{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T01:40:23Z","timestamp":1791423623954,"version":"4.3.3"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["KL2TR003097"],"award-info":[{"award-number":["KL2TR003097"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Using an inpatient fall risk assessment tool helps categorize patients into risk groups which can then be targeted with fall prevention strategies. While potentially important in preventing patient injury, fall risk assessment may unintentionally lead to reduced mobility among hospitalized patients. Here we examined the relationship between fall risk assessment and ambulatory status among hospitalized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective cohort study of consecutively admitted adult patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a048,271) to a quaternary urban hospital that provides care for patients of broad socioeconomic and demographic backgrounds. Non\u2010ambulatory status, the primary outcome, was defined as a median Johns Hopkins Highest Level of Mobility &lt;6 (i.e., patient walks less than 10 steps) throughout hospitalization. The primary exposure variable was the Johns Hopkins Fall Risk Assessment Tool (JHFRAT) category (Low, Moderate, High). The capacity to ambulate was assessed using the Activity Measure for Post\u2010Acute Care (AM\u2010PAC). Multivariable regression analysis controlled for clinical demographics, JHFRAT items, AM\u2010PAC, comorbidity count, and length of stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>8% of patients at low risk for falls were non\u2010ambulatory, compared to 25% and 54% of patients at moderate and high risk for falls, respectively. Patients categorized as high risk and moderate risk for falls were 4.6 (95% CI: 3.9\u20135.5) and 2.6 (95% CI: 2.4\u20132.9) times more likely to be non\u2010ambulatory compared to patients categorized as low risk, respectively. For patients with high ambulatory potential (AM\u2010PAC 18\u201324), those categorized as high risk for falls were 4.3 (95% CI: 3.5\u20135.3) times more likely to be non\u2010ambulatory compared to patients categorized as low risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients categorized into higher fall risk groups had decreased mobility throughout their hospitalization, even when they had the functional capacity to ambulate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18221","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T13:49:27Z","timestamp":1673617767000},"page":"1536-1546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Revealing the tension: The relationship between high fall risk categorization and low patient mobility"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6830-3230","authenticated-orcid":false,"given":"Carmen E.","family":"Capo\u2010Lugo","sequence":"first","affiliation":[{"name":"Department of Physical Therapy School of Health Professions, University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Physical Medicine and Rehabilitation, School of Medicine Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Young","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, School of Medicine Johns Hopkins University  Baltimore Maryland USA"},{"name":"Department of Physical Therapy University of Nevada, Las Vegas  Las Vegas Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holley","family":"Farley","sequence":"additional","affiliation":[{"name":"Department of Nursing Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Aquino","sequence":"additional","affiliation":[{"name":"Department of Nursing Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Colantuoni","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa Aronson","family":"Friedman","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine School of Medicine, Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sowmya","family":"Kumble","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik H.","family":"Hoyer","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, School of Medicine Johns Hopkins University  Baltimore Maryland USA"},{"name":"Department of Physical Medicine and Rehabilitation Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Preventing falls and fall\u2010related injuries in health care facilities","volume":"55","author":"Joint Commission","year":"2015","journal-title":"Sentin Event Alert"},{"key":"e_1_2_12_3_1","unstructured":"Agency for Healthcare Research and Quality.National Scorecard on Hospital\u2010Acquired Conditions Updated Baseline Rates and Preliminary Results 2014\u20132017."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1553\u20107250(12)38052\u20105"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010019\u20101368\u20108"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2018.08.005"},{"key":"e_1_2_12_7_1","volume-title":"Preventing Patient Falls: A Systematic Approach from the Joint Commission","author":"Health Research & Educational Trust","year":"2016"},{"key":"e_1_2_12_8_1","unstructured":"DegelauJ BelzM BungumL et al.Prevention of falls (acute care). 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