STOPPFall (Screening Tool of Older Persons Prescriptions in older adults with high fall risk): a Delphi study by the EuGMS Task and Finish Group on Fall-Risk-Increasing Drugs.
Background Healthcare professionals are often reluctant to deprescribe fall-risk-increasing drugs (FRIDs). Lack of knowledge and skills form a significant barrier and furthermore, there is no consensus on which medications are considered as FRIDs despite several systematic reviews. To support clinic...
| Publicado en: | Age & Ageing Vol. 50; no. 4; pp. 1189 - 1200 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=151354033&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 151354033 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2021 vid: 50 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 151354033 10.1093/ageing/afaa249 ppf: 1189 ppct: 11 formats: tig: atl: STOPPFall (Screening Tool of Older Persons Prescriptions in older adults with high fall risk): a Delphi study by the EuGMS Task and Finish Group on Fall-Risk-Increasing Drugs. aug: au: Seppala, Lotta J Petrovic, Mirko Ryg, Jesper Bahat, Gulistan Topinkova, Eva Szczerbińska, Katarzyna Cammen, Tischa J M van der Hartikainen, Sirpa Ilhan, Birkan Landi, Francesco Morrissey, Yvonne Mair, Alpana Gutiérrez-Valencia, Marta Emmelot-Vonk, Marielle H Mora, María Ángeles Caballero Denkinger, Michael Crome, Peter Jackson, Stephen H D Correa-Pérez, Andrea Knol, Wilma affil: Department of Internal Medicine , Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands Department of Internal Medicine and Paediatrics (section of Geriatrics) , Ghent University, Ghent, Belgium Department of Geriatric Medicine , Odense University Hospital, Odense, Denmark and Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark Istanbul Medical School , Department of Internal Medicine, Division of Geriatrics, Istanbul University, Capa, Istanbul, Turkey Department of Geriatrics and Gerontology , 1st Faculty of Medicine, Charles University, Prague, Czech Republic and Faculty of Health and Social Sciences, South Bohemian University, Česke Budějovice, Czech Republic Laboratory for Research on Aging Society , Department of Sociology of Medicine, Epidemiology and Preventive Medicine Chair, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland Faculty of Industrial Design Engineering , Delft University of Technology, Delft, The Netherlands School of Pharmacy , University of Eastern Finland, Kuopio, Finland Division of Geriatrics , Department of Internal Medicine, Şişli Hamidiye Etfal Training and Research Hospital, University of Medical Sciences, Istanbul, Turkey Department of Gerontology , Neuroscience and Orthopedics, Catholic University of the Sacred Heart, Rome, Italy Health Care of Older People , East Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, UK Effective Prescribing and Therapeutics , Health and Social Care Directorate, Scottish Government, Edinburgh, Scotland, UK Unit of Innovation and Organization , Navarre Health Service, Pamplona, Spain Department of Geriatrics , University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands Servicio de Geriatría , Hospital General Universitario de Ciudad Real and CIBER de Fragilidad y Envejecimiento Saludable, Spain Agaplesion Bethesda Clinic , Geriatric Research Unit Ulm University and Geriatric Centre Ulm, Ulm, Germany Research Department of Primary Care and Population Health , University College London, London, UK Department of Clinical Gerontology , King's College, London, England, UK Servicio de Geriatría , Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain Department of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons , University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands su: Europe Consensus (Social sciences) Professions Psychiatric drugs Medical screening Drugs Old age Accidental falls Drug prescribing Physician practice patterns Delphi method sug: subj: Consensus (Social sciences) Professions Psychiatric drugs Medical screening Drugs Old age Europe Drugs and Druggists' Sundries Merchant Wholesalers Pharmaceutical and medicine manufacturing Pharmaceuticals and pharmacy supplies merchant wholesalers All Other Miscellaneous Ambulatory Health Care Services Professional Organizations Accidental falls Drug prescribing Physician practice patterns Delphi method keyword: accidental falls adverse effects aged deprescribing fall-risk-increasing drugs older people accidental falls adverse effects aged deprescribing fall-risk-increasing drugs older people ab: Background Healthcare professionals are often reluctant to deprescribe fall-risk-increasing drugs (FRIDs). Lack of knowledge and skills form a significant barrier and furthermore, there is no consensus on which medications are considered as FRIDs despite several systematic reviews. To support clinicians in the management of FRIDs and to facilitate the deprescribing process, STOPPFall (Screening Tool of Older Persons Prescriptions in older adults with high fall risk) and a deprescribing tool were developed by a European expert group. Methods STOPPFall was created by two facilitators based on evidence from recent meta-analyses and national fall prevention guidelines in Europe. Twenty-four panellists chose their level of agreement on a Likert scale with the items in the STOPPFall in three Delphi panel rounds. A threshold of 70% was selected for consensus a priori. The panellists were asked whether some agents are more fall-risk-increasing than others within the same pharmacological class. In an additional questionnaire, panellists were asked in which cases deprescribing of FRIDs should be considered and how it should be performed. Results The panellists agreed on 14 medication classes to be included in the STOPPFall. They were mostly psychotropic medications. The panellists indicated 18 differences between pharmacological subclasses with regard to fall-risk-increasing properties. Practical deprescribing guidance was developed for STOPPFall medication classes. Conclusion STOPPFall was created using an expert Delphi consensus process and combined with a practical deprescribing tool designed to optimise medication review. The effectiveness of these tools in falls prevention should be further evaluated in intervention studies. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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