ArticleEuropean journal of hospital pharmacy : science and practice2017
Deprescribing medicines in the acute setting to reduce the risk of falls.
Article in European journal of hospital pharmacy : science and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Potentially inappropriate prescribing and falls-risk increasing drugs in people who have experienced a fall: a systematic review and meta-analysis.Age and ageing · 2025Pooled it
- Deprescribing Medications Among Older Adults From End of Hospitalization Through Postacute Care: A Shed-MEDS Randomized Clinical Trial.JAMA internal medicine · 2023Trial
- Pharmacist-Led Interventions for Polypharmacy Management in Older Adults: A Systematic Review of Strategies and Outcomes in the United Kingdom and the Republic of Ireland.Pharmacy (Basel, Switzerland) · 2025Review
- Drug-related falls: proportion and impact of hospitalizations in geriatric departments on the prescription of fall-risk increasing drugs (FRIDs).European journal of clinical pharmacology · 2025Observational
- Individual Pharmacotherapy Management (IPM-II) for Patient and Drug Safety in Polypharmacy via Clinical Electronic Health Record Is Associated with Significant Fall Prevention.Pharmaceuticals (Basel, Switzerland) · 2024Article
- Prevalence of fall risk-increasing drugs in older adults presenting with falls to the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- How to Deprescribe Potentially Inappropriate Medications During the Hospital-to-Home Transition: Stakeholder Perspectives on Essential Tasks.Clinical therapeutics · 2023Article
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- Co-designing an intervention to improve the process of deprescribing for older people living with frailty in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Development and Pilot Testing of a Booklet Concerning Medications That Can Increase the Risk of Falls in Older People.International journal of environmental research and public health · 2022Article
- Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study.BMJ quality & safety · 2022Article
- Change in central nervous system-active medication use following fall-related injury in older adults.Journal of the American Geriatrics Society · 2022Article
- A Collaborative Deprescribing Intervention in a Subacute Medical Outpatient Clinic: A Pilot Randomized Controlled Trial.Metabolites · 2021Article
- Using pharmacy dispensing data to predict falls in older individuals.British journal of clinical pharmacology · 2021Article
- A multi-stakeholder approach to the co-production of the research agenda for medicines optimisation.BMC health services research · 2021Article
- Reviewing Potentially Inappropriate Medication in Hospitalized Patients Over 65 Using Explicit Criteria: A Systematic Literature Review.Drug, healthcare and patient safety · 2021Review
- Person-Centred Care Including Deprescribing for Older People.Pharmacy (Basel, Switzerland) · 2019Article
- A patient-centered deprescribing intervention for hospitalized older patients with polypharmacy: rationale and design of the Shed-MEDS randomized controlled trial.BMC health services research · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls are a common cause of morbidity and hospitalisation in older people. Inappropriate prescribing and polypharmacy contribute to falls risk in elderly patients. This study's aim was to quantify the problem and find out if medication review in the hospital setting led to deprescribing of medicines associated with falls risk.
methodsAdmissions records for elderly patients were examined to identify those whose presenting complaint included a fall. Inpatient medication charts, pharmaceutical care notes, medical notes and discharge summaries were examined to identify any falls-risk medicines from admission histories and to determine if any medication review took place, and whether or not changes were made as a result. In particular deprescribing and dose reduction details were analysed.
results100 patients over 70 years old were admitted following a fall during the 2 months study period. The mean number of medicines on admission was 6.8 per patient with polypharmacy found in 62/100 (62%). One or more falls-risk medicine was found in 65/100 (65%) patients. Medicines review was carried out in 86/100 (86%) of patients, and 59/697 (8.5%) medicines were deprescribed. Pharmacist involvement in medication review led to a significant reduction in the number of falls-risk medicines per patient (p=0.002).
conclusionsInappropriate prescribing and polypharmacy are found frequently in elderly patients at admission following a fall. Comprehensive medicines reviews should be carried out in all such patients with the objective of deprescribing or reducing doses to minimise risk of harm. Involvement of a pharmacist improves the rate of reduction of falls-risk medicines.
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