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Use of Falls Risk Increasing Drugs in Residents at High and Low Falls Risk in Aged Care Services
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Monash University, Australia; The University of Sydney, Australia; Karolinska Institutet, Sweden.
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Number of Authors: 72020 (English)In: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523Article in journal (Refereed) Epub ahead of print
Abstract [en]

Falls are associated with considerable morbidity and mortality in aged care services and falls risk increasing drugs (FRIDs) are often overlooked as a contributor to falls. This study aims to investigate the association between the risk of falling and use of FRIDs from aged care services. Inverse-probability-weighted multinomial logistic regression was used to estimate the association between falls risk and regular FRIDs in 383 residents from six Australian aged care services. Overall, residents at high and low falls risk had similar prevalence of FRIDs. Prevalence of antipsychotics and sedative-hypnotics was low. Residents at high falls risk had higher adjusted odds of using >= 2 psychotropic medications (odds ratio [OR] = 1.75, 95% confidence interval [CI] = 1.17-2.61) and >= 2 medications that cause/worsen orthostatic hypotension (OR = 3.59, 95% CI = 2.27-5.69). High prevalence of FRIDs was mainly attributable to medications for which residents had clinical indications. Clinicians appeared to have largely avoided FRIDs that explicit criteria deem potentially inappropriate for high falls risk.

Place, publisher, year, edition, pages
2020.
Keywords [en]
nursing homes, falls, medication
National Category
Nursing Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-177476DOI: 10.1177/0733464819888848ISI: 000499516600001PubMedID: 31771405OAI: oai:DiVA.org:su-177476DiVA, id: diva2:1387263
Available from: 2020-01-21 Created: 2020-01-21 Last updated: 2020-01-21

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Wang, Kate N.
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CiteExportLink to record
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  • Other style
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  • de-DE
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  • nn-NB
  • sv-SE
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  • asciidoc
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