Category: Federal Forum Posters
Purpose: More than one-third of community-dwelling adults over the age of 65 fall each year, with approximately 10 percent of those falls resulting in serious injury. The use of hold parameters with antihypertensive administration is a common method to reduce fall risk in the inpatient setting, however despite the commonality of this practice, there is no evidence to support their use. The objective of this study is to assess the practice of using hold parameters with antihypertensive medications and evaluate its effect on fall risk on the Community Living Center (CLC) at Veterans Affairs Connecticut Healthcare System (VACHS).
Methods: This study has already been accepted by the VACHS Review Board as a quality improvement project. A retrospective analysis will identify patients who have received antihypertensives during a 3-month period from May 1st to July 30th, 2018. The following data will be collected from the computerized patient record: patient sex, age, treating specialty, number of medication, hold parameters, given doses, held doses, number of blood pressure checks, as well as, hold parameters and patient outcomes related to orthostasis and falls. All data will be recorded without patient identifiers and maintain confidentially. The retrospective analysis will include patients with antihypertensive orders both with and without hold parameters while admitted to the CLC during the study period. Each patient’s care will be reviewed for falls and an assessment of hold parameter use’s effect on fall risk will be conducted to determine its utility in this setting.
Results: Not applicable
Conclusion: Not applicable
Nicholas Boemio– PGY1 Pharmacy Practice Resident, Veterans Affairs Connecticut Healthcare System, Hamden, CT