Tranquilliser use as a risk factor for falls in hospital patients

This source preferred by Stephen Allen

Authors: Vassallo, M., Vignaraja, R., Sharma, J.C., Briggs, R.S.J. and Allen, S.C.

http://www3.interscience.wiley.com/journal/118555924/abstract

Journal: International Journal of Clinical Practice

Volume: 60

Pages: 549-552

ISSN: 1368-5031

DOI: 10.1111/j.1368-5031.2006.00813.x

This study looked at associations of tranquilliser use and falls risk in a hospital population of confused and nonconfused patients. In a prospective observational study in a rehabilitation hospital for elderly patients, we followed 1025 consecutive patients. The number of fallers, recurrent fallers and total falls was recorded. Confused patients (p < 0.0001) and patients on tranquillisers (p = 0.001) were significantly more likely to fall than nonconfused patients and patients off tranquillisers. Confused patients on tranquillisers were significantly more likely to have recurrent falls (p = 0.026) when compared with confused patients off tranquillisers. The risk was apparent from admission, persisting throughout the first 30 days of stay. This was not noted for nonconfused patients. We identified a stratification of risk for falls with nonsignificant trends for confused and nonconfused patients on tranquillisers to be fallers and to have more falls compared with patients off tranquillisers. These data are associational and do not necessarily imply causality. There is however no evidence to recommend the routine withdrawal of tranquillisers from all patients. Any future research needs to include confused patients.

J. 1 , R. Briggs 2 , S. Allen 3

This data was imported from PubMed:

Authors: Vassallo, M., Vignaraja, R., Sharma, J., Briggs, R. and Allen, S.

Journal: Int J Clin Pract

Volume: 60

Issue: 5

Pages: 549-552

ISSN: 1368-5031

DOI: 10.1111/j.1368-5031.2006.00813.x

This study looked at associations of tranquilliser use and falls risk in a hospital population of confused and nonconfused patients. In a prospective observational study in a rehabilitation hospital for elderly patients, we followed 1025 consecutive patients. The number of fallers, recurrent fallers and total falls was recorded. Confused patients (p < 0.0001) and patients on tranquillisers (p = 0.001) were significantly more likely to fall than nonconfused patients and patients off tranquillisers. Confused patients on tranquillisers were significantly more likely to have recurrent falls (p = 0.026) when compared with confused patients off tranquillisers. The risk was apparent from admission, persisting throughout the first 30 days of stay. This was not noted for nonconfused patients. We identified a stratification of risk for falls with nonsignificant trends for confused and nonconfused patients on tranquillisers to be fallers and to have more falls compared with patients off tranquillisers. These data are associational and do not necessarily imply causality. There is however no evidence to recommend the routine withdrawal of tranquillisers from all patients. Any future research needs to include confused patients.

This data was imported from Scopus:

Authors: Vassallo, M., Vignaraja, R., Sharma, J., Briggs, R. and Allen, S.

Journal: International Journal of Clinical Practice

Volume: 60

Issue: 5

Pages: 549-552

eISSN: 1742-1241

ISSN: 1368-5031

DOI: 10.1111/j.1368-5031.2006.00813.x

This study looked at associations of tranquilliser use and falls risk in a hospital population of confused and nonconfused patients. In a prospective observational study in a rehabilitation hospital for elderly patients, we followed 1025 consecutive patients. The number of fallers, recurrent fallers and total falls was recorded. Confused patients (p < 0.0001) and patients on tranquillisers (p = 0.001) were significantly more likely to fall than nonconfused patients and patients off tranquillisers. Confused patients on tranquillisers were significantly more likely to have recurrent falls (p = 0.026) when compared with confused patients off tranquillisers. The risk was apparent from admission, persisting throughout the first 30 days of stay. This was not noted for nonconfused patients. We identified a stratification of risk for falls with nonsignificant trends for confused and nonconfused patients on tranquillisers to be fallers and to have more falls compared with patients off tranquillisers. These data are associational and do not necessarily imply causality. There is however no evidence to recommend the routine withdrawal of tranquillisers from all patients. Any future research needs to include confused patients. © Blackwell Publishing Ltd, 2006.

This data was imported from Web of Science (Lite):

Authors: Vassallo, M., Vignaraja, R., Sharma, J., Briggs, R. and Allen, S.

Journal: INTERNATIONAL JOURNAL OF CLINICAL PRACTICE

Volume: 60

Issue: 5

Pages: 549-552

ISSN: 1368-5031

DOI: 10.1111/j.1368-5031.2005.00813.x

This data was imported from Europe PubMed Central:

Authors: Vassallo, M., Vignaraja, R., Sharma, J., Briggs, R. and Allen, S.

Journal: International journal of clinical practice

Volume: 60

Issue: 5

Pages: 549-552

eISSN: 1742-1241

ISSN: 1368-5031

This study looked at associations of tranquilliser use and falls risk in a hospital population of confused and nonconfused patients. In a prospective observational study in a rehabilitation hospital for elderly patients, we followed 1025 consecutive patients. The number of fallers, recurrent fallers and total falls was recorded. Confused patients (p < 0.0001) and patients on tranquillisers (p = 0.001) were significantly more likely to fall than nonconfused patients and patients off tranquillisers. Confused patients on tranquillisers were significantly more likely to have recurrent falls (p = 0.026) when compared with confused patients off tranquillisers. The risk was apparent from admission, persisting throughout the first 30 days of stay. This was not noted for nonconfused patients. We identified a stratification of risk for falls with nonsignificant trends for confused and nonconfused patients on tranquillisers to be fallers and to have more falls compared with patients off tranquillisers. These data are associational and do not necessarily imply causality. There is however no evidence to recommend the routine withdrawal of tranquillisers from all patients. Any future research needs to include confused patients.

The data on this page was last updated at 04:53 on April 22, 2019.