diana, Okoro Obumneme Emeka, Plow Ela
Аннотация
OBJECTIVE: This retrospective cohort study aimed to evaluate whether integrating cognitive-executive dysfunction assessment enhances fall risk prediction beyond Morse Fall Scale in inpatient rehabilitation.
DESIGN: Records at an inpatient rehabilitation hospital were reviewed to extract fall status data. Cognitive-executive dysfunction was characterized using non-verbal measures like the Clock Drawing Test, call light/button use, and need for speech-language services for cognitive goals.
RESULTS: Of the 1033 patient-charts reviewed, 36 (3.48%) had experienced falls. Fallers had worse Morse Fall Scores (P=0.001) and were four times as likely to require speech-language cognitive services compared to non-fallers (Odd's Ratio = 4.368, P = 0.025) . Adding speech-language cognitive services to Morse Falls scale improved fall risk prediction, increasing model's discriminative performance (73% vs. 69%) and specificity (70.8% vs. 63.9%).
CONCLUSIONS: In inpatient rehabilitation, incorporating speech-language therapy for cognitive-executive goals improves fall risk prediction beyond Morse Fall Scale alone. The enhanced specificity achieved by combining cognitive-executive screening and Morse Falls score helps better identify patients who are not at a high risk for falls, and thereby optimize resources. These findings underscore the value of integrating speech therapy with nursing, and physical therapy and occupational therapy to establish a comprehensive strategy for fall prevention in inpatient rehabilitation.
DESIGN: Records at an inpatient rehabilitation hospital were reviewed to extract fall status data. Cognitive-executive dysfunction was characterized using non-verbal measures like the Clock Drawing Test, call light/button use, and need for speech-language services for cognitive goals.
RESULTS: Of the 1033 patient-charts reviewed, 36 (3.48%) had experienced falls. Fallers had worse Morse Fall Scores (P=0.001) and were four times as likely to require speech-language cognitive services compared to non-fallers (Odd's Ratio = 4.368, P = 0.025) . Adding speech-language cognitive services to Morse Falls scale improved fall risk prediction, increasing model's discriminative performance (73% vs. 69%) and specificity (70.8% vs. 63.9%).
CONCLUSIONS: In inpatient rehabilitation, incorporating speech-language therapy for cognitive-executive goals improves fall risk prediction beyond Morse Fall Scale alone. The enhanced specificity achieved by combining cognitive-executive screening and Morse Falls score helps better identify patients who are not at a high risk for falls, and thereby optimize resources. These findings underscore the value of integrating speech therapy with nursing, and physical therapy and occupational therapy to establish a comprehensive strategy for fall prevention in inpatient rehabilitation.