Psychotropic Drugs and Risk of Recurrent Falls in Ambulatory Nursing Home Residents

摘要: Although psychotropic drug use has been associated with increased risk of falls in long-term care settings; this association may be confounded by the high prevalence dementia and depression other fall factors. This question was addressed a prospective cohort study recurrent among 282 ambulatory residents 12 Tennessee nursing homes during 1991-1992. Eligible subjects were > or = 65 years age, ambulatory, able to provide data, expected remain home for 3 months. Baseline data collected each member included symptoms (cognitive impairment behavior problems) depression, medication use, potential Falls ascertained from facility incident reports charts. During follow-up, 111 had 2 falls, an incidence rate 54.9 per 100 person-years. With Cox proportional hazards modeling, authors found density ratios (95% confidence intervals (Cl)) showing that following factors independently falls: age 75 (1.66 (1.01-2.72)); 4 assisted activities daily living (1.94 (1.09-3.47)); middle (2.08 (1.20-3.61)) upper (2.54 (1.44-4.49)) tertiles balance impairment; 90 days preceding assessment (2.01 (1.32-3.06)); tertile problems (1.65 (1.03-2.64)). The tenfold as number these 0 5 (21.4 231.5 person-years, p factors) group. attributable regular users 36%, which suggests optimal management psychopharmacotherapy is essential component prevention programs residents. Language: en