Medication use and fall-risk assessment for falls in an acute care hospital

Ming Huang Chiu, Hsin Dai Lee, Hei Fen Hwang, Shih Chieh Wang, Mau Roung Lin

研究成果: 雜誌貢獻文章

26 引文 斯高帕斯(Scopus)

摘要

Aim: A nested case-control study was carried out to examine relationships of a fall-risk score and the use of single medications and polypharmacy with falls among hospitalized patients aged 50 years and older in Taiwan. Methods: There were 83 patients who experienced a fall during hospitalization in an acute-care hospital. Matched by age and sex, five control patients for each case were randomly selected from all other inpatients who had not experienced any fall at the time of the index fall. Results: Patients who took tricyclic antidepressants, diuretics, and narcotics were 3.36-, 1.83- and 2.09-fold, respectively, more likely to experience a fall than their counterparts. Conversely, patients who took beta-blockers were 0.34-fold more likely than those who did not take them to experience a fall. Patients taking ≥6 medications were 3.08-fold more likely than those taking fewer medications to experience a fall, whereas those with anxiety were 4.72-fold more likely to experience a fall than those without. A high fall-risk score was not significantly associated with the occurrence of falls. Conclusions: Among older hospitalized patients, tricyclic antidepressants, diuretics, narcotics, and polypharmacy should be mindfully prescribed and reviewed on a regular basis. A fall-risk scale developed from community-dwelling older people might not accurately predict falls in hospitalized patients. Further research to validate the negative effect of beta-blocker use on falls is required.

原文英語
頁(從 - 到)856-863
頁數8
期刊Geriatrics and Gerontology International
15
發行號7
DOIs
出版狀態已發佈 - 七月 1 2015

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)

指紋 深入研究「Medication use and fall-risk assessment for falls in an acute care hospital」主題。共同形成了獨特的指紋。

  • 引用此