title: Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review protocol.
abstract: OBJECTIVE
  The purpose of this article is to present the research protocol of a systematic review about fall risk assessment tools in acute hospitalized patients.
  
  
  BACKGROUND
  Various risk assessment tools for falls have been developed, but with uncertainties derived from validation in heterogeneous environments and variations in their sensitivity, specificity and predictive validity.
  
  
  METHODS
  Systematic review and meta-analysis.
  
  
  METHODS
  Two independent reviewers will extract data in a blinded process. Quality of studies will be assessed using various standardized instruments. A meta-analysis will be performed if applicable. For all studies, sensitivity, specificity, positive and negative predictive values, together with the positive and negative likelihood ratios and Youden index will be calculated. The diagnostic odds ratio of the studies and the hierarchical summary Relative Operating Characteristic curve and bivariate model will be applied. Calculations will be made from random effects models. Forest-plot diagrams for sensitivity and specificity and likelihood ratios, in addition to Cochrane's Q test and the I(2)  statistic, will be calculated. Funding of the review was confirmed in December 2010.
  
  
  CONCLUSIONS
  The results of this review will help to clarify some uncertainties provoked by earlier research findings and enable informed choice of a validated, reproducible instrument for assessing the risk of falls by hospital patients, so that preventive action may be taken to minimize this risk.
authors.affiliation: Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. maranda@hcs.es
authors.forename: Marta
authors.initials: M
authors.lastname: Aranda-Gallardo
authors.forename: Jose Miguel
authors.initials: JM
authors.lastname: Morales Asencio
authors.forename: Jose Carlos
authors.initials: JC
authors.lastname: Canca-Sanchez
authors.forename: Ana Maria
authors.initials: AM
authors.lastname: Mora-Banderas
authors.forename: Ana Belen
authors.initials: AB
authors.lastname: Moya-Suarez
mesh_terms: D000058:Accidental Falls; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D018570:Risk Assessment; D000078202:Systematic Reviews as Topic