Retrospective review of selective serotonin reuptake inhibitors and falling in older nursing home residents

被引:40
作者
Arfken, CL
Wilson, JG
Aronson, SM
机构
[1] Wayne State Univ, Sch Med, Ctr Healthcare Effectiveness Res, Dept Psychiat & Behav Neurosci, Detroit, MI 48201 USA
[2] Wayne State Univ, Sch Allied Hlth, Dept Pharm Practice, Detroit, MI 48201 USA
[3] Oakwood Healthcare Syst, Dearborn, MI USA
关键词
D O I
10.1017/S1041610201007487
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We compared the rate of falling in older nursing home residents who had been prescribed selective serotonin reuptake inhibitors (SSRIs), other classes of antidepressants, and no antidepressants. Data were obtained from pharmacy records, medical records, fall logs, and incidence reports for one nursing home (1995 data). Older adults on SSRIs were more Likely to fall than older adults not on antidepressants (p = .003) and were more Likely to have an injurious fall (p = .03). The association with falling remained significant even when including potential confounders (p = .007). Older nursing home residents should be treated for depression. However, SSRIs may also carry an increased risk for falling.
引用
收藏
页码:85 / 91
页数:7
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