Psychoactive drug use and falls among community-dwelling Turkish older people
OBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in community-dwelling Turkish older people. METHODS: This single cent...
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Language: | English |
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KARE Publishing
2020-05-01
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Series: | İstanbul Kuzey Klinikleri |
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Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-30316 |
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author | Mehmet Ilkin Naharci Ekin Oktay Oguz Fatih Celebi Senay Ozgun Oguz Osman Yilmaz Ilker Tasci |
author_facet | Mehmet Ilkin Naharci Ekin Oktay Oguz Fatih Celebi Senay Ozgun Oguz Osman Yilmaz Ilker Tasci |
author_sort | Mehmet Ilkin Naharci |
collection | DOAJ |
description | OBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in community-dwelling Turkish older people.
METHODS: This single center study was performed using the medical records of subjects aged over 65 years admitted to the geriatric care unit. Demographic and lifestyle factors, clinical characteristics, medications, and data on mood, cognitive status, and functional performance were obtained from the comprehensive geriatric assessment records. Based on a fall history in the last 12 months, subjects were grouped as fallers and non-fallers. Subjects treated with a psychoactive drug were identified.
RESULTS: Among the total of 429 subjects, there were 184 (42.9%) fallers and 245 (57.1%) non-fallers. Of those, 33.3% were on psychoactive drug treatment. The proportion of psychoactive drug users was higher in the fallers group compared to non-fallers (45.1% vs. 24.5%, p<0.001). Multivariable logistic regression analysis showed age ≥75 years (OR=1.83; CI: 1.09–3.09; p=0.023), female gender (OR=2.70; CI: 1.6–4.50; p<0.001), and psychoactive drug use (OR=2.14; CI: 1.32–3.48; p=0.002) as independent predictors of falls.
CONCLUSION: We found that about one-third of geriatric outpatients were on psychoactive drug treatment in Turkey that was independently associated with the risk of falls. |
first_indexed | 2024-04-10T12:33:45Z |
format | Article |
id | doaj.art-134baaad285f40acbec9b2c47f05711f |
institution | Directory Open Access Journal |
issn | 2148-4902 |
language | English |
last_indexed | 2024-04-10T12:33:45Z |
publishDate | 2020-05-01 |
publisher | KARE Publishing |
record_format | Article |
series | İstanbul Kuzey Klinikleri |
spelling | doaj.art-134baaad285f40acbec9b2c47f05711f2023-02-15T16:14:44ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022020-05-017326026610.14744/nci.2019.30316NCI-30316Psychoactive drug use and falls among community-dwelling Turkish older peopleMehmet Ilkin Naharci0Ekin Oktay Oguz1Fatih Celebi2Senay Ozgun Oguz3Osman Yilmaz4Ilker Tasci5Department of Geriatrics, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, TurkeyDepartment of Geriatrics, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, TurkeyDepartment of Geriatrics, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, TurkeyDepartment of Home Health Services, Gulhane Training and Research Hospital, Ankara, TurkeyDepartment of Geriatrics, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, TurkeyDepartment of Internal Medicine, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, TurkeyOBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in community-dwelling Turkish older people. METHODS: This single center study was performed using the medical records of subjects aged over 65 years admitted to the geriatric care unit. Demographic and lifestyle factors, clinical characteristics, medications, and data on mood, cognitive status, and functional performance were obtained from the comprehensive geriatric assessment records. Based on a fall history in the last 12 months, subjects were grouped as fallers and non-fallers. Subjects treated with a psychoactive drug were identified. RESULTS: Among the total of 429 subjects, there were 184 (42.9%) fallers and 245 (57.1%) non-fallers. Of those, 33.3% were on psychoactive drug treatment. The proportion of psychoactive drug users was higher in the fallers group compared to non-fallers (45.1% vs. 24.5%, p<0.001). Multivariable logistic regression analysis showed age ≥75 years (OR=1.83; CI: 1.09–3.09; p=0.023), female gender (OR=2.70; CI: 1.6–4.50; p<0.001), and psychoactive drug use (OR=2.14; CI: 1.32–3.48; p=0.002) as independent predictors of falls. CONCLUSION: We found that about one-third of geriatric outpatients were on psychoactive drug treatment in Turkey that was independently associated with the risk of falls.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-30316agedfalls; psychoactive drugs. |
spellingShingle | Mehmet Ilkin Naharci Ekin Oktay Oguz Fatih Celebi Senay Ozgun Oguz Osman Yilmaz Ilker Tasci Psychoactive drug use and falls among community-dwelling Turkish older people İstanbul Kuzey Klinikleri aged falls; psychoactive drugs. |
title | Psychoactive drug use and falls among community-dwelling Turkish older people |
title_full | Psychoactive drug use and falls among community-dwelling Turkish older people |
title_fullStr | Psychoactive drug use and falls among community-dwelling Turkish older people |
title_full_unstemmed | Psychoactive drug use and falls among community-dwelling Turkish older people |
title_short | Psychoactive drug use and falls among community-dwelling Turkish older people |
title_sort | psychoactive drug use and falls among community dwelling turkish older people |
topic | aged falls; psychoactive drugs. |
url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-30316 |
work_keys_str_mv | AT mehmetilkinnaharci psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople AT ekinoktayoguz psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople AT fatihcelebi psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople AT senayozgunoguz psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople AT osmanyilmaz psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople AT ilkertasci psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople |