Angiotensin System–Blocking Medications Are Associated with Fewer Falls over 12 Months in Community‐Dwelling Older People

Wong, Alfred K. W.; Lord, Stephen R.; Sturnieks, Daina L.; Delbaere, Kim; Trollor, Julian N.; Close, Jacqueline C.T.

doi:10.1111/jgs.12205

Cited by 43 publications

(34 citation statements)

References 34 publications

(47 reference statements)

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“…Of the 62 articles included in this review, 60% were published in 2012 (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) and 2013 (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52) . The articles are from 15 different countries, but especially from the United States of America (18)(19)(24)(25)30,33,39,(53)(54)(55)(56)(57)(58)(59)…”

Section: Resultsmentioning

confidence: 99%

“…The articles are from 15 different countries, but especially from the United States of America (18)(19)(24)(25)30,33,39,(53)(54)(55)(56)(57)(58)(59)(60)(61) and Australia (17,28,32,34,36,42,44,(46)(47)52,(62)(63)(64) , with 16 and 13 studies, respectively. The other countries with most articles were Canada (23,29,40,(65)(66)(67)(68) with seven, Netherlands (20,31,35,51,69) with five, and United Kingdom (48,(70)(71)(72) with four.…”

Section: Resultsmentioning

confidence: 99%

“…Of the analysed (29,41,45,58,63,75) and seven were randomized clinical trials with a Ib level of evidence (21,23,37,55,65,69,71) . The quasi-experimental studies were two, one with a IIa (17) (22,(24)(25)28,(31)(32)34,40,(42)(43)(44)(46)(47)(51)(52)(53)(59)(60)70,77) and 27 descriptive and correlational studies (16, 18,20,26-27,30,33,35-36,38-39,48-50,54,57,61-62,64,66-68,72-74,76). …”

Section: Resultsmentioning

confidence: 99%

“…Change of blood sugar (27)(28)68) 3 √ Arthritis (50,65) 2 √ Diminished strength of the lower extremities (28,31,46,52) 4 √ Diarrhoea 0 √ Difficulty in gait (16,21,(23)(24)28,32,37,46,(59)(60)63,69,75) 13 √…”

Section: Physiologicalmentioning

confidence: 99%

“…Reduced sensorimotor function (32)(33)(34)69) 4 Osteoporosis (38,52) 2 Vitamin D insufficiency (28,41) 2 Worse physical health (31,70) 2 Obesity (26,70) 2 Dizziness (47) 1 Elevated abdominal perimeter (73) 1 Metabolic syndrome (26) 1…”

Section: Risk Factors N Nanda-imentioning

confidence: 99%

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Risco de quedas em idosos residentes na comunidade: revisão sistemática da literatura

Sousa

Marques-Vieira

Caldevilla

et al. 2016

Rev. Gaúcha Enferm.

115

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Resultados: Obteve-se uma amostra de 62 estudos e um total de 50 fatores de risco, dos quais, apenas 38 estão presentes na classificação. Conclusões:São propostas duas novas categorias de fatores: os psicológicos e socioeconômicos. Foram identificados novos fatores de risco de queda dos idosos residentes na comunidade, o que contribui para a atualização deste diagnóstico na taxonomia II da NANDA Internacional. Resultados: Fueron seleccionados 62 artículos en los cuales se identificaron 50 factores de riesgo, de los que apenas 38 están presentes en la NANDA Internacional. Palavras Conclusiones:Se proponen dos nuevas categorías de factores: los psicológicos y los socioeconómicos. Se identificaron nuevos factores de riesgo de caídas en los ancianos residentes en la comunidad, lo que contribuyó para la actualización de la taxonomía II NANDA Internacional.Palabras clave: Accidentes por caídas. Factores de riesgo. Diagnóstico de enfermería. Anciano.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Physiologicalmentioning

confidence: 99%

Section: Risk Factors N Nanda-imentioning

confidence: 99%

See 3 more Smart Citations

Risco de quedas em idosos residentes na comunidade: revisão sistemática da literatura

Sousa

Marques-Vieira

Caldevilla

et al. 2016

Rev. Gaúcha Enferm.

115

View full text Add to dashboard Cite

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The relation between falls and medication use among elderly in assisted living facilities

Hamza

Adly

Abdelrahman

et al. 2019

Pharmacoepidemiology and Drug

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Purpose: Many elderly are concerned about falling transfer to assisted living facilities (ALF). Previous literatures studied the medication use and falls in the community, hospitals, or nursing homes, with scanty data about ALF. Therefore, the aim of the current case-control study was to assess the relation between medication use and falls among elderly in ALF. Methods:A matched case-control study was conducted. The study was conducted in ALF in Cairo, Egypt. The study participants were 188 individuals; they were subdivided into two groups: fallers and nonfallers; timed up and go test (TUGT) was performed by all subjects. Medication data were collected according to the fall riskincreasing drugs list and the list of drugs that cause or worsen orthostatism. Other fall risk factors, as suggested by American Geriatric Society, were assessed.Results: The use of vasodilators, diuretics, alpha blockers, opioids, antipsychotics, and sedative hypnotics were more common in fallers than in nonfallers (P < 0.001, P = 0.03, P < 0.001, P = 0.013, P < 0.001, and P < 0.001, respectively). Vasodilators, alpha blockers, and antipsychotics were significant predictors of falls even after adjustment for the possible confounding factors. Vasodilators, alpha blockers, opioids, sedative hypnotics, and recent dose changes in oral hypoglycemics were significant predictors of higher TUGT after adjustment for the possible confounding factors. Conclusion:The current study supported the risk of psychotropic and cardiovascular medications, with especial emphasis on vasodilators, alpha blockers, and antipsychotics, with raising concern about opioids, sedative hypnotics, and recent dose change in oral hypoglycemics.

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Non-pharmacological Treatments for Falls and Fractures

Lord¹,

Close²,

Sherrington³

2016

Osteoporosis in Older Persons

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Angiotensin System–Blocking Medications Are Associated with Fewer Falls over 12 Months in Community‐Dwelling Older People

Cited by 43 publications

References 34 publications

Risco de quedas em idosos residentes na comunidade: revisão sistemática da literatura

Risco de quedas em idosos residentes na comunidade: revisão sistemática da literatura

The relation between falls and medication use among elderly in assisted living facilities

Non-pharmacological Treatments for Falls and Fractures

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