Risk of drug-related falls among noninstitutionalized older adults

Rev Esc Enferm USP. 2018:52:e03319. doi: 10.1590/s1980-220x2017012603319. Epub 2018 Apr 16.
[Article in English, Spanish]

Abstract

Objective: To determine the number of drugs taken per day, which represents a risk factor for falls among noninstitutionalized older adults with a history of falls in the last year.

Method: This was a descriptive study that used random sampling and the following measurement instruments: the WHO questionnaire for the study of falls in older adults, gait scale and geriatric depression scale and gait and balance. Univariate and bivariate analysis, nonparametric chi-squared test, and binary logistic regression were performed using the SPSS statistical program version 21.0.

Results: 214 individuals participated in the study. Those who took ≥ 4 drugs presented higher risk of falling, p=0.010 OR=4.034. The same was not true for individuals who took ≤ 3 drugs, p=0.006 OR=0.335.

Conclusion: The use of four or more drugs per day was considered a risk factor for falls among older adults.

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology
  • Drug-Related Side Effects and Adverse Reactions / epidemiology*
  • Female
  • Gait / physiology
  • Geriatric Assessment
  • Humans
  • Logistic Models
  • Male
  • Pharmaceutical Preparations / administration & dosage*
  • Postural Balance / physiology
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Surveys and Questionnaires

Substances

  • Pharmaceutical Preparations