Abstract:
AIM:Falls are a significant problem for older people, but are few studies of the risk of falling in residents of nursing homes in Japan. We aimed to investigate the risk factors for falls and the association of medication use and falls in nursing home residents in Japan. METHODS:This case-control study reviewed the records of residents of who were ≥ 65 years of age and had fallen in 2012 and an age-, sex-, and facility-matched control group selected from 58 nursing homes in Japan. The odds ratios of potential risk factors and current medications were determined by conditional logistic regression. RESULTS:A total of 1832 residents (916 cases and 916 controls) were included. Falls were significantly associated with an inability to walk without assistance or stand up without assistance, need for toileting assistance, visual impairment, insomnia, and dementia. Current prescription of antithrombotic, nonsteroidal anti-inflammatory, or antiparkinson drugs, muscle relaxants, antiepileptics, antipsychotics, antidepressants, opioids, selective serotonin reuptake inhibitors, and memantine was also associated with increased risk of falling. CONCLUSIONS:Many medications were associated with falls in nursing homes residents in Japan. To prevent these falls, caregivers should provide adequate care, and healthcare professionals should consider switching or dose reduction for these medications.
journal_name
Aging Clin Exp Resjournal_title
Aging clinical and experimental researchauthors
Park H,Satoh H,Miki A,Maki H,Asai K,Shiraishi A,Urushihara H,Sawada Ydoi
10.1007/s40520-019-01265-9subject
Has Abstractpub_date
2020-05-01 00:00:00pages
885-892issue
5eissn
1594-0667issn
1720-8319pii
10.1007/s40520-019-01265-9journal_volume
32pub_type
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