The relationship between discharge medications and falls in post-hospitalised older adults: A 6-month follow-up

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Abstract

Objective: To identify discharge medications, especially psychotropic medications that are associated with falls, amongst older adults within 6 months following hospitalisation. Methods: Negative binomial regression was used to examine relationships between discharge medications and falls in older post-hospitalised adults. Multiple regression that considered falls risk factors at discharge was performed. Results: Data for 267 participants showed that discharge medications were not independently associated with falls postdischarge after adjustment for other falls risk factors. Male gender (adjusted incidence rate ratio [95% confidence interval, CI]) 2.15 [1.36-3.40]), higher depression scores (1.14 [1.05-1.25]) and co-morbidity of neurological disease other than stroke (5.98 [3.08-11.60]) were independently associated with an increased rate of falls. Higher depression scores (1.20 [1.11-1.31]) and co-morbidity of cancer (1.97 [1.20-3.25]) were independently associated with an increased rate of injurious falls in the 6 months postdischarge. Conclusion: Falls prevention strategies, other than hospital discharge medication management in the postdischarge older adults, warrant investigation.

Original languageEnglish
Pages (from-to)190-198
Number of pages9
JournalAustralasian Journal on Ageing
Volume38
Issue number3
DOIs
Publication statusPublished - Sep 2019

Keywords

  • aged
  • discharge
  • falls
  • hospitals
  • Medication Therapy Management
  • patient

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