High prevalence of fall-related medication use in older veterans at risk for falls
Journal of the American Geriatrics Society Nov 07, 2019
Elias AM, Ogunwale AN, Pepin MJ, et al. - Given that falls represent a common and costly medication-associated safety event in older adults, and a principal modifiable risk factor for falls is suboptimal medication use, and polypharmacy represents an independent risk factor for falls among older adults, researchers undertook this cross-sectional analysis to investigate the proportion of veterans, aged 65 years and older, who carry high risk of falls and quantified the prevalence of high-risk medication use in this population. From an electronic health record data repository—the Veterans Affairs Corporate Data Warehouse— they obtained data in September 2018. They noted that 49% (n = 9,228) of 18,727 older veterans in primary care screened positive for falls or fall risk. At least one fall-related medication was prescribed to 75% (n = 6,884) of those screening positive for fall risk. The most common medication class prescribed was antidepressants; the second and third most prevalent were diuretics and hypoglycemics, respectively. Findings revealed a high prevalence of fall-associated medication use among older veterans. It is justified to practice a process to decrease fall-associated medications, such as deprescribing interventions and provider education.
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