Anticholinergic burden measures, symptoms, and fall-associated risk in older adults with polypharmacy: development and validation of a prognostic model

Anticholinergic burden has been associated with adverse outcomes such as falls. To date, no gold standard measure has been identified to assess anticholinergic burden, and no conclusion has been drawn on which of the different measure algorithms best predicts falls in older patients from general pra...

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Main Authors: Dinh, Truc Sophia (Author) , Meid, Andreas (Author) , Rudolf, Henrik (Author) , Brückle, Maria-Sophie (Author) , González-González, Ana I. (Author) , Bencheva, Veronika (Author) , Gogolin, Matthias (Author) , Snell, Kym I. E. (Author) , Elders, Petra J. M. (Author) , Thürmann, Petra A. (Author) , Donner-Banzhoff, Norbert (Author) , Blom, Jeanet W. (Author) , Akker, Marjan van den (Author) , Gerlach, Ferdinand M. (Author) , Harder, Sebastian (Author) , Thiem, Ulrich (Author) , Glasziou, Paul (Author) , Haefeli, Walter E. (Author) , Muth, Christiane (Author)
Format: Article (Journal)
Language:English
Published: January 23, 2023
In: PLOS ONE
Year: 2023, Volume: 18, Issue: 1, Pages: 1-19
ISSN:1932-6203
DOI:10.1371/journal.pone.0280907
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1371/journal.pone.0280907
Verlag, kostenfrei, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0280907
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Author Notes:Truc Sophia Dinh, Andreas D. Meid, Henrik Rudolf, Maria-Sophie Brueckle, Ana I. González-González, Veronika Bencheva, Matthias Gogolin, Kym I. E. Snell, Petra J. M. Elders, Petra A. Thuermann, Norbert Donner-Banzhoff, Jeanet W. Blom, Marjan van den Akker, Ferdinand M. Gerlach, Sebastian Harder, Ulrich Thiem, Paul P. Glasziou, Walter E. Haefeli, Christiane Muth
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Summary:Anticholinergic burden has been associated with adverse outcomes such as falls. To date, no gold standard measure has been identified to assess anticholinergic burden, and no conclusion has been drawn on which of the different measure algorithms best predicts falls in older patients from general practice. This study compared the ability of five measures of anticholinergic burden to predict falls. To account for patients’ individual susceptibility to medications, the added predictive value of typical anticholinergic symptoms was further quantified in this context.
Item Description:Gesehen am 13.12.2023
Physical Description:Online Resource
ISSN:1932-6203
DOI:10.1371/journal.pone.0280907