E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Suguna A
Articles by Surekha A
Articles by Jayaramachandran S
on Google
on Google Scholar
Article Statistics
 Viewed: 838
Downloaded: 267
Cited: 0

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: October 21, 2018]. 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 October 21, 2018]; 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





Most Viewed Articles
  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Elevated levels of serum uric acid, creatinine or urea in preeclamptic women
    Magna Manjareeka, Sitikantha Nanda
    Int J Med Sci Public Health. 2013; 2(1): 43-47
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.43-47

  • Maternal and fetal outcome in oligohydramnios- Study of 100 cases
    Krishna Jagatia, Nisha Singh, Sachin Patel
    Int J Med Sci Public Health. 2013; 2(3): 724-727
    » Abstract & References » doi: 10.5455/ijmsph.2013.070520132

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Prevalence and pattern of substance abuse among school childern in nothern India: A rapid assesment study
    Syed Shuja Qadri, RKD Goel, Jagjeet Singh, Surendra Kumar Ahluwalia, Rambha Pathak, Humaira Bashir
    Int J Med Sci Public Health. 2013; 2(2): 273-282
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.271-280

  • Most Downloaded
  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Gunthers with haemolytic anaemia extremly rare: A case report
    Nilesh Kumar, Ankur Varshney, Arvind Anand, Dibyaranjan Behera, Ravi Anand, Ashutosh Tiwari
    Int J Med Sci Public Health. 2013; 2(2): 472-474
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.313-315

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Study of psychological stress among undergraduate medical students of government medical college, Surat.
    Priti Solanky, Binita Desai, Abhay Kavishwar, S. L. Kantharia
    Int J Med Sci Public Health. 2012; 1(2): 38-42
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.38-42

  • Recent update on osteoporosis
    Vijender Agrawal, Dharmendra Gupta
    Int J Med Sci Public Health. 2013; 2(2): 164-168
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.162-166

  • Most Cited Articles
  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6
    Cited : 23 times [Click to see citing articles]

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11
    Cited : 13 times [Click to see citing articles]

  • Clinico-microbiological profile of women with vaginal discharge in a tertiary care hospital of northern India
    Varsha Chaudhary, Ved Prakesh, Kian Agarwal, Vijender Kumar Agrawal, Arun Singh, Sachin Pandey
    Int J Med Sci Public Health. 2012; 1(2): 75-80
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.75-80
    Cited : 6 times [Click to see citing articles]

  • Correlation between obesity and cardio respiratory fitness
    Prabha Setty, BV Padmanabha, BR Doddamani
    Int J Med Sci Public Health. 2013; 2(2): 300-304
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.298-302
    Cited : 6 times [Click to see citing articles]

  • Migration and health-care access: Barriers to access government health services by migrant tribal community living in an eastern Indian city
    Suchismita Mishra, Yadlapalli S Kusuma, Bontha V Babu
    Int J Med Sci Public Health. 2015; 4(1): 101-108
    » Abstract & References » doi: 10.5455/ijmsph.2015.0110201424
    Cited : 6 times [Click to see citing articles]

  • Non albicans Candida species: its isolation pattern, species distribution, virulence factors and antifungal susceptibility profile
    Sachin Chandrakant Deorukhkar, Santosh Saini
    Int J Med Sci Public Health. 2013; 2(3): 533-538
    » Abstract & References » doi: 10.5455/ijmsph.2013.080320131
    Cited : 6 times [Click to see citing articles]

  • Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions
    Divija Pillai, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, Velavan Anandan
    Int J Med Sci Public Health. 2015; 4(7): 957-960
    » Abstract & References » doi: 10.5455/ijmsph.2015.30012015196
    Cited : 6 times [Click to see citing articles]

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42
    Cited : 5 times [Click to see citing articles]

  • The surgical approach in huge scrotal lymphedema
    Hiren Dahyabhai Parmar
    Int J Med Sci Public Health. 2013; 2(1): 153-155
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.153-155
    Cited : 5 times [Click to see citing articles]

  • Sugammadex associate persistant bradycardia
    Murat Bilgi, Abdullah Demirhan, Akcan Akkaya, Umit Yasar Tekelioglu, Hasan Kocoglu
    Int J Med Sci Public Health. 2014; 3(3): 372-374
    » Abstract & References » doi: 10.5455/ijmsph.2013.251220131
    Cited : 5 times [Click to see citing articles]