Citation

Wang KN, Bell JS, Gilmartin-Thomas JFM, Tan ECK, Cooper T, Robson L, Ilomäki J. J. Appl. Gerontol. 2019; ePub(ePub): ePub.

Affiliation

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/0733464819888848

PMID

31771405

Abstract

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.

Language: en

Keywords

falls; medication; nursing homes