File Analysis of Falling Patients: Are Drugs Frequently Involved

Study Overview
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Brief Summary
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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.

Detailed Description
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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: Intrinsic: History of a fall, pathologies (Parkinson's or Alzheimer's disease), hearing and visual disturbances, urinary incontinence. 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.

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

Conditions
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Fall Patients

Intervention / Treatment
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* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Major patient French-speaking patient Patient hospitalized within the Paris Saint-Joseph Hospital Group Patient who fell during hospitalization and for whom a fall report has been completed Exclusion Criteria: Patients in the process of therapeutic limitation Patient under guardianship or curatorship Patient deprived of liberty Patient objecting to participation in the study Patient under legal protection

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients<br>From Monday to Friday, the study will be offered to patients selected consecutively and who have fallen within the previous 24 hours (between 7.55 a.m. the day before and 7.55 a.m. the next day). After delivery of the written information note to the patient, the investigating physician answers the patient's questions and accepts his non-objection. The patient should be given sufficient time to think things through to make the decision to participate in the study. Its non-opposition will be traced in the computerized medical file created on the day of its inclusion in the protocol. Each patient participating in the study retains the possibility of participating simultaneously in another research. No exclusion period is provided for in the protocol. | Other: No intervention<br>* Once the patient is included, a drug assessment is carried out as part of the treatment and then an compliance questionnaire is submitted to him.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess the prevalence of falls associated with one or more risk factors for drug iatrogenism within the Paris Saint-Joseph Hospital Group. | Percentage of falls involving one or more drugs at risk of falling | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| List the drug treatments at risk taken by patients who fall | To list the drug treatments taken by the patients who fall: carrying out the patient's drug assessment | 1 week | 
| Evaluate the relevance of drug prescriptions in patients who fall | Average number of inappropriate medication prescriptions per patient | 1 week | 
| Evaluate the overall compliance of falling patients | Average compliance score in patients who fall | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Drugs