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Characterisation of institutionalised Portuguese older adult fallers: is there a place for pharmacist intervention? A preliminary study

2022-12-02Journal article Open access
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dc.contributor.authorRamos Ferreira, Carina
dc.contributor.authorFilipa, Mascarenhas-Melo
dc.contributor.authorRodrigues, Ana Rita
dc.contributor.authorJ. Reis Lima, M.
dc.contributor.authorPinheiro, Joao
dc.contributor.authorMargarida Correia Balula Chaves, Cláudia
dc.contributor.authorTeixeira-Lemos, Edite
dc.contributor.authorBell, Victoria
dc.date.accessioned2023-01-12T16:17:45Z
dc.date.available2023-01-12T16:17:45Z
dc.date.issued2022-12-02
dc.description.abstractBackground: Falls are a major public health issue, given their prevalence and social impact. Older adults living in long-term care facilities (LTCF) are at greater risk of injury resulting from a fall due to multiple factors, such as nutritional, functional/cognitive impairment, postural instability, polypharmacy, and the presence of potentially inappropriate medications (PIMs). Medication management in LTCF is complex and often sub-optimal and might be crucial for falls. Pharmacist intervention is important, since they have a unique knowledge of medication. However, studies mapping the impact of pharmaceutical activities in Portuguese LTC settings are scarce. Objective: This study aims to assess the characteristics of older adult fallers living in LTFCs and examine the relationship between falling and several factors in this population. We also intend to explore the prevalence of PIMs and their relationship with the occurrence of falls. Methods: The study was conducted in two long-term care facilities for elderly people, in the central region of Portugal. We included patients aged 65 and older with no reduced mobility or physical weakness and with the ability to understand spoken and written Portuguese. The following information was assessed: sociodemographic characteristics, comorbidities, polypharmacy, fear of falling, functional, nutritional and cognitive status. PIMs were evaluated according to the Beers criteria (2019). Results: A total of 69 institutionalised older adults, 45 women and 24 men, with a mean age of 83.14 ± 8.87 years were included. The prevalence of falls was 21.74% Out of these, 46.67% (n=7) fell once, 13.33% (n=2) fell twice, and 40% (n=6) fell 3 or more times. Fallers were mainly women, had lower levels of education, were well nourished, had moderate to severe levels of dependence, and displayed moderate cognitive impairment. All adult fallers had a fear of falling. The main comorbidities of this population were related to the cardiovascular system. Polypharmacy was present in every patient, and at least one PIM was identified in 88.41% of the subjects. Fear of falling (FOF) and cognitive impairment (in subjects with 1 to 11 years of education) showed statistically significant associations with the occurrence of falls (p=0.005 and p=0.05, respectively). No significant differences were found between fallers and non-fallers for any other factors. Conclusions: This present study is a preliminary contribution to characterise a group of older adult fallers living in Portuguese LTCFs and demonstrated that fear of falling and cognitive impairment are associated with the occurrence of falls in this population. The high prevalence of polypharmacy and PIMs emphasises the need for tailored interventions featuring the collaboration of a pharmacist to optimise medication management in this population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira CR, MASCARENHAS-MELO F, Rodrigues AR, Lima MJR, Pinheiro JP, CHAVES C, Teixeira-Lemos E, Bell V. Characterisation of institutionalised Portuguese older adult fallers: is there a place for pharmacist intervention? A preliminary study. Pharm Pract (Granada) [Internet]. 2022 Dec. 2 [cited 2023 Jan. 12];20(4):1-10. Available from: https://www.pharmacypractice.org/index.php/pp/article/view/2799pt_PT
dc.identifier.doi10.18549/PharmPract.2022.4.2717pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.19/7528
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectOlder adultspt_PT
dc.subjectFallspt_PT
dc.subjectPharmacistpt_PT
dc.subjectPharmacistpt_PT
dc.subjectPolypharmacypt_PT
dc.subjectPotentially inappropriate medications (PIMs)pt_PT
dc.subjectLong-term care facilitiespt_PT
dc.titleCharacterisation of institutionalised Portuguese older adult fallers: is there a place for pharmacist intervention? A preliminary studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage10pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage01pt_PT
oaire.citation.titlePharmacy Practicept_PT
oaire.citation.volume20pt_PT
person.familyNameRamos Ferreira
person.familyNameMascarenhas-Melo
person.familyNamePenado Rodrigues
person.familyNameCunha Silva Reis Lima
person.familyNamePascoa Pinheiro
person.familyNameMargarida Correia Balula Chaves
person.familyNameTeixeira-Lemos
person.familyNameBell
person.givenNameCarina
person.givenNameFilipa
person.givenNameAna Rita
person.givenNameMaria Joao
person.givenNameJoao
person.givenNameCláudia
person.givenNameEdite
person.givenNameVictoria
person.identifier1395515
person.identifier.ciencia-idED15-0293-ADC7
person.identifier.ciencia-id641F-E6EE-964C
person.identifier.ciencia-id1015-9028-5D39
person.identifier.ciencia-id6E1A-AEBD-2B99
person.identifier.ciencia-id7C19-6CEF-B511
person.identifier.ciencia-idF71E-A443-C8CB
person.identifier.orcid0000-0003-1078-5801
person.identifier.orcid0000-0003-0786-6280
person.identifier.orcid0000-0001-9459-4417
person.identifier.orcid0000-0003-0597-7892
person.identifier.orcid0000-0001-8666-1819
person.identifier.orcid0000-0002-8103-7221
person.identifier.orcid0000-0002-6346-8319
person.identifier.orcid0000-0002-3837-5372
person.identifier.ridS-2546-2017
person.identifier.scopus-author-id22836614300
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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