Prevalence of medication-related falls in 200 consecutive elderly patients with hip fractures: A cross-sectional study

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Charlotte Uggerhøj Andersen
  • Pernille Overgaard Lassen, Aalborg University Hospital
  • ,
  • Hussain Qassim Usman, Aalborg University Hospital
  • ,
  • Nadja Albertsen, Aalborg University Hospital
  • ,
  • Lars Peter Nielsen
  • Stig Andersen, Aalborg University Hospital

Background: Hip fractures constitute a major health problem in elderly people and are often fall-related. Several factors can contribute to a fall episode leading to hip fracture, including fall-risk-increasing drugs (FRIDs), which are often used by elderly people. We aimed to investigate the prevalence of medication-related falls and to assess the role of FRIDs and potentially inappropriate medications (PIMs) in a population of elderly patients hospitalized for a hip fracture. Methods: We reviewed the patient records of 200 consecutive patients, aged ≥65 years, who were admitted for a hip fracture and evaluated whether medications were likely to have contributed to the fall episode. PIMs were identified using the Screening Tool of Older Persons' Prescriptions version 2 (STOPP) and by evaluating indications, contra-indications and interactions of the prescribed medications for each patient. Results: FRIDs were used by 175 patients (87.5%). Medications were considered a likely contributor to the fall in 82 patients (41%). These were most often psychotropic medications alone or in combination with antihypertensives and/or diuretics. The 82 patients with suspected medication-related falls used more medications, FRIDs and PIMs than the rest of the patients, and in 74 (90%) of the 82 patients, at least one medication considered to be a contributor to the fall was also a PIM. Conclusions: The prevalence of suspected medication-related falls was 41%. It seems likely that a medication review could have reduced, though not eliminated, the risk of falling in this group of patients.

OriginalsprogEngelsk
Artikelnummer121
TidsskriftBMC Geriatrics
Vol/bind20
ISSN1471-2318
DOI
StatusUdgivet - mar. 2020

Se relationer på Aarhus Universitet Citationsformater

ID: 185773310