Judith Barreintos

Judith Barreintos

National Institute of Paediatrics, Mexico

Title: Adaptation and validation of a hospitalized pediatric patients fall risk assessment instrument


Judith Barrientos Sánchez has her experience in evaluation and passion for improving the health and well-being of the pediatric patient. She worked as a pediatric nurse in the clinical area for 20 years. She studied master's degree and is currently Coordinator of research in the area of management, clinic, and managed care. She is in charge of the development projects of students of nursing, as well as professionals interested in developing derivative works of the needs of the practice. She works in conjunction with the network of ENEO-UNAM research institutions and national institutes of health, pediatric research network and international network of nursing in child health, developing projects that improve care through evidence.


Introduction: A significant number of patients who attend health institutions have a risk of fall anytime during their hospitalization. Taking care of these patients requires diverse interventions and clinical assessments. Objective: To adapt and validate a hospitalized pediatric patient fall risk assessment instrument. Methods: The J. H. Downton instrument was adapted and validated. Specificity and sensibility tests, negative and positive predictive value, and Kuder-Richardson (KR) and ROC curve analysis internal consistency were all assessed using the SPSS® v. 15 and Epidat® 3.1 statistics programs. Results: KR internal consistency of 0.92, specificity of 99.4, PP of 99.56, and PN of 81.52 with a confidence interval of 95% were obtained. Conclusions: Validated scales such as the St. Thomas have good sensibility and specificity values (93% and 88%), but this scale is adapted for elder patients. The validated scale of this study had better sensibility and specificity values than two other hospitalized pediatric population scales: the Humpty Dumpty and the CHAMPS, suggesting that the modified H. Downton scale is highly sensible and specific to predict hospitalized pediatric patient fall risks.

Recent Publications

1. Factores de riesgo para lesiones no intencionales debido a caídas en los niños de 0–6 años de edad: una revisión sistemática. [En internet] 2006 [Consultado 10 Marzo 2013]. 12(6): 378–381. Disponible en:

2. Aranda M. Morales J. Canca J. et al. Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review and meta-analysis. BMC Health Serv. Res [En internet] 2013 [Consultado 12 Abril 2013]. 13: 122. Disponible en:

3. Estrategia de prevención, detección y actuación ante el riesgo de caídas. [En internet] [Consultado 24 Septiembre 2012] Disponible en:

 4. Joint Commission/JCR Reviewers. Front line of defense second. Edition Improving Health Care Quality and Safety 2007; pp. 73–86.

 5. Campos P. Cánceres C. Protocolo De Evaluación Del Riesgo Y Prevención De Caídas En El Huap. Unidad de Calidad y Seguridad del Paciente. 2010 

6. Urruela M. Gómez AE. Iglesias AC. Valtierra M. González Y. Caídas en un hospital de agudos: características del paciente. Rev Mult Gerontol. [En internet] 2002 [Consultado 20 Septiembre 2012]; 12(1):14-18. Disponible en:

7. Tapia VM. Prevención de caídas, indicador de calidad del cuidado enfermero. Revista Mexicana de Enfermería Cardiológica. 2003; 11(2): 51-57. 

8. Mora M C, Ramírez B I .Optimización de las medidas de prevención de caídas durante la hospitalización del paciente. Revista de Enfermería. [En internet] [Consultado 4 Julio 2012]. Disponible en:

9. Complejo Hospitalario Universitario de Badajoz. [En internet] [Consultado 4 Noviembre 2012] Disponible en:

10. Salameh F,  Cassuto N, Oliven A. Una herramienta de evaluación de riesgo de caída simplificada para pacientes hospitalizados en servicios médicos. [En internet] 2008 [Consultado  24-04-13]; 2:125-9. Disponible en: