scholarly journals Evaluation of Falls Risk in Community-Dwelling Older Adults Using Body-Worn Sensors

Gerontology ◽  
2012 ◽  
Vol 58 (5) ◽  
pp. 472-480 ◽  
Author(s):  
Barry R. Greene ◽  
Emer P. Doheny ◽  
Cathal Walsh ◽  
Clodagh Cunningham ◽  
Lisa Crosby ◽  
...  
2016 ◽  
Vol 23 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Zunaidah Abu Samah ◽  
Nor Azlin Mohd Nordin ◽  
Suzana Shahar ◽  
Devinder Kaur Ajit Singh

QJM ◽  
2009 ◽  
Vol 102 (9) ◽  
pp. 625-633 ◽  
Author(s):  
D. Scott ◽  
L. Blizzard ◽  
J. Fell ◽  
G. Jones

2018 ◽  
Vol 16 (Special Issue) ◽  
pp. 225
Author(s):  
Devinder Kaur Ajit Singh ◽  
Ee San Ng ◽  
Cheah Ping Ng ◽  
Najwatul Akmal Ab Rahman ◽  
Sheela Bai Pannir Selva

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Kenya Ie ◽  
Eric Chou ◽  
Richard D Boyce ◽  
Steven M Albert

Abstract Background and Objectives Medication exposure is a potential risk factor for falls and subsequent death and functional decline among older adults. However, controversy remains on the best way to assess medication exposure and which approach best predicts falls. The objective of the current study was to examine the association between different measures of medication exposure and falls risk among community-dwelling older adults. Research Design and Methods This retrospective cohort study was conducted using Falls Free PA program data and a linked prescription claims data from Pennsylvania’s Pharmaceutical Assistance Contract for the Elderly program. Participants were community-dwelling older adults living in Pennsylvania, United States. Three measures of medication exposure were assessed: (a) total number of regular medications (polypharmacy); (b) counts of potentially inappropriate medications derived from current prescription guidance tools (Fall Risk-Increasing Drugs [FRIDs], Beers Criteria); and (c) medication burden indices based on pharmacologic mechanisms (Anticholinergic Cognitive Burden, Drug Burden Index) all derived from claims data. The associations between the different medication risk measures and self-reported falls incidence were examined with univariate and multivariable negative binomial regression models to estimate incidence rate ratios (IRRs). Results Overall 343 older adults were included and there were 236 months with falls during 2,316 activity-adjusted person-months (10.2 falls per 100 activity-adjusted person-months). Of the 6 measures of medication risk assessed in multivariate models, only the use of 2 or more FRIDs (adjusted IRR 1.67 [95% CI: 1.04–2.68]) independently predicted falls risk. Among the 13 FRID drug classes, the only FRID class associated with an increased fall risk was antidepressants. Discussion and Implications The presence of multiple FRIDs in a prescription is an independent risk factor for falls, even in older adults with few medications. Further investigation is required to examine whether deprescribing focused on FRIDs effectively prevents falls among this population.


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