The use of fall risk-increasing drugs among older people in nursing homes

Medication use is one of the modifiable risk factors that causes falls. Falls are the leading cause of injury among elderly people. The incidence of falls does significantly impact elderly people‘s independence in carrying out their regular activities. This study aimed to determine the prevalence...

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Main Authors: Lee, Shiow Ling, Marhanis Salihah Omar, Adliah Mhd Ali, Mohd Makmor-Bakry
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15473/
http://journalarticle.ukm.my/15473/1/16.pdf
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author Lee, Shiow Ling
Marhanis Salihah Omar,
Adliah Mhd Ali,
Mohd Makmor-Bakry,
author_facet Lee, Shiow Ling
Marhanis Salihah Omar,
Adliah Mhd Ali,
Mohd Makmor-Bakry,
author_sort Lee, Shiow Ling
building UKM Institutional Repository
collection Online Access
description Medication use is one of the modifiable risk factors that causes falls. Falls are the leading cause of injury among elderly people. The incidence of falls does significantly impact elderly people‘s independence in carrying out their regular activities. This study aimed to determine the prevalence of drugs that cause falls and the fall risk status among elderly people residing in nursing homes. A cross-sectional study was conducted on residents in 27 long term care facilities in Malaysia from March 2018 until November 2018 using a researcher-assisted questionnaire. A total of 212 residents were recruited in this study. A majority of the residents were taking at least one fall-risk increasing drug (FRIDs) or orthostatic drug (ODs) (n=145, 68.4%), with two-thirds of them presenting high risk of falling (n=95, 65.5%). A significant association was found between the use of beta-blocking agents (p=0.033), renin-angiotensin system inhibitors (p=0.038), length of stay in facilities (p=0.031), frailty status (p<0.001), number of drugs in total (p=0.010) and as needed (p=0.025) with an increased risk of falls. Therefore, a majority of the elderly people residing in nursing homes were proven to be prone to the use of fall-risk medications. Frail elderly people have a higher risk of falling compared to those who were non-frail.
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spelling oai:generic.eprints.org:154732020-10-30T04:50:42Z http://journalarticle.ukm.my/15473/ The use of fall risk-increasing drugs among older people in nursing homes Lee, Shiow Ling Marhanis Salihah Omar, Adliah Mhd Ali, Mohd Makmor-Bakry, Medication use is one of the modifiable risk factors that causes falls. Falls are the leading cause of injury among elderly people. The incidence of falls does significantly impact elderly people‘s independence in carrying out their regular activities. This study aimed to determine the prevalence of drugs that cause falls and the fall risk status among elderly people residing in nursing homes. A cross-sectional study was conducted on residents in 27 long term care facilities in Malaysia from March 2018 until November 2018 using a researcher-assisted questionnaire. A total of 212 residents were recruited in this study. A majority of the residents were taking at least one fall-risk increasing drug (FRIDs) or orthostatic drug (ODs) (n=145, 68.4%), with two-thirds of them presenting high risk of falling (n=95, 65.5%). A significant association was found between the use of beta-blocking agents (p=0.033), renin-angiotensin system inhibitors (p=0.038), length of stay in facilities (p=0.031), frailty status (p<0.001), number of drugs in total (p=0.010) and as needed (p=0.025) with an increased risk of falls. Therefore, a majority of the elderly people residing in nursing homes were proven to be prone to the use of fall-risk medications. Frail elderly people have a higher risk of falling compared to those who were non-frail. Penerbit Universiti Kebangsaan Malaysia 2020-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15473/1/16.pdf Lee, Shiow Ling and Marhanis Salihah Omar, and Adliah Mhd Ali, and Mohd Makmor-Bakry, (2020) The use of fall risk-increasing drugs among older people in nursing homes. Sains Malaysiana, 49 (6). pp. 1381-1388. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid49bil6_2020/KandunganJilid49Bil6_2020.html
spellingShingle Lee, Shiow Ling
Marhanis Salihah Omar,
Adliah Mhd Ali,
Mohd Makmor-Bakry,
The use of fall risk-increasing drugs among older people in nursing homes
title The use of fall risk-increasing drugs among older people in nursing homes
title_full The use of fall risk-increasing drugs among older people in nursing homes
title_fullStr The use of fall risk-increasing drugs among older people in nursing homes
title_full_unstemmed The use of fall risk-increasing drugs among older people in nursing homes
title_short The use of fall risk-increasing drugs among older people in nursing homes
title_sort use of fall risk-increasing drugs among older people in nursing homes
url http://journalarticle.ukm.my/15473/
http://journalarticle.ukm.my/15473/
http://journalarticle.ukm.my/15473/1/16.pdf