TY  - JOUR
PY  - 2022//
TI  - Over half of falls were associated with psychotropic medication use in four nursing homes in Japan: a retrospective cohort study
JO  - International journal of environmental research and public health
A1  - Oya, Nozomu
A1  - Ayani, Nobutaka
A1  - Kuwahara, Akiko
A1  - Kitaoka, Riki
A1  - Omichi, Chie
A1  - Sakuma, Mio
A1  - Morimoto, Takeshi
A1  - Narumoto, Jin
SP  - e3123
EP  - e3123
VL  - 19
IS  - 5
N2  - Medication use can increase the risk of falls and injuries in nursing homes, creating a significant risk for residents. We performed a retrospective cohort study over one year to identify the incidence of drug-related falls with and without injury among four Japanese nursing homes with 280 beds. We evaluated the relationship between potential risk factors for falls and fall-related injuries while considering well-known risks such as ADLs and chronic comorbidities. By collaboratively reviewing care records, we enrolled 459 residents (mean age, 87) and identified 645 falls, including 146 injurious falls and 16 severe injurious falls requiring inpatient care, incidence: 19.5, 4.4, 0.5 per 100 resident-months, respectively. Medication influenced around three-quarters of all falls, >80% of which were psychotropic drugs. Regularly taking ≥5 medications was a risk factor for the initial falls (HR 1.33: CI 1.00-1.77, p = 0.0048) and injuries after falls (OR 2.41: CI 1.30-4.50, p = 0.006). Our findings on the incidence of falls with and without injury were similar to those in Western countries, where the use of psychotropic medication influenced >50% of falls. Discontinuing unnecessary medication use while simultaneously assessing patient ADLs and comorbidities with physicians and pharmacists may help to avoid falls in nursing homes.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph19053123
ID  - ref1
ER  -