Publication: Asociación entre fármacos que aumentan el riesgo de caídas y riesgo de caídas con daño en pacientes mayores tras fractura de cadera
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2019-12-18
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Universidad Complutense de Madrid
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Abstract
Las caídas en las personas mayores y sus consecuencias son importantes para los sistemas sanitarios y sociales debido al aumento de su incidencia por el envejecimiento poblacional y al consumo de recursos. Las personas con fractura de cadera tienen un riesgo mayor de caer de nuevo. Entre un 36 y un 56 % de los pacientes con fractura de cadera se caerán al menos una vez entre los 6 y 12 meses siguientes a la fractura. Las caídas ocurren como consecuencia de la interacción entre diversos factores de riesgo. Entre ellos, se encuentran los fármacos relacionados con el aumento del riesgo de caídas, conocidos como Fall Risk Increasing Drugs (FRIDS). Diversos estudios han evaluado la relación entre FRIDS y el riesgo de caídas en personas mayores. Sin embargo, se desconoce si esta asociación se mantiene en pacientes muy mayores y que han sufrido una fractura de cadera reciente, por ser una población con alto riesgo de caída. Sería necesario evaluar si el uso de FRIDS al alta hospitalaria en pacientes mayores con fractura de cadera está asociado a caídas con daño (aquellas que requieren atención médica)...
Falls in older people and their serious consequences are a major concern for health and social care systems exposed to an increasing aging rate and the care costs. People who have suffered a hip fracture are at higher risk of falling again. Between 36 and 56 % of patients with a hip fracture will fall at least once between 6 and 12 months after the index fracture. In general, falls happen as a result of the interaction between different risk factors. Among them, certain drugs are known to increase the risk of falls. These are named Fall Risk Increasing Drugs (FRIDS). Several studies have assessed the relationship between FRIDS and falls in older people. However, it is unknown whether this association is maintained in community-dwelling very old persons who have suffered a recent hip fracture, a special high-risk population.There is a need to assess if the use of FRIDS at hospital discharge in older patients who have already suffered a hip fracture is associated with injurious falls (falls that require medical care)...
Falls in older people and their serious consequences are a major concern for health and social care systems exposed to an increasing aging rate and the care costs. People who have suffered a hip fracture are at higher risk of falling again. Between 36 and 56 % of patients with a hip fracture will fall at least once between 6 and 12 months after the index fracture. In general, falls happen as a result of the interaction between different risk factors. Among them, certain drugs are known to increase the risk of falls. These are named Fall Risk Increasing Drugs (FRIDS). Several studies have assessed the relationship between FRIDS and falls in older people. However, it is unknown whether this association is maintained in community-dwelling very old persons who have suffered a recent hip fracture, a special high-risk population.There is a need to assess if the use of FRIDS at hospital discharge in older patients who have already suffered a hip fracture is associated with injurious falls (falls that require medical care)...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Farmacia, Departamento de Farmacología, leída el 10/10/2019