Insomnia, Benzodiazepine Use, and Falls among Residents in Long-term Care Facilities

Datos Bibliográficos

ID15465652
AutoresYu Jiang (0000-0001-8828-7832, Fudan University), Qinghua Xia (0000-0003-0024-8148, Shanghai Municipal Center For Disease Control Prevention), Jie Wang (0000-0003-3564-6808, Shanghai Municipal Center For Disease Control Prevention), Peng Zhou (0000-0002-2499-6805, Shanghai Municipal Center For Disease Control Prevention), Shuo Jiang (0009-0000-4149-6493, Shanghai Municipal Center For Disease Control Prevention), Vinod K Diwan (Karolinska Institutet), Vinod Diwan (0000-0002-5831-2037, Karolinska Institutet), Biao Xu (0000-0001-8695-7396, Karolinska Institutet, autor de correspondencia)
Año2019
Volumen16
Número23
Páginas4623-4623
Fecha de publicación2019-11-21
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16234623
PMID31766368
OpenAlexW2990110942
IdiomaEN
Citas recibidas2
Referencias citadas33

Background: Falls are leading cause of injury among older people, especially for those living in long-term care facilities (LTCFs). Very few studies have assessed the effect of sleep quality and hypnotics use on falls, especially in Chinese LTCFs. The study aimed to examine the association between sleep quality, hypnotics use, and falls in institutionalized older people. Methods: We recruited 605 residents from 25 LTCFs in central Shanghai and conducted a baseline survey for sleep quality and hypnotics use, as well as a one-year follow-up survey for falls and injurious falls. Logistic regression models were applied in univariate and multivariate analysis. Results: Among the 605 participants (70.41% women, mean age 84.33 ± 6.90 years), the one-year incidence of falls and injurious falls was 21.82% and 15.21%, respectively. Insomnia (19.83%) and hypnotics use (14.21%) were prevalent. After adjusting for potential confounders, we found that insomnia was significantly associated with an increased risk of falls (adjusted risk ratio (RR): 1.787, 95% CI, 1.106-2.877) and the use of benzodiazepines significantly increased the risk of injurious falls (RR: 3.128, 95% CI, 1.541-6.350). Conclusion: In elderly LTCF residents, both insomnia and benzodiazepine use are associated with an increased risk of falls and injuries. Adopting non-pharmacological approaches to improve sleep quality, taking safer hypnotics, or strengthening supervision on benzodiazepine users may be useful in fall prevention

Confounding · Environmental health · Incidence (geometry · Injury prevention · Insomnia · Logistic regression · Poison control · Psychiatry · Balance, Gait, and Falls Prevention · Medicine · Sleep and related disorders · Stroke Rehabilitation and Recovery · Gerontology · Internal Medicine