FALL IN ELDERLY PATIENTS, ASSOCIATED WITH THE USE OF MEDICINES: CLINICAL OBSERVATION


Cite item

Full Text

Abstract

The article presents an analysis of a clinical case of a female patient D., aged of 93 years, hospitalized in the cardiology department of the hospital with multimorbidity and polypragmasy, who had the fall episode due to the prescription of midazolam administered parenterally. The fall was accompanied by the development of trauma - bruising her forehead, followed by suppuration, which demanded surgery in a surgical department. In this clinical case, the fall was a predictor of adverse drug reactions associated with the prescription of the drug preparation.

About the authors

Ekaterina S. Ilina

Russian Medical Academy of the Continuous Professional Education

Email: katelina@mail.ru
Educator of the Department of Clinical Pharmacology and Therapy; Moscow, 125993, Russian Federation. Moscow, 125993, Russian Federation

D. A Sychev

Russian Medical Academy of the Continuous Professional Education

Moscow, 125993, Russian Federation

O. T Bogova

Russian Medical Academy of the Continuous Professional Education

Moscow, 125993, Russian Federation

References

  1. Лебедев А.А., Пузин С.Н., Потапов В.Н., Шургая М.А. От геронтологии к медицине антистарения. Мед.-соц. эксперт. и реабил. 2014; 17(2): 4-6.
  2. Сычев Д.А. Полипрагмазия в клинической практике: проблема и решения: Учебное пособие для врачей. СПб.: ЦОП «Профессия»; 2016.
  3. Bowie M.W., Slattum P.W. Pharmacodynamics in older adults: a review. Am. J. Geriatr. Pharmacother. 2007;5(3):263-303. doi: 10.1016/j.amjopharm.2007.10.001.
  4. Chen Y., Zhu L.L., Zhou Q. Effects of drug pharmacokinetic/pharmacodynamic properties, characteristics of medication use, and relevant pharmacological interventions on fall risk in elderly patients. Ther. Clin. Risk Manag. 2014; 10: 437-48.
  5. Dutta R. Falls in older people. Guidelines in Pract. 2014; 17(6): 52-9.
  6. http://grls.rosminzdrav.ru/GRLS.aspx.
  7. http://www.healtheconomics.ru/item/10710-shkala-naranzho-opredelenie-prichinno-sledstvennoj-svyazi-priema-ls-razvitiya-pobochnoj-reaktsii.
  8. O’Mahony D., O’Sullivan D., Byrne S., O’Connor M.N., Ryan C., Gallagher P. STOPP / START criteria for potentially inappropriate prescribing in older people: version 2. Age and Ageing. 2015; 44(2): 213-8.
  9. Darowski A., Dwight J., Reynolds J. Medicines and Falls in Hospital: Guidance Sheet, National Institute for Health and Clinical Excellence Guidelines. 2011.
  10. Milos M., Bondesson A., Magnusson M., Jakobsson U., Westerlund T., Midlöv P. Fall risk-increasing drugs and falls: a cross-sectional study among elderly patients in primary care. BMC Geriatr. 2014; 14(1): 40. doi: 10.1186/1471-2318-14-40.
  11. Landi F., Onder G., Cesari M., Barillaro C., Russo A., Bernabei R. Psychotropic medications and risk for falls among community-dwelling frail older people: an observational study. J. Gerontol. A: Biol. Sci. Med. Sci. 2005; 60(5): 622-6.
  12. WHO: Global Report in Falls Prevention in Older Age. 2007. [http://www.who.int/ageing/publications/Falls_prevention7March.pdf].
  13. http://www.who.int/mediacentre/news/releases/2017/medication-related-errors/ru/.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2017 Eco-Vector



Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).