Influence of medications and diagnoses on fall risk in psychiatric inpatients

American Journal of Health-System Pharmacy

Volumn 67, Issue 15, 2010, Pages 1274-1280

  Lavsa, Stacey M ^a   Fabian, Tanya J ^a,b   Saul, Melissa I ^c   Corman, Shelby L ^a,d   Coley, Kim C ^d  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

^c Transportation Research Institute   (United States)

^d School of Pharmacy   (United States)

Author keywords

Accidental falls; Alzheimer disease; Anticonvulsants; Antidepressants; Antimanic agents; Antipsychotic agents; Anxiolytics, sedatives and hypnotics; Benzodiazepines; Dementia; Gastrointestinal drugs; Laxatives and cathartics; Lithium; Mental disorders; Patients; Sympatholytic agents; Toxicity

Indexed keywords

ANTIARRHYTHMIC AGENT; ANTICONVULSIVE AGENT; ANTIDIABETIC AGENT; ANTIHISTAMINIC AGENT; ANTIHYPERTENSIVE AGENT; ATYPICAL ANTIPSYCHOTIC AGENT; BENZODIAZEPIN 2 ONE DERIVATIVE; GASTROINTESTINAL AGENT; HISTAMINE H2 RECEPTOR ANTAGONIST; LAXATIVE; LITHIUM; MONOAMINE OXIDASE INHIBITOR; MUSCLE RELAXANT AGENT; NEUROLEPTIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; SELEGILINE; SEROTONIN UPTAKE INHIBITOR; URINARY TRACT AGENT; ANTIDEPRESSANT AGENT; CENTRAL NERVOUS SYSTEM AGENTS;

ADULT; AGED; ALZHEIMER DISEASE; ANXIETY; ARTICLE; BIPOLAR DISORDER; CONTROLLED STUDY; DELIRIUM; DEMENTIA; FALLING; FEMALE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MENTAL DISEASE; NEUROSIS; OBSESSIVE COMPULSIVE DISORDER; PERSONALITY DISORDER; PRIORITY JOURNAL; RISK ASSESSMENT; RISK FACTOR; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; ADOLESCENT; AGE; CASE CONTROL STUDY; MIDDLE AGED; RETROSPECTIVE STUDY; RISK; SEX DIFFERENCE; STATISTICS; TIME;

ACCIDENTAL FALLS; ADOLESCENT; ADULT; AGE FACTORS; AGED; ANTIDEPRESSIVE AGENTS; ANTIPSYCHOTIC AGENTS; CASE-CONTROL STUDIES; CENTRAL NERVOUS SYSTEM AGENTS; FEMALE; HUMANS; INPATIENTS; MALE; MENTAL DISORDERS; MIDDLE AGED; RETROSPECTIVE STUDIES; RISK; SEX FACTORS; TIME FACTORS; YOUNG ADULT;

EID: 78349261929     PISSN: 10792082     EISSN: 15352900     Source Type: Journal    
DOI: 10.2146/ajhp090611     Document Type: Article

References (33)

1. Lane AJ. Evaluation of the fall prevention program in an acute care setting. Orthop Nurs. 1999; 18:37-43.
2. Hitcho EB, Krauss MJ, Birge S et al. Characteristics of falls in a hospital setting. J Gen Intern Med. 2004; 19:732-9.
3. Peterson JF, Kuperman GJ, Shek C et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005; 165:802-7. (Pubitemid 40569435)
4. Poster EC, Pelletier LR, Kay K et al. A retrospective cohort study of falls in a psychiatric inpatient setting. Hosp Community Psychiatry. 1991; 42:714-20.
5. Halfon P, Eggli Y, Melle GV et al. Risk of falls for hospitalized patients: a predictive model based on routinely available data. J Clin Epidemiol. 2001; 1258-66. (Pubitemid 34002978)
6. Kerzman H, Chetrit A, Brin L et al. Characteristics of falls in hospitalized patients. J Adv Nurs. 2004; 47:223-9. (Pubitemid 38953613)
7. Fischer ID, Krauss MJ, Dunagan WC et al. Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infect Control Hosp Epidemiol. 2005; 26:822-7. (Pubitemid 41502515)
8. Ash KL, Macleod P, Clark L. A case study of falls in the hospital setting. J Gerontol Nurs. 1998; 24:7-15.
9. Bates DW, Pruess KP, Souney P et al. Serious falls in hospitalized patients: correlated and resource utilization. Am J Med. 1995; 99:137-43.
10. Vassallo M, Sharma JC, Allen SC. Characteristics of single fallers and recurrent fallers among hospital in-patients. Gerontology. 2002; 48:147-50. (Pubitemid 34310069)
11. Greene E, Cunningham CJ, Eustace A et al. Recurrent falls are associated with increased length of stay in elderly psychiatric inpatients. Int J Geriatr Psychiatry. 2001; 16:965-8.
12. Joint Commission. Fatal falls: lessons for the future. www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea-14.htm (accessed 2010 Mar 20).
13. Joint Commission. 2008 National Patient Safety Goals hospital program. www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/08-hap-npsgs. htm (accessed 2010 Mar 20).
14. De Carle AJ, Kohn R. Risk factors for falling in a psychogeriatric unit. Int J Geriatr Psychiatry. 2001; 16:762-7. (Pubitemid 32842419)
15. Spar JE, Rue AL, Hewes C et al. Multivariate prediction of falls in elderly inpatients. Int J Geriatr Psychiatry. 1987; 2:185-8.
16. Tsai YF, Witte N, Radunzel M et al. Falls in a psychiatric unit. Appl Nurs Res. 1998; 11:115-21. (Pubitemid 128654547)
17. Estrin I, Goetz R, Hellerstein DJ et al. Predicting falls among psychiatric inpatients: a case-control study at a state psychiatric facility. Psychiatr Serv. 2009; 60:1245-50.
18. Tinetti ME. Preventing falls in elderly persons. N Engl J Med. 2003; 348:42-9. (Pubitemid 36026346)
19. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988; 319:1701-7. (Pubitemid 19019577)
20. American Geriatrics Society, British Geriatrics Society, American Academy of Orthopedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. Am J Geriatr Soc. 2001; 49:664-72.
21. Krauss MJ, Evanoff B, Hitcho E. A case-control study of patient, medication, and care-related risk factors for inpatient falls. J Gen Intern Med. 2005; 20:116-22. (Pubitemid 40626988)
22. Cumming RG. Epidemiology of medication-related falls and fractures in the elderly. Drugs Aging. 1998; 12:43-53. (Pubitemid 28033679)
23. Tinetti ME, Speechley M. Prevention of falls among the elderly. N Engl J Med. 1989; 320:1055-9.
24. Bueno-Cavanillas A, Padilla-Ruiz F, Jiménez-Moleón JJ et al. Risk factors in falls among the elderly according to extrinsic and instrinsic precipitating causes. Eur J Epidemiol. 2000; 16:849-59. (Pubitemid 32222393)
25. Landi F, Onder G, Cesari M et al. Psychotropic medications and risk for falls among community-dwelling frail older people: an observational study. J Gerontol A Biol Sci Med Sci. 2005; 60:622-6. (Pubitemid 40847931)
26. Angalakuditi M, Coley JC, Levent K et al. A case-control study to assess the impact of anemia and other risk factors for in-hospital falls. J Patient Saf. 2007; 3:16-21.
27. Yount RJ, Vries JK, Councill CD. The Medical Archival System: an information retrieval system based on distributed parallel processing. Inf Proc Manag. 1991; 27:379-89.
28. Coley KC, DaPos SV, Saul MI et al. Outcomes assessment in routine practice: use of an electronic medical records database. Formulary. 1999; 34:52-7. (Pubitemid 29077041)
29. Caley LM, Pinchoff DM. A comparison study of patient falls in a psychiatric setting. Hosp Community Psychiatry. 1994; 45:823-5. (Pubitemid 24247264)
30. Gales BJ, Mendard SM. Relationship between the administration of selected medications and falls in hospitalized elderly patients. Ann Pharmacother. 1995; 29:354-8.
31. Wang PS, Bohn RL, Glynn RJ et al. Zolpidem use and hip fractures in older people. J Am Geriatr Soc. 2001; 49:1685-90. (Pubitemid 34007997)
32. Keene JJ Jr, Galasko GT, Land MF. Antidepressant use in psychiatry and medicine: importance for dental practice. J Am Dent Assoc. 2003; 134:71-9. (Pubitemid 38186299)
33. Cumming RG, Miller JP, Kelsey JL et al. Medication and multiple falls in elderly people: the St. Louis OASIS study. Age Ageing. 1991; 20:455-61.