TY - JOUR PY - 2019// TI - Use of falls risk increasing drugs in residents at high and low falls risk in aged care services JO - Journal of applied gerontology A1 - Wang, Kate N. A1 - Bell, J. Simon A1 - Gilmartin-Thomas, Julia F. M. A1 - Tan, Edwin C. K. A1 - Cooper, Tina A1 - Robson, Leonie A1 - Ilomäki, Jenni SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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
LA - en SN - 0733-4648 UR - http://dx.doi.org/10.1177/0733464819888848 ID - ref1 ER -