Paul Sabatier University III, 31063, Toulouse, France.
Aging and Research Team, Center for Epidemiology and Research in POPulation Health (CERPOP), Toulouse University, Inserm, Paul Sabatier University, Faculty of Medecine, 37 Allées J.Guesde, 31000, Toulouse, France.
BMC Geriatr. 2024 Apr 10;24(1):327. doi: 10.1186/s12877-024-04951-0.
Falling is a major concern for the health of older adults and significantly affects their quality of life. Identifying the various risk factors and the differences between older patients can be challenging. The objective of this study was to identify the risk factors for falls among polymedicated community-dwelling older Lebanese patients following a medication review.
In this analytical cross-sectional study, we examined the risk factors for falls in 850 patients aged ≥ 65 years who were taking ≥ 5 medications daily. The study involved conducting a medication review over the course of a year in primary care settings and using multivariate logistic regression analysis to analyze the data.
Our results showed that 106 (19.5%) of the 850 included patients had fallen at least once in the three months prior to the medication review. Loss of appetite and functional dependence were identified as the most significant predictors of falls ORa = 3.020, CI [2.074-4.397] and ORa = 2.877, CI [1.787-4.632], respectively. Other risk factors for falls included drowsiness ORa = 2.172, CI [1.499-3.145], and the use of beta-blockers ORa = 1.943, CI [1.339-2.820].
Our study highlights the importance of addressing multiple risk factors for falls among Lebanese older adults and emphasizes the need for customized interventions and ongoing monitoring to prevent falls and improve health outcomes. This study sheds light on a critical issue in the Lebanese older population and provides valuable insight into the complex nature of falls among poly-medicated Lebanese community-dwelling older adults.
2021REC-001- INSPECT -09-04.
跌倒对老年人的健康是一个主要关注点，并且会显著影响他们的生活质量。识别各种风险因素以及老年患者之间的差异可能具有挑战性。本研究的目的是在对药物进行审查后，确定服用多种药物的社区居住的黎巴嫩老年患者跌倒的风险因素。
在这项分析性横断面研究中，我们检查了 850 名年龄≥65 岁且每天服用≥5 种药物的患者跌倒的风险因素。该研究涉及在初级保健环境中进行为期一年的药物审查，并使用多变量逻辑回归分析来分析数据。
我们的结果表明，在药物审查前三个月内，850 名纳入患者中有 106 名（19.5%）至少跌倒过一次。食欲不振和功能依赖被确定为跌倒的最显著预测因素，ORa=3.020，CI [2.074-4.397] 和 ORa=2.877，CI [1.787-4.632]。其他跌倒风险因素包括嗜睡 ORa=2.172，CI [1.499-3.145] 和使用β受体阻滞剂 ORa=1.943，CI [1.339-2.820]。
我们的研究强调了针对黎巴嫩老年患者跌倒的多个风险因素进行干预的重要性，并强调需要进行个性化干预和持续监测，以预防跌倒和改善健康结果。本研究揭示了黎巴嫩老年人群中的一个关键问题，并为服用多种药物的黎巴嫩社区居住的老年患者中跌倒的复杂性提供了有价值的见解。
2021REC-001-INSPECT-09-04。
