Change Project
6
Annotated Bibliography
Amisadai Mederos
Denver College of Nursing
NUR445: Capstone
Dr. Sharon Bator
November 15, 2021
Annotated Bibliography
Recent opioid use and fall-related injury among older patients with trauma
Inclusion criteria refer to the prospective characteristics that subjects should have before they are included in a study while exclusion criteria are the characteristics that disqualify prospective subjects. The inclusion criteria that was used in the search included age, opioid use and fall-related injury. Age and type of medication were used as exclusion criteria. Terms such as opioid use and fall-related injury were used in the search and date range was set between 2016 and 2021. The search engines used for the search is Gale OneFile: Health and Medicine from LIRN: Online Library Resources. One of the research components that is valuable to the creditability of this article include the authors’ expertise in the area.
The article examines the association between opioid use and risk and clinical outcomes of fall-related injury in a large trauma population of older adults. It hypothesizes that fall related injuries mostly occur with recent opioid use that injuries that occur from other mechanisms. The study included patients aged between 65 years and older and found that recent opioid use is associated with increased risk of fall and death among older patients.
Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors
The main inclusion and exclusion criteria used in the search is age and key terms such as geriatric inpatients, delirium, and body mass index. The date range for the search was between 2016 and 2021. The search engines used for the search is Gale OneFile: Health and Medicine from LIRN: Online Library Resources.
The article covers an area of concern in healthcare by evaluating factors that are associated falls in geriatric inpatients after implementation of the fall prevention program. It establishes that inpatient geriatric falls are a frequent complication of hospital care that results in significant morbidity and mortality. The authors of the article are experts in geriatrics thus contributing to the creditability of the study.
The authors conduct an observational study on 778 consecutive patients aged 79 years and above and classifies them into low, moderate, and high fall risk groups. The study then finds that delirium history of falls, and advanced age seem to be the primary risk factors for geriatric falls in the context of a hospital fall prevention program and that patients with a high BMI are unlikely to experience geriatric falls.
Deprescribing in the Older Patient: A Narrative Review of Challenges and Solutions
The inclusion and exclusion criteria used in this search is age. The search also relied on key terms such as deprescribing, polypharmacy, geriatric and computerized clinical decision support. The date range for the search was between 2016 and 2021. The search engines used for the search is Gale OneFile: Health and Medicine from LIRN: Online Library Resources.
The article establishes that polypharmacy is a major challenge in healthcare for older people since it is associated with delirium, falls, cognitive impairments and hospitalization and thus covers an important area in healthcare. The fact that the authors rely on secondary data to build on their hypothesis indicates that the study is credible.
The authors show that deprescribing is an established management strategy to minimize polypharmacy and potentially inappropriate medications and that there is limited evidence for its efficacy especially on geriatric outcomes. The article therefore calls for more study in the area.
Association of benzodiazepine and Z-drug use with the risk of hospitalisation for fall-related injuries among older people: a nationwide nested case-control study in Taiwan
The inclusion and exclusion criteria used in this search include age, sex and index year. The search also focused on key words such as benzodiazepine, z-drugs, older people, fall, hospitalization. The date range was between 2016 and 2021, a factor that significantly contributed to the credibility of the study. The search engines used for the search is Gale OneFile: Health and Medicine from LIRN: Online Library Resources.
The study investigated the association of n benzodiazepines (BZDs) and Z-drug usage with the risk of hospitalization for fall-related injuries in older people. It idemtified 2238 elderly y patients who had been hospitalized for fall-related injuries between 2003 and 2012 and found that Older people hospitalisation for fall-related injuries were significantly associated with current use of BZDs. The article therefore sufficiently covers one of the main causes of falls among older people and establishes it as an important clinical problem.
References
Daoust, R., Paquet, J., Moore, L., Emond, M., Gosselin, S., Lavigne, G., Choiniere, M., Boulanger, A., Mac-Thiong, J. M., & Chauny, J.-M. (2018). Recent opioid use and fall-related injury among older patients with trauma. CMAJ: Canadian Medical Association Journal, 190(16), E500+. https://link.gale.com/apps/doc/A535816357/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=fe728eb5
Mazur, K., Wilczyhski, K., & Szewieczek, J. (2016). Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors. Clinical Interventions in Aging, 11, 1253+. https://link.gale.com/apps/doc/A503296118/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=4876a981
Wu, H., O'Donnell, L. K., Fujita, K., Masnoon, N., & Hilmer, S. N. (2021). Deprescribing in the Older Patient: A Narrative Review of Challenges and Solutions. International Journal of General Medicine, 14, 3793+. https://link.gale.com/apps/doc/A673020801/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=941ecb3a
Yu, N.-W., Chen, P.-J., Tsai, H.-J., Huang, C.-W., Chiu, Y.-W., Tsay, W.-I., Hsu, J., & Chang, C.-M. (2017). Association of benzodiazepine and Z-drug use with the risk of hospitalisation for fall-related injuries among older people: a nationwide nested case-control study in Taiwan. BMC Geriatrics, 17(1). https://link.gale.com/apps/doc/A511320776/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=446b7aa2