
@article{ref1,
title="Impact of a pharmacy-led fall prevention program for institutionalized older people",
journal="Senior care pharmacist, The",
year="2021",
author="Gross, Kylee and King, Ashley N. and Steadman, Elizabeth",
volume="36",
number="4",
pages="217-222",
abstract="OBJECTIVE: To evaluate the impact of pharmacy interventions on recurrence of falls in older people. <br><br>DESIGN: Prospective case-crossover study. SETTING: LECOM Health Nursing and Rehabilitation (LNR) and Senior Living Center (SLC) and Millcreek Community Hospital older adult behavioral health and inpatient rehabilitation units (IRU). PARTICIPANTS: Twenty and 15 residents of the SLC and LNR, respectively, and 5 and 2 patients of the older adult behavioral health unit and IRU, respectively, experienced a fall during the 8-week study period. INTERVENTIONS: Medication reviews were conducted by a pharmacist assessing for fall risk-increasing drugs (FRIDs). Adverse effects, drug interactions, and nonpharmacologic causes were evaluated, and recommendations were made to reduce future fall risk. MAIN OUTCOME MEASURES: Recommendation acceptance rate, FRID use, and incidence of recurrent falls. <br><br>RESULTS: Eighty percent of fall risk-reduction recommendations were accepted and implemented by the medical team. The mean number of potential FRIDs prescribed per participant was reduced from 3.71 to 3.38. There was a 12.4% reduction in recurrent falls after pharmacy intervention (P = 0.0336; odds ratio [95% confidence interval] = 1.783 [1.045-3.112]). <br><br>CONCLUSION: Pharmacist interventions for older people who experience a fall were associated with a high acceptance rate by health care providers, a reduction in FRID use, and decreased rate of recurrent falls.<p /> <p>Language: en</p>",
language="en",
issn="2639-9636",
doi="10.4140/TCP.n.2021.217",
url="http://dx.doi.org/10.4140/TCP.n.2021.217"
}