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Predictive Factors for Falls among Hospitalized Older Adults on Antihypertensive Medications in China

Year: 2025

Type: article

Abstract: Hypertension is highly prevalent among middle-aged and older adults in China, making them particularly vulnerable to falls due to complications such as orthostatic hypotension and dizziness. Since fall prevention is a key indicator of nursing care quality, this study examined predictive factors of fall risk among hospitalized older adults receiving antihypertensive medications. A retrospective quantitative design was applied using 255 cases (1:1 ratio of fall and non-fall patients) drawn from medical records and adverse event reports of three general hospitals in Hainan Province. Logistic regression was used to analyze associations with fall risk. Results showed that 49.80% of participants experienced falls during hospitalization. Significant predictors included advanced age (p < .001), low body mass index (p = .028), high-dose antihypertensive use (p < .001), polypharmacy with two or more antihypertensive classes (p < .001), and acute duration of antihypertensive therapy (p < .001). Based on these factors, a fall risk prediction model was developed to support rapid clinical identification of high-risk patients. The findings provide a theoretical and practical basis for targeted nursing interventions to reduce fall incidence in older adult inpatients on antihypertensive medications.

Source: International Journal of Basic and Applied Sciences

DOI: 10.14419/r2wqnf05

Authors: Yanqun Hu, Toni-an B. Lachica, Sheilla M. Trajera, Gregory S. Ching

Institutions: University of St. La Salle, Hainan General Hospital, National Chengchi University

Language: English

Topic: Balance, Gait, and Falls Prevention

Subfield: Physical Therapy, Sports Therapy and Rehabilitation

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415508108

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