Depression and risk for adverse falls in older home health care patients.

摘要: Because falls are highly prevalent, harmful events for older adults, identification of patients at risk is a high priority home health care agencies. Using routine administrative data, we demonstrated that with depressive symptoms on the Outcome and Assessment Information Set falls. A prospective case-control study matched 54 who experienced an adverse fall 854 controls showed fell had twice odds being depressed (odds ratio = 1.90, 95% confidence interval 1.01 to 3.59). Bowel incontinence, medical comorbidity, stair use, injury poisoning, memory deficit, antipsychotic medication use were also predictors, but no association was found antidepressant medications. These data suggest potential benefit including depression screening multifactorial prevention interventions.