logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Fulltext. Case-control study of exposure to medication and the risk of injurious falls requiring hospitalization among nursing home residents.

    Article - En anglais

    Fulltext.

    The association between injurious falls requiring hospitalization and selected classes of medications was examined in a case-control study of nursing home residents.

    Information for this study was obtained exclusively from four computerized administrative databases.

    Over the period from April 1987 to March 1992, a total of 1,560 first injurious falls occurred to 14,744 residents of Manitoba, Canada, nursing homes who were eligible for inclusion in the study.

    An injurious fall was defined as an injury consequent to a fall that resulted in admission to the hospital for treatment.

    Medication use was ascertained from prescription information contained in computerized dispensing records from community pharmacies.

    Three series of single controls were pair-matched to each case, implementing increasing stringent matching on age, sex, level of dependency, duration of residence, and the presence of up to five chronic disorders.

    Estimates of relative odds obtained from the most stringently matched case-control series identified two medication classes in which a prescription dispensed in the previous 30 days was associated with an elevated risk of injurious fall : antipsychotic agents (odds ratio=1.31,95 percent confidence interval 1.06-1.61) and anxiolytics/sedatives/hypnotics (odds ratio=1.35,95 percent confidence interval 1.09-1.68).

    An unexpected protective effect was associated with the use inotropic agents (odds ratio=0.69,95 percent confidence interval 0.54-0.89). (...)

    Mots-clés Pascal : Accident, Chute, Traumatisme, Hospitalisation, Vieillard, Homme, Etablissement troisième âge, Consommation, Médicament, Psychotrope, Facteur risque, Epidémiologie, Manitoba, Canada, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Accident, Fall, Trauma, Hospitalization, Elderly, Human, Homes for the aged, Consumption, Drug, Psychotropic, Risk factor, Epidemiology, Manitoba, Canada, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0281847

    Code Inist : 002B16H. Création : 15/07/1997.