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Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study

Suguna A, Surekha A, Jayaramachandran S.

Abstract
Background: Hypertension is one of the most common medical conditions in the elderly, and antihypertensive medications used to treat hypertension are among the most widely prescribed drugs for this age group. There are raised concerns about the risk of falls associated with antihypertensive medications in older adults.

Objectives: The objectives of this study are as follows: (1) To assess the risk of falls associated with antihypertensive medications among the elderly in urban areas of Puducherry and (2) to assess the postural blood pressure changes among the elderly in urban areas of Puducherry.

Materials and Methods: We conducted a case–control study in the Urban Health Training Center in the field practice area of our college, Puducherry, between January and June 2017. Based on purposive sampling, cases and controls were selected for the study. After obtaining written informed consent, a pre-designed and a pre-tested semi-structured questionnaire was administered.

Results: Among our cases, we found an increased risk of falls with current prescribing of calcium channel blockers (adjusted odds ratio 1.11; 95% confidence interval 0.83–1.47) while we found a reduced risk for prescribing of other drugs. There was no significant association of falls with orthostatic hypotension.

Conclusion: Falls/orthostatic hypotension is not routinely looked for in primary care practices. There should be regular screening for orthostatic hypotension and falls among the elderly on antihypertensive so as to avoid the risk of falls.

Key words: Falls and Antihypertensive; Elderly; India


 
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How to Cite this Article
Pubmed Style

A S, A S, S J. Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. Int J Med Sci Public Health. 2017; 6(12): 1722-1726. doi:10.5455/ijmsph.2017.1029101112017


Web Style

A S, A S, S J. Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. http://www.ijmsph.com/?mno=281676 [Access: December 18, 2017]. doi:10.5455/ijmsph.2017.1029101112017


AMA (American Medical Association) Style

A S, A S, S J. Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. Int J Med Sci Public Health. 2017; 6(12): 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



Vancouver/ICMJE Style

A S, A S, S J. Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. Int J Med Sci Public Health. (2017), [cited December 18, 2017]; 6(12): 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



Harvard Style

A, S., A, S. & S, J. (2017) Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. Int J Med Sci Public Health, 6 (12), 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



Turabian Style

A, Suguna, Surekha A, and Jayaramachandran S. 2017. Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. International Journal of Medical Science and Public Health , 6 (12), 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



Chicago Style

A, Suguna, Surekha A, and Jayaramachandran S. "Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study." International Journal of Medical Science and Public Health 6 (2017), 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



MLA (The Modern Language Association) Style

A, Suguna, Surekha A, and Jayaramachandran S. "Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study." International Journal of Medical Science and Public Health 6.12 (2017), 1722-1726. Print. doi:10.5455/ijmsph.2017.1029101112017



APA (American Psychological Association) Style

A, S., A, S. & S, J. (2017) Effect of antihypertensives on falls among the elderly in urban areas of Puducherry: A case–control study. International Journal of Medical Science and Public Health , 6 (12), 1722-1726. doi:10.5455/ijmsph.2017.1029101112017



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Retraction notice [Dec 03, 2016]
Retraction notice [Mar 02, 2015]
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