Riesgo de caídas y consumo de fármacos en los pacientes mayores de 65 años. Estudio PYCAF

  1. M. Turégano Yedro 1
  2. A. Núñez Villén 2
  3. J.C. Romero Vigara 3
  4. S. Cinza Sanjurjo 4
  5. S. Velilla Zancada 5
  6. A. Segura-Fragoso 6
  7. J.M. Ignacio Expósito 7
  8. J. Benítez Rivero 7
  9. M.B. Esteban Rojas 8
  10. J.L. Llisterri Caro 2
  1. 1 Centro de Salud de Valdefuentes, Valdefuentes, Cáceres, España
  2. 2 Centro de Salud Ingeniero Joaquín Benlloch, Valencia, España
  3. 3 Centro de Salud de Talarrubias, Talarrubias, Badajoz, España
  4. 4 Centro de Salud de Porto do Son. EOXI Santiago de Compostela, Porto do Son, La Coruña, España
  5. 5 Centro de Salud Nájera, Logroño, La Rioja, España
  6. 6 Instituto de Ciencias de la Salud de Castilla-La Mancha. Talavera de la Reina, Toledo, España
  7. 7 Centro de Salud La Laguna, Cádiz, España
  8. 8 Centro de Salud Zona Centro, Badajoz, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2019

Issue: 8

Pages: 528-534

Type: Article

DOI: 10.1016/J.SEMERG.2019.05.009 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Sustainable development goals

Abstract

Objective To evaluate the risk of falls and its relationship with the multiple drug use in the non-institutionalised elderly. Materials and methods The PYCAF study (Prevalence and Characteristics of the Fragile Elderly) is a cross-sectional, descriptive and multicentre study in patients> 65 years of age. A fall was considered high risk when it took more than 20 seconds to perform the Timed Up and Go test. Consuming between 5 and 9 drugs is considered multiple drug (MD) use, and extreme multiple drug (EMD) use the consumption of 10 or more drugs. Adjusted logistic regression models evaluated the association between multiple drug use and EMD and the risk of falls. Results A total of 2,461 patients (57.9% women), with a mean age (SD) 76.0 (± 7.0) years, were included in the study. The mean consumption of medications was 6.6 ± 3.7, range 0-23. Multiple drug use was present in 50.6%, and EMD in 19.2% of patients. A high risk of falls was observed in 13.7% of patients. The prevalence of high risk of falls was more than 2 times higher in patients with EMD (ORa = 2.07, 95% CI = 1.27 - 3.38) and MD (ORa = 1.95, 95% CI = 1.26 - 2.99). Conclusions MD and EMD are associated with a high risk of falls in patients over 65 years of age. The risk of falls in elderly patients should be assessed before prescribing medication.

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Data source: Dialnet