File Analysis of Falling Patients: Are Drugs Frequently Involved — ADOPAC  

Fall Patients Clinical Trial

Official title: File Analysis of Falling Patients: Are Drugs Frequently Involved

Status Completed

Clinical Trial Summary

The damage caused by patient falls is a major public health problem, due to the large and growing number of people concerned, the potentially serious consequences but also the financial cost generated by their care.

These consequences can be physical as well as psychological. Fractures and pain are the first consequences that come to mind, but many others should be mentioned: post-fall syndrome, loss of autonomy or even entering an institution, fear of falling, loss of confidence in itself.

Clinical Trial Description

During 2018, 285 reports of falls were counted within the Paris Saint-Joseph Hospital Group (GhPSJ). Reducing these falls is one of the institutional goals. A dedicated working group has been created to put in place preventive and corrective measures.

These falls can be caused by many factors to the patient:

1. Intrinsic:

• History of a fall,

• pathologies (Parkinson's or Alzheimer's disease),

• hearing and visual disturbances,

• urinary incontinence.

2. extrinsic:

• Unsuitable shoes

• unsuitable habitat,

• slippery floors (eg bathroom).

Among the intrinsic factors, polypharmacy is also found. It has been established that certain drug classes are at risk of falling, in particular psychotropic drugs (benzodiazepines, hypnotics, anxiolytics, antidepressants, neuroleptics) which promote sedation and dizziness, hypoglycemic drugs which cause hypoglycaemia in diabetic patients on -treated or antihypertensive drugs causing hypotension.

It is now clearly established that drug adherence to treatment is poor in cities, giving rise to omissions but also sometimes to overconsumption of certain drugs, including psychotropic drugs. ;

Related Conditions & MeSH terms

• Fall Patients

• NCT number: NCT04787146
• Study type: Observational
• Source: Groupe Hospitalier Paris Saint Joseph
• Status: Completed
• Start date: April 18, 2019
• Completion date: February 28, 2021