Medication Use, Falls, and Fall-Related Worry in Older Adults in the United States

Consult Pharm. 2016 Jul;31(7):385-93. doi: 10.4140/TCP.n.2016.385.

Abstract

Objective: To compare the prevalence of falls and fall-related concerns of medication users versus nonusers in U.S. seniors.

Design: Cross-sectional study.

Setting: The National Health and Aging Trends Study.

Participants: U.S. nationally representative sample of Medicare beneficiaries in 2011.

Outcomes: Comparing subjects who used medications with subjects who did not in the past month, the outcomes were percentages of subjects who experienced 1) a fall in the past month, 2) worry about falling in the past month, 3) being limited by this worry in the past month, 4) a fall in the past year.

Results: A greater percentage of medication users experienced falls and fall-related outcomes, compared with non-medication users. Among medication users, 10.29% had a past month fall, compared with 5.42% of non-medication users; 27.69% of medication users worried in the past month about falling, compared with 9.15% of non-medication users; 40.96% of medication users were limited by this worry, compared with 21.21%; 22.82% of medication users had a fall in the past year, compared with 13.15% of non-medication users.

Conclusion: Seniors who use medications are more likely to fall and to be concerned about falling. Pharmacist involvement in fall prevention continues to be essential.

Publication types

  • Comparative Study

MeSH terms

  • Accidental Falls* / prevention & control
  • Accidental Falls* / statistics & numerical data
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anxiety / diagnosis
  • Anxiety / epidemiology*
  • Anxiety / psychology
  • Assisted Living Facilities
  • Cross-Sectional Studies
  • Drug-Related Side Effects and Adverse Reactions / epidemiology*
  • Drug-Related Side Effects and Adverse Reactions / prevention & control
  • Drug-Related Side Effects and Adverse Reactions / psychology
  • Fear
  • Female
  • Homes for the Aged
  • Housing
  • Housing for the Elderly
  • Humans
  • Male
  • Prevalence
  • Quality of Life
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires
  • United States / epidemiology