The Humpty Dumpty Falls Scale: a case-control study

J Spec Pediatr Nurs. 2009 Jan;14(1):22-32. doi: 10.1111/j.1744-6155.2008.00166.x.


Purpose: The purpose of this descriptive study was to assess whether the Humpty Dumpty Falls Scale (HDFS) identifies hospitalized pediatric patients at high risk for falls.

Design and methods: The study was a matched case-control design. A chart review of 153 pediatric cases who fell and 153 controls who did not fall were pair-matched by age, gender, and diagnosis.

Results: High-risk patients fell almost twice as often as low-risk patients (odds ratio 1.87, confidence interval = 1.01, 3.53, p = .03).

Practice implications: A Falls Prevention Pediatric Program with the HDFS tool addresses the Joint Commission Patient Safety Goals, but further research is needed to examine HDFS sensitivity-specificity.

MeSH terms

  • Accidental Falls / prevention & control
  • Accidental Falls / statistics & numerical data*
  • Case-Control Studies
  • Child
  • Child, Hospitalized* / statistics & numerical data
  • Female
  • Health Status Indicators
  • Humans
  • Male
  • Motor Skills
  • Risk Assessment