Effect of chronic pain on the occurrence of falls in older adults with disabilities: a prospective cohort study

Honda, Hiroya; Ashizawa, Ryota; Take, Koki; Hirase, Tatsuya; Yoshimoto, Yoshinobu

doi:10.1080/09593985.2022.2141597

Cited by 6 publications

(1 citation statement)

References 62 publications

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“…Research has shown that because the “symptoms” and needs of older people with disabilities are highly individualized, targeted, planned and precisely implemented home care services are more reasonable for older people with physical disabilities. 89 At the same time, in order to minimize the waste of nursing and medical resources, it has been argued that the precise implementation of care with known goals is an efficient and effective solution to avoid the waste of resources. 90 Therefore, there is a current need to identify the care needs of older adults with different disabilities and to achieve precise implementation in order to achieve the goal of optimizing care delivery.…”

Section: Discussionmentioning

confidence: 99%

Understanding Care Needs of Older Adults with Disabilities: A Scoping Review

Zhou,

Gao,

Wang

et al. 2024

JMDH

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Purpose To conducted a scoping review of care needs of older adults with disabilities at home and in the community and provide a comprehensive understanding of the essential needs of older adults with disabilities. Methods Eight databases were searched for relevant Chinese and English studies (supplemented by retrospective references of the included studies) from the establishment of the database to February 13, 2023. An thematic synthesis approach was used to qualitatively integrate the retrieved studies and identify need-related themes. Results A total of 6239 studies were retrieved, 2557 were de-weighted and excluded, and 56 were obtained after the double screening. Studies were from 11 countries. Thirty-three studies used a self-prepared survey instrument to investigate needs, and the other research tools commonly used were secondary databases and the Long-Term Care Needs of the Disabled Scale. A total of 78 specific need items were identified and summarized into three need themes based on the ICF framework: physical functioning needs, activity and participation needs, and environment needs. Conclusion The complex physical and mental health conditions faced by older adults with disabilities result in multifaceted, integrated needs that are difficult to identify and meet. Current research on older adults with disabilities is limited to common care. Future research should focus on the specificities of the older disabled population and understand the diverse care needs of people with disabilities in order to better target care services for this group. Policymakers should formulate more operational and strategic measures based on the actual needs of older adults with disabilities to expand the coverage of services and to pinpoint care services.

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Section: Discussionmentioning

confidence: 99%

Understanding Care Needs of Older Adults with Disabilities: A Scoping Review

Zhou,

Gao,

Wang

et al. 2024

JMDH

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Good Sleep Prevents Falls?

Yoshimoto,

Honda

2023

Clinical Cases in Sleep Physical Therapy

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Psychotropic medication use and future unexplained and injurious falls and fracture amongst community-dwelling older people: data from TILDA

et al. 2023

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Purpose Psychotropic medications (antidepressants, anticholinergics, benzodiazepines, ‘Z’-drugs and antipsychotics) are frequently identified as Falls Risk Increasing Drugs. The aim of this study is to clarify the association of psychotropic medication use with future falls/fracture amongst community-dwelling older people. Methods Participants ≥ 65 years from TILDA were included and followed from Waves 1 to 5 (8-year follow-up). Incidence of falls (total falls/unexplained/injurious) and fracture was by self-report; unexplained falls were falls not caused by a slip/trip, with no apparent cause. Poisson regression models reporting incidence rate ratios (IRR) assessed the association between medications and future falls/fracture, adjusted for relevant covariates. Results Of 2809 participants (mean age 73 years), 15% were taking ≥ 1 psychotropic medication. During follow-up, over half of participants fell, with 1/3 reporting injurious falls, over 1/5 reporting unexplained falls and almost 1/5 reporting fracture. Psychotropic medications were independently associated with falls [IRR 1.15 (95% CI 1.00–1.31)] and unexplained falls [IRR 1.46 (95% CI 1.20–1.78)]. Taking ≥ 2 psychotropic medications was further associated with future fracture (IRR 1.47 (95% CI 1.06–2.05)]. Antidepressants were independently associated with falls [IRR 1.20 (1.00–1.42)] and unexplained falls [IRR 2.12 (95% CI 1.69–2.65)]. Anticholinergics were associated with unexplained falls [IRR 1.53 (95% CI 1.14–2.05)]. ‘Z’-drug and benzodiazepine use were not associated with falls or fractures. Conclusion Psychotropic medications, particularly antidepressants and anticholinergic medications, are independently associated with falls and fractures. Regular review of ongoing need for these medications should therefore be central to the comprehensive geriatric assessment.

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Effect of chronic pain on the occurrence of falls in older adults with disabilities: a prospective cohort study

Cited by 6 publications

References 62 publications

Understanding Care Needs of Older Adults with Disabilities: A Scoping Review

Understanding Care Needs of Older Adults with Disabilities: A Scoping Review

Good Sleep Prevents Falls?

Psychotropic medication use and future unexplained and injurious falls and fracture amongst community-dwelling older people: data from TILDA

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