Buchumschlag

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

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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Seppala, Lotta Johanna (VerfasserIn) , Petrovic, Mirko (VerfasserIn) , Ryg, Jesper (VerfasserIn) , Bahat, Gulistan (VerfasserIn) , Topinkova, Eva (VerfasserIn) , Szczerbińska, Katarzyna (VerfasserIn) , van der Cammen, Tischa J M (VerfasserIn) , Hartikainen, Sirpa (VerfasserIn) , Ilhan, Birkan (VerfasserIn) , Landi, Francesco (VerfasserIn) , Morrissey, Yvonne (VerfasserIn) , Mair, Alpana (VerfasserIn) , Gutiérrez-Valencia, Marta (VerfasserIn) , Emmelot-Vonk, Marielle H (VerfasserIn) , Mora, María Ángeles Caballero (VerfasserIn) , Denkinger, Michael (VerfasserIn) , Crome, Peter (VerfasserIn) , Jackson, Stephen H D (VerfasserIn) , Correa-Pérez, Andrea (VerfasserIn) , Knol, Wilma (VerfasserIn) , Soulis, George (VerfasserIn) , Gudmundsson, Adalsteinn (VerfasserIn) , Ziere, Gijsbertus (VerfasserIn) , Wehling, Martin (VerfasserIn) , O’Mahony, Denis (VerfasserIn) , Cherubini, Antonio (VerfasserIn) , van der Velde, Nathalie (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 2021
In: Age & ageing
Year: 2021, Jahrgang: 50, Heft: 4, Pages: 1189-1199
ISSN:1468-2834
DOI:10.1093/ageing/afaa249
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/ageing/afaa249
Volltext
Verfasserangaben:Lotta J. Seppala, Mirko Petrovic, Jesper Ryg, Gulistan Bahat, Eva Topinkova, Katarzyna Szczerbińska, Tischa J.M. van der Cammen, Sirpa Hartikainen, Birkan Ilhan, Francesco Landi, Yvonne Morrissey, Alpana Mair, Marta Gutiérrez-Valencia, Marielle H. Emmelot-Vonk, María Ángeles Caballero Mora, Michael Denkinger, Peter Crome, Stephen H.D. Jackson, Andrea Correa-Pérez, Wilma Knol, George Soulis, Adalsteinn Gudmundsson, Gijsbertus Ziere, Martin Wehling, Denis O’Mahony, Antonio Cherubini, Nathalie van der Velde
Beschreibung
Zusammenfassung: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.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.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.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.
Beschreibung:Published: 22 December 2020
Gesehen am 31.05.2022
Beschreibung:Online Resource
ISSN:1468-2834
DOI:10.1093/ageing/afaa249

Ähnliche Einträge