Journal article
Central Nervous System Medication Changes and Falls in Nursing Home Residents
Geriatric nursing (New York), v 30(5), pp 334-340
01 Sep 2009
PMID: 19818269
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Abstract
We investigated the role of changes in 6 mutually exclusive medication categories on the risk of falling in nursing home residents. The 6 categories were: gastrointestinal, hypoglycemics, antibiotics, central nervous system (CNS) acting, cardiovascular disease agents, and analgesics. A change was defined as a new start, a dose change, an as-needed dose, or a discontinuation. Incident reports were used to determine the fall date and time. Medication records were abstracted to identify the date of changes before the date of each fall. The 158 residents who fell had 419 recorded falls during 2002 and 2003; they were on average 80.5 years old (SD 8.1; range 65-103), and 67% were men. Within 1-3 days of a change in any CNS medication (antipsychotic, sedative, antidepressant, or antiseizure), the fall risk (odds ratio) increased 3.4-fold (95% confidence interval 1.2-9.5) using 7-9 days prior as comparable control days. No changes in other medication categories had a significant effect on fall risk. These data suggest that the risk of falls among nursing home residents is significantly elevated within 3 days of a CNS medication change. (Geriatr Nurs 2009;30:334-340)
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Details
- Title
- Central Nervous System Medication Changes and Falls in Nursing Home Residents
- Creators
- Gary S. Sorock - Geriatr Res Serv, Glyndon, MD USAPatricia A. Quigley - College Station Medical CenterMichelle K. Rutledge - College Station Medical CenterJennifer Taylor - Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USAXianghua Luo - University of MinnesotaPhilip Foulis - College Station Medical CenterMei-Cheng Wang - Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USARavi Varadhan - College Station Medical CenterMichele Bellantoni - Johns Hopkins Bayview Care Ctr, Baltimore, MD USASusan P. Baker - Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
- Publication Details
- Geriatric nursing (New York), v 30(5), pp 334-340
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- H400-888-2152 / National Center for Injury Prevention and Control; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA Centers for Disease Control; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Environmental and Occupational Health
- Web of Science ID
- WOS:000270919900007
- Scopus ID
- 2-s2.0-70349767055
- Other Identifier
- 991021888920404721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Nursing