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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Main Authors: Mehmet Ilkin Naharci, Ekin Oktay Oguz, Fatih Celebi, Senay Ozgun Oguz, Osman Yilmaz, Ilker Tasci
Format: Article
Language:English
Published: KARE Publishing 2020-05-01
Series:İstanbul Kuzey Klinikleri
Subjects:
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.
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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
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AT senayozgunoguz psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople
AT osmanyilmaz psychoactivedruguseandfallsamongcommunitydwellingturkisholderpeople
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