Haemoglobin for Fall Risk Screening in Gynaecological and Obstetric Wards: Retrospective Survey and Delphi Validation
2024

Haemoglobin Levels and Fall Risk in Obstetrics and Gynaecology Wards

Sample size: 256 publication 10 minutes Evidence: moderate

Author Information

Author(s): Bijun Mao, Yan Chen, Wang Chunsheng, Ma Yihan, Gu Huifeng, Shen Ya, Liu Luping, Zhou Peihong, Jiang Huiping

Primary Institution: Huzhou Maternity & Child Health Care Hospital

Hypothesis

Does anaemia contribute to the risk of falls in obstetrics and gynaecology inpatients?

Conclusion

Haemoglobin could potentially be used as a predictor of fall risk in Gynaecological and Obstetric Wards.

Supporting Evidence

  • Haemoglobin levels were significantly different between fallers and non-fallers.
  • The AUC of haemoglobin for predicting falls was 0.762, indicating good predictive value.
  • Experts reached consensus that haemoglobin should be used as a screening factor for falls.
  • The optimal cut-off point for haemoglobin was determined to be 107.5 g/L.

Takeaway

This study found that low haemoglobin levels can make patients in obstetrics and gynaecology wards more likely to fall, so checking haemoglobin can help keep them safe.

Methodology

A retrospective survey and Delphi surveys were used to analyze falls among obstetrics and gynaecology inpatients and validate the findings.

Potential Biases

Potential confounding as high-risk patients may have received fall prevention treatments.

Limitations

The study's retrospective design limits the ability to definitively determine the causes of inpatient falls.

Participant Demographics

All participants were female, aged under 65, with various reasons for hospitalization.

Statistical Information

P-Value

0.000

Confidence Interval

95% CI (0.703, 0.821)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/nop2.70124

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