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Acta Biomedica Scientia

Volume 6, Issue 3, 2019
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
MANAGEMENT OF DIZZINESS IN OLDER PATIENTS BY GENERAL PRACTITIONERS: INSIGHTS ON FALL RISK INCREASING DRUG USAGE
Author
Dr Vasu Rusum
Email
keyword
Dizziness, Older adults, General practitioners, Fall Risk Increasing Drugs (FRIDs), Management
Abstract
Dizziness poses a significant challenge for general practitioners (GPs), particularly when managing older patients, where data on effective management strategies are lacking. Additionally, it remains unclear whether GPs actively address the use of Fall Risk Increasing Drugs (FRIDs) in the management of dizziness among older patients. This study aimed to investigate the management of dizziness by GPs in older patients and their approach to FRID usage.Over a 12-month period, electronic medical records of 5624 older patients aged 65 or above experiencing dizziness were analyzed. Patients were identified using codes from the International Classification of Primary Care. The study categorized GPs' usual care strategies into wait-and-see approaches, education and advice provision, additional testing, medication adjustment, and referral. Results revealed that additional testing was conducted in 27.8% of cases, with 21.0% of patients referred for further evaluation. Notably, at least 88.2% of patients were prescribed FRIDs. However, only 12.7% of patients had their FRID prescriptions adjusted by GPs during the observation period. The study highlights the diverse approaches employed by GPs in managing dizziness among older adults, with a notably high referral rate observed. Despite the prevalent use of FRIDs among these patients, there were limited evaluations and adjustments made by GPs. Addressing FRID usage through adjustments may hold potential in reducing dizziness and associated impairments among older patients
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