TY - JOUR PY - 2019// TI - The relationship between discharge medications and falls in post-hospitalised older adults: a 6-month follow-up JO - Australasian journal on ageing A1 - Lam, Kenneth A1 - Lee, Den-Ching A. A1 - Lalor, Aislinn F. A1 - Stolwyk, Rene A1 - Russell, Grant A1 - Brown, Ted A1 - McDermott, Fiona A1 - Haines, Terry P. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To identify discharge medications, especially psychotropic medications that are associated with falls, amongst older adults within 6 months following hospitalisation.

METHODS: Negative binomial regression was used to examine relationships between discharge medications and falls in older post-hospitalised adults. Multiple regression that considered falls risk factors at discharge was performed.

RESULTS: Data for 267 participants showed that discharge medications were not independently associated with falls postdischarge after adjustment for other falls risk factors. Male gender (adjusted incidence rate ratio [95% confidence interval, CI]) 2.15 [1.36-3.40]), higher depression scores (1.14 [1.05-1.25]) and co-morbidity of neurological disease other than stroke (5.98 [3.08-11.60]) were independently associated with an increased rate of falls. Higher depression scores (1.20 [1.11-1.31]) and co-morbidity of cancer (1.97 [1.20-3.25]) were independently associated with an increased rate of injurious falls in the 6 months postdischarge.

CONCLUSION: Falls prevention strategies, other than hospital discharge medication management in the postdischarge older adults, warrant investigation.

© 2019 AJA Inc.

Language: en

LA - en SN - 1440-6381 UR - http://dx.doi.org/10.1111/ajag.12628 ID - ref1 ER -