Insomnia and Hypnotic Use, Recorded in the Minimum Data Set, as Predictors of Falls and Hip Fractures in Michigan Nursing Homes
dc.contributor.author | Avidan, Alon Y. | en_US |
dc.contributor.author | Fries, Brant E. | en_US |
dc.contributor.author | James, Mary L. | en_US |
dc.contributor.author | Szafara, Kristina L. | en_US |
dc.contributor.author | Wright, Glenn T. | en_US |
dc.contributor.author | Chervin, Ronald D. | en_US |
dc.date.accessioned | 2010-04-01T15:45:45Z | |
dc.date.available | 2010-04-01T15:45:45Z | |
dc.date.issued | 2005-06 | en_US |
dc.identifier.citation | Avidan, Alon Y.; Fries, Brant E.; James, Mary L.; Szafara, Kristina L.; Wright, Glenn T.; Chervin, Ronald D. (2005). "Insomnia and Hypnotic Use, Recorded in the Minimum Data Set, as Predictors of Falls and Hip Fractures in Michigan Nursing Homes." Journal of the American Geriatrics Society 53(6): 955-962. <http://hdl.handle.net/2027.42/66254> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/66254 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15935017&dopt=citation | en_US |
dc.description.abstract | To examine the relationship between insomnia, hypnotic use, falls, and hip fractures in older people. Design : Secondary analysis of a large, longitudinal, assessment database. Setting : Four hundred thirty-seven nursing homes in Michigan. Participants : Residents aged 65 and older in 2001 with a baseline Minimum Data Set assessment and a follow-up 150 to 210 days later. Measurements : Logistic regression modeled any follow-up report of fall or hip fracture. Predictors were baseline reports of insomnia (previous month) and use of hypnotics (previous week). Potential confounds taken into account included standard measures of functional status, cognitive status, intensity of resource utilization, proximity to death, illness burden, number of medications, emergency room visits, nursing home new admission, age, and sex. Results : In 34,163 nursing home residents (76% women, mean age±standard deviation 84±8), hypnotic use did not predict falls (adjusted odds ratio (AOR)=1.13, 95% confidence interval (CI)=0.98, 1.30). In contrast, insomnia did predict future falls (AOR=1.52, 95% CI=1.38, 1.66). Untreated insomnia (AOR=1.55, 95% CI=1.41, 1.71) and hypnotic-treated (unresponsive) insomnia (AOR=1.32, 95% CI=1.02, 1.70) predicted more falls than did the absence of insomnia. After adjustment for confounding variables, insomnia and hypnotic use were not associated with subsequent hip fracture. Conclusion : In elderly nursing home residents, insomnia, but not hypnotic use, is associated with a greater risk of subsequent falls. Future studies will need to confirm these findings and determine whether appropriate hypnotic use can protect against future falls. | en_US |
dc.format.extent | 164907 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Science Inc | en_US |
dc.rights | © 2005 by the American Geriatrics Society | en_US |
dc.subject.other | Insomnia | en_US |
dc.subject.other | Accidental Falls | en_US |
dc.subject.other | Hip Fractures | en_US |
dc.subject.other | Aged | en_US |
dc.subject.other | Nursing Homes | en_US |
dc.subject.other | Minimum Data Set | en_US |
dc.subject.other | InterRAI | en_US |
dc.title | Insomnia and Hypnotic Use, Recorded in the Minimum Data Set, as Predictors of Falls and Hip Fractures in Michigan Nursing Homes | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Public Health, University of Michigan, Ann Arbor, Michigan ; and | en_US |
dc.contributor.affiliationum | Geriatric Research, Education and Clinical Center, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan. | en_US |
dc.contributor.affiliationother | Sleep Disorders Center, Department of Neurology , | en_US |
dc.contributor.affiliationother | Institute of Gerontology , and | en_US |
dc.identifier.pmid | 15935017 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/66254/1/j.1532-5415.2005.53304.x.pdf | |
dc.identifier.doi | 10.1111/j.1532-5415.2005.53304.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
dc.identifier.citedreference | Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults : A 1-year prospective study. Arch Phys Med Rehab 2001 ; 82 : 1050 – 1056. | en_US |
dc.identifier.citedreference | Murphy SL. Deaths: Final data for 1998. Natl Vital Stat Rep 2000 ; 48 : 1 – 105. | en_US |
dc.identifier.citedreference | Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall-related injuries in older adults. Am J Public Health 1992 ; 82 : 1020 – 1023. | en_US |
dc.identifier.citedreference | 4. National Center for Injury Prevention and Control. Falls and Hip Fractures Among Older Adults [on-line]. Available at http://www.cdc.gov/ncipc/factsheets/falls.htm Accessed December 3, 2004. | en_US |
dc.identifier.citedreference | Koski K, Luukinen H, Laippala P et al. Physiological factors and medications as predictors of injurious falls by elderly people : A prospective population-based study. Age Ageing 1996 ; 25 : 29 – 38. | en_US |
dc.identifier.citedreference | Mustard CA, Mayer T. Case-control study of exposure to medication and the risk of injurious falls requiring hospitalization among nursing home residents. Am J Epidemiol 1997 ; 145 : 738 – 745. | en_US |
dc.identifier.citedreference | Neutel CI, Perry S, Maxwell C. Medication use and risk of falls. Pharmacoepidemiol Drug Safety 2002 ; 11 : 97 – 104. | en_US |
dc.identifier.citedreference | Stenbacka M, Jansson B, Leifman A et al. Association between use of sedatives or hypnotics, alcohol consumption, or other risk factors and a single injurious fall or multiple injurious falls : A longitudinal general population study. Alcohol 2002 ; 28 : 9 – 16. | en_US |
dc.identifier.citedreference | Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988 ; 319 : 1701 – 1707. | en_US |
dc.identifier.citedreference | Ray WA. Psychotropic drugs and injuries among the elderly : A review. J Clin Psychopharmacol 1992 ; 12 : 386 – 396. | en_US |
dc.identifier.citedreference | Cummings SR, Rubin SM, Black D. The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen. Clin Orthop 1990 ; Mar : 163 – 166. | en_US |
dc.identifier.citedreference | Ford GA, Hoffman BB, Blaschke TF. Effect of temazepam on blood pressure regulation in healthy elderly subjects. Br J Clin Pharmacol 1990 ; 29 : 61 – 67. | en_US |
dc.identifier.citedreference | O'Loughlin JL, Robitaille Y, Boivin JF et al. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 1993 ; 137 : 342 – 354. | en_US |
dc.identifier.citedreference | Pierfitte C, Macouillard G, Thicoipe M et al. Benzodiazepines and hip fractures in elderly people. A case-control study. BMJ 2001 ; 322 : 704 – 708. | en_US |
dc.identifier.citedreference | Trewin VF, Lawrence CJ, Veitch GB. An investigation of the association of benzodiazepines and other hypnotics with the incidence of falls in the elderly. J Clin Pharmacy Therap 1992 ; 17 : 129 – 133. | en_US |
dc.identifier.citedreference | Kryger M, Monjan A, Bliwise D et al. Sleep, health, and aging : Bridging the gap between science and clinical practice. Geriatrics 2004 ; 59 : 24 – 26. | en_US |
dc.identifier.citedreference | Brassington GS, King AC, Bliwise DL. Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64 to 99 years. J Am Geriatr Soc 2000 ; 48 : 1234 – 1240. | en_US |
dc.identifier.citedreference | Morris J, Nonemaker S, Murphy K et al. A commitment to change. Revision of HCFA's RAI. J Am Geriatr Soc 1997 ; 45 : 1011 – 1016. | en_US |
dc.identifier.citedreference | Hawes C, Morris J, Phillips CD et al. Reliability estimates for the Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS). Gerontologist 1995 ; 35 : 172 – 178. | en_US |
dc.identifier.citedreference | Morris JN, Hawes C, Fries BE et al. Designing the national resident assessment instrument for nursing homes. Gerontologist 1990 ; 30 : 293 – 307. | en_US |
dc.identifier.citedreference | Sgadari A, Morris J, Fries BE et al. Efforts to establish the reliability of the Resident Assessment Instrument. Age Ageing 1997 ; 27 : 30. | en_US |
dc.identifier.citedreference | Hawes C, Morris JN, Phillips CD et al. Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist 1995 ; 35 : 172 – 178. | en_US |
dc.identifier.citedreference | Mor V, Angelelli J, Jones R et al. Inter-rater reliability of nursing home quality indicators in the US. BMC Health Serv Res 2003 ; 3 : 20. | en_US |
dc.identifier.citedreference | Morris J, Fries BE, Mehr DR et al. MDS Cognitive Performance Scale. J Gerontol 1994 ; 49 : M174 – M182. | en_US |
dc.identifier.citedreference | Folstein MF, Folstein SE, McHugh PR. ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975 ; 12 : 189 – 198. | en_US |
dc.identifier.citedreference | Albert M, Cohen C. The Test for Severe Impairment. An instrument for the assessment of patients with severe cognitive dysfunction. J Am Geriatr Soc 1992 ; 40 : 449 – 453. | en_US |
dc.identifier.citedreference | Fries BE, Hawes C, Morris J et al. Effect of the national Resident Assessment Instrument on selected health conditions and problems. J Am Geriatr Soc 1997 ; 45 : 994 – 1001. | en_US |
dc.identifier.citedreference | Hawes C, Morris J, Phillips CD et al. Development of the nursing home Resident Assessment Instrument in the USA. Age Ageing 1997 ; 26 : 19 – 25. | en_US |
dc.identifier.citedreference | Mor V, Intrator O, Fries BE et al. Changes in hospitalization associated with introducing the Resident Assessment Instrument. J Am Geriatr Soc 1997 ; 45 : 1002 – 1010. | en_US |
dc.identifier.citedreference | Phillips CD, Morris J, Hawes C et al. Association of the Resident Assessment Instrument (RAI) with changes in function, cognition, and psychosocial status. J Am Geriatr Soc 1997 ; 45 : 986 – 993. | en_US |
dc.identifier.citedreference | Hawes C, Phillips CD, Mor V et al. MDS data should be used for research. Gerontologist 1992 ; 2 : 563 – 564. | en_US |
dc.identifier.citedreference | Morris JN, Murphy K, Nonemaker S. Long Term Care Resident Assessment Instrument User's Manual for Version 2.0. Springfield, VA : U.S. Department of Health and Human Services, Health Care Financing Administration, 1999. | en_US |
dc.identifier.citedreference | Morris JN, Fries BE, Morris SA. Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci 1999 ; 54A : M546 – M553. | en_US |
dc.identifier.citedreference | Fries BE, Schneider DP, Foley WJ et al. Refining a case-mix measure for nursing homes : Resource utilization groups (RUG-III). Med Care 1994 ; 32 : 668 – 685. | en_US |
dc.identifier.citedreference | Hirdes JP, Frijters D, Teare GF. The MDS-CHESS Scale. A new measure to predict mortality in the institutionalized elderly. J Am Geriatr Soc 2003 ; 51 : 96 – 100. | en_US |
dc.identifier.citedreference | Ancoli-Israel S. Insomnia in the elderly. A review for the primary care practitioner. Sleep 2000 ; 23 ( Suppl 1 ) : S23 – S30. | en_US |
dc.identifier.citedreference | Jewett ME, Dijk DJ, Kronauer RE et al. Dose-response relationship between sleep duration and human psychomotor vigilance and subjective alertness. Sleep 1999 ; 22 : 171 – 179. | en_US |
dc.identifier.citedreference | Belenky G, Wesensten NJ, Thorne DR et al. Patterns of performance degradation and restoration during sleep restriction and subsequent recovery : A sleep dose-response study. J Sleep Res 2003 ; 12 : 1 – 12. | en_US |
dc.identifier.citedreference | Dean JC, Kuo AD, Alexander NB. Age-related changes in maximal hip strength and movement speed. J Gerontol A Biol Sci Med Sci 2004 ; 59A : M286 – M292. | en_US |
dc.identifier.citedreference | Chau N, Gauchard GC, Siegfried C et al. Relationships of job, age, and life conditions with the causes and severity of occupational injuries in construction workers. Int Arch Occup Environ Health 2003 ; 77 : 60 – 66. | en_US |
dc.identifier.citedreference | Goldberg R, Shah SJ, Halstead J et al. Sleep problems in emergency department patients with injuries. Acad Emerg Med 1999 ; 6 : 1134 – 1140. | en_US |
dc.identifier.citedreference | Powell NB, Riley RW, Schechtman KB et al. A comparative model : Reaction time performance in sleep-disordered breathing versus alcohol-impaired controls. Laryngoscope 1999 ; 109 : 1648 – 1654. | en_US |
dc.identifier.citedreference | Gillespie LD, Gillespie WJ, Robertson MC et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 2001 ; 3 : CD000340. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.