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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(4)

Relationship between use of sleep medication and accidental falls during hospitalization

https://doi.org/10.18999/nagjms.83.4.851
https://doi.org/10.18999/nagjms.83.4.851
78a57627-85dd-4241-9193-37022459a6c1
名前 / ファイル ライセンス アクション
17_Kobayashi.pdf 17_Kobayashi.pdf (515 KB)
Item type itemtype_ver1(1)
公開日 2021-12-03
タイトル
タイトル Relationship between use of sleep medication and accidental falls during hospitalization
言語 en
著者 Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

en Kobayashi, Kazuyoshi

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Ando, Kei

× Ando, Kei

en Ando, Kei

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Nakashima, Hiroaki

× Nakashima, Hiroaki

en Nakashima, Hiroaki

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Suzuki, Yusuke

× Suzuki, Yusuke

en Suzuki, Yusuke

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Nagao, Yoshimasa

× Nagao, Yoshimasa

en Nagao, Yoshimasa

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Imagama, Shiro

× Imagama, Shiro

en Imagama, Shiro

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
言語 en
主題Scheme Other
主題 sleep medication
キーワード
言語 en
主題Scheme Other
主題 fall
キーワード
言語 en
主題Scheme Other
主題 elderly patients
キーワード
言語 en
主題Scheme Other
主題 hospitalization
キーワード
言語 en
主題Scheme Other
主題 risk management
内容記述
内容記述 Falls are common in elderly patients, and prevention of fall is important for safety and for reduction of health care costs. Sleep medications are among many potential causes of fall. In this study, we examined relationship of sleep medication with fall from January 2017 to December 2017. 726 falls occurred in 442 patients, and the average age at the time of fall was 60.7 ± 23.8 years. Fall was most common in patients with neurological disease, followed by gastroenterological, ophthalmological, respiratory, and orthopedic conditions. Sleep medication was used in 223 falls (31%). Fall occurred at all times of day, but with a different distribution in patients with and without use of sleep medication. Thus, the rate of falls from 22:00 to 6:00 was significantly higher in patients using sleep medication (62% vs. 18%, p<0.01). There was also a significantly higher rate of multiple falls in patient using sleep medication (p<0.01). Zolpidem (25%, n=63), a non-benzodiazepine, was the most frequently used sleep medication, followed by brotizolam (16%, n=41) and etizolam (13%, n=32), which are both benzodiazepines. Multiple falls from 22:00 to 6:00 occurred significantly more frequently in patients using ≥2 types of sleep medications compared to one (53% vs. 17%, p<0.01). Taking multiple sleeping pills makes it easier to fall, and even drugs with a short half-life, which are considered to be safe, can cause falls at night in elderly patients. The results of this study show that careful selection of sleep medications is required to prevent fall in elderly patients.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.4.851
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/834.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 4, p. 851-860, 発行日 2021-11
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