Drugs With Anticholinergic Potential and Risk of Falls With Hip Fracture in the Elderly Patients: A Case-Control Study

被引：22

作者：

Machado-Duque, Manuel E. ^{[1
]}

Pablo Castano-Montoya, Juan ^{[1
]}

Medina-Morales, Diego A. ^{[1
]}

Castro-Rodriguez, Alejandro ^{[1
]}

Gonzalez-Montoya, Alexandra ^{[1
]}

Machado-Alba, Jorge E. ^{[1
]}

机构：

[1] Univ Tecnol Pereira Audifarma SA, Grp Invest Farmacoepidemiol & Farmacovigilancia, Calle 105,14-140, Pereira, Risaralda, Colombia

来源：

JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY | 2018年 / 31卷 / 02期

关键词：

anticholinergic agents; falls; hip fractures; frail elderly; inappropriate prescribing; BONE-MINERAL DENSITY; PROTON PUMP INHIBITORS; OLDER-PEOPLE; CLINICAL-IMPLICATIONS; HOSPITALIZED-PATIENTS; NEGATIVE OUTCOMES; POPULATION; OSTEOPOROSIS; POLYPHARMACY; BURDEN;

D O I：

10.1177/0891988718757370

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background/Objective: To determine the association between the use of anticholinergic drugs and the risk of falls with hip fracture in a population older than 60 years. Methods: A case-control study in patients older than 60 years with a diagnosis of hip fracture. All drugs dispensed during the previous 30 days were identified. Sociodemographic, clinical, pharmacological (drugs according to the Anticholinergic Risk Scale [ARS]), and polypharmacy variables were analyzed. Measurements: Falls with hip fracture and type of drug according to the ARS. Results: A total of 300 patients with hip fracture and 600 controls were included. The mean age was 81.6 8.9 years, with female predominance (71.3%). The use of drugs with moderate (odds ratio [OR]: 1.97, 95% confidence interval [CI]: 1.19-3.27) or high ARS scores (OR: 1.83, 95% CI: 1.13-2.96) increased the probability of fracture. Conclusions: There was an association between the use of drugs with anticholinergic properties and the probability of hip fracture in elderly patients and it was possible to establish the level of risk.

引用

页码：63 / 69

页数：7

共 41 条

[11] Effect of Anticholinergic Medications on Falls, Fracture Risk, and Bone Mineral Density Over a 10-Year Period [J].