Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population

BACKGROUND: It is known that nursing home patients who have sustained a previous fall are at a higher average risk for recurrent falls. Therefore, these patients require closer attention and monitoring for fall prevention. METHODS: We conducted a retrospective review in our Level 1 Trauma Center, wh...

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Autores principales: Sarad, Nakia, Jannath, Syeda Y., Ogami, Takuya, Khedr, Shahenda, Omar, Hala, Thorson, Teagan, Kopp, Miroslav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568538/
https://www.ncbi.nlm.nih.gov/pubmed/37841940
http://dx.doi.org/10.1002/hsr2.1564
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author Sarad, Nakia
Jannath, Syeda Y.
Ogami, Takuya
Khedr, Shahenda
Omar, Hala
Thorson, Teagan
Kopp, Miroslav
author_facet Sarad, Nakia
Jannath, Syeda Y.
Ogami, Takuya
Khedr, Shahenda
Omar, Hala
Thorson, Teagan
Kopp, Miroslav
author_sort Sarad, Nakia
collection PubMed
description BACKGROUND: It is known that nursing home patients who have sustained a previous fall are at a higher average risk for recurrent falls. Therefore, these patients require closer attention and monitoring for fall prevention. METHODS: We conducted a retrospective review in our Level 1 Trauma Center, who sustained a ground‐level fall in a nursing home from January 2017 to December 2018. Inclusion criteria involved patients aged 65 or older, admitted from nursing homes. Logistic regression analysis was performed to identify factors associated with recurrent fall. RESULTS: A total of 445 patients were identified. Among them, 47 (10.6%) patients sustained recurrent falls, The median age was 83.3 years old and. The recurrent fall group was more likely to have chronic kidney disease (CKD) (27.1% vs. 13.1%, p = 0.02) and diabetes (47.9% vs. 31%, p = 0.02). The median number of medications taken by a patient was 8.78. Overall, 176 (39.5%) patients sustained any injury, and 25 (5.6%) patients died within the study period. The presence of CKD (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.15–4.76, p = 0.02) and polypharmacy (number of medications of 9 or above) (OR, 2.07; 95% CI, 1.12–3.82, p = 0.02) were independent risk factors for recurrent falls. CONCLUSIONS: CKD and polypharmacy were associated with a risk of recurrent falls among nursing home patients. The incidence of falls has a multifactorial etiology, and it is important to identify such risk factors to better prevent the morbidities and mortalities associated with fall‐related injuries.
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spelling pubmed-105685382023-10-13 Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population Sarad, Nakia Jannath, Syeda Y. Ogami, Takuya Khedr, Shahenda Omar, Hala Thorson, Teagan Kopp, Miroslav Health Sci Rep Original Research BACKGROUND: It is known that nursing home patients who have sustained a previous fall are at a higher average risk for recurrent falls. Therefore, these patients require closer attention and monitoring for fall prevention. METHODS: We conducted a retrospective review in our Level 1 Trauma Center, who sustained a ground‐level fall in a nursing home from January 2017 to December 2018. Inclusion criteria involved patients aged 65 or older, admitted from nursing homes. Logistic regression analysis was performed to identify factors associated with recurrent fall. RESULTS: A total of 445 patients were identified. Among them, 47 (10.6%) patients sustained recurrent falls, The median age was 83.3 years old and. The recurrent fall group was more likely to have chronic kidney disease (CKD) (27.1% vs. 13.1%, p = 0.02) and diabetes (47.9% vs. 31%, p = 0.02). The median number of medications taken by a patient was 8.78. Overall, 176 (39.5%) patients sustained any injury, and 25 (5.6%) patients died within the study period. The presence of CKD (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.15–4.76, p = 0.02) and polypharmacy (number of medications of 9 or above) (OR, 2.07; 95% CI, 1.12–3.82, p = 0.02) were independent risk factors for recurrent falls. CONCLUSIONS: CKD and polypharmacy were associated with a risk of recurrent falls among nursing home patients. The incidence of falls has a multifactorial etiology, and it is important to identify such risk factors to better prevent the morbidities and mortalities associated with fall‐related injuries. John Wiley and Sons Inc. 2023-10-12 /pmc/articles/PMC10568538/ /pubmed/37841940 http://dx.doi.org/10.1002/hsr2.1564 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research
Sarad, Nakia
Jannath, Syeda Y.
Ogami, Takuya
Khedr, Shahenda
Omar, Hala
Thorson, Teagan
Kopp, Miroslav
Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title_full Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title_fullStr Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title_full_unstemmed Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title_short Chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
title_sort chronic kidney disease and polypharmacy as risk factors for recurrent falls in a nursing home population
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568538/
https://www.ncbi.nlm.nih.gov/pubmed/37841940
http://dx.doi.org/10.1002/hsr2.1564
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