Drug-related falls in older patients: implicated drugs, consequences, and possible prevention strategies

Abstract

Falls are the leading cause of injuries among older adults, aged 65 years and older. Furthermore, falls are an increasing public health problem because of ageing populations worldwide due to an increase in the number of older adults, and an increase in life expectancy. Numerous studies have identified risk factors and investigated possible strategies to prevent (recurrent) falls in community-dwelling older people and those living in long-term care facilities. Several types of drugs have been associated with an increased fall risk. Since drugs are a modifiable risk factor, periodic drug review among older adults should be incorporated in a fall prevention programme.

Determination Falling Prevalence and the Risks of Falls in Elders Living in the District of Bahcelievler, İstanbul

“…34,35 Ülkemizde yapılan bazı çalışmalarda huzurevinde kalan yaşlı-larda çoklu ilaç kullanımı ile reçetesiz ilaç kullanım oranının oldukça yüksek olduğu ve çoklu ilaç kullanımının söz konusu olduğu yaşlı bireylerde düşme oranının daha yüksek olduğu bildirilmiş-tir. 36,37 Benzer olarak, bu çalışmada da dörtten fazla ilaç kullanımı sıklığının düşme öyküsü olanlarda yüksek olduğu bulundu.…”

Legal implications of deprescribing: a case scenario

“…Provided a patient is made aware of all material risks and reasonable alternatives then a prescriber is likely to satisfy the test for informed consent. While prescribers have access to a variety of tools to support safe deprescribing, [12][13][14][15][16] and alternative treatments are available for many conditions, the challenge is how we identify risks that are material to our patients. Patientcentred conversations 17 in the context of structured review 18 may support embedding this in our daily practice.…”

Procjena rizika od pada: pregled skala za evaluaciju rizika

“…Također, posebnost ove skale leži u tome što se u okviru procjene rizika od pada boduje i primjena antiepileptika i benzodiazepina -lijekova koji utječu na središnji živčani sustav te mogu pridonijeti pojavi vrtoglavice, konfuzije, dezorijentiranosti i mišićnoj slabosti. [21][22][23] Također, dodatno se boduju pacijenti muškog spola, koji su prema istraživanju autorice skale procijenjeni rizičnijima za pad u odnosu na osobe ženskog spola. 24 Najveći mogući zbroj bodova na ovoj skali iznosi 16, a svi pacijenti koji imaju 5 ili više bodova svrstavaju se u skupinu povećanog rizika od pada.…”