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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
LJ. Seppala, M. Petrovic, J. Ryg, G. Bahat, E. Topinkova, K. Szczerbińska, TJM. van der Cammen, S. Hartikainen, B. Ilhan, F. Landi, Y. Morrissey, A. Mair, M. Gutiérrez-Valencia, MH. Emmelot-Vonk, MÁC. Mora, M. Denkinger, P. Crome, SHD. Jackson,...
Language English Country Great Britain
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 1972
Open Access Digital Library
from 1996-01-01
Medline Complete (EBSCOhost)
from 1996-01-01 to 1 year ago
- MeSH
- Delphi Technique MeSH
- Pharmaceutical Preparations * MeSH
- Prescriptions MeSH
- Humans MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Accidental Falls * prevention & control MeSH
- Check Tag
- Humans MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
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.
Department of Clinical Gerontology King's College London England UK
Department of Internal Medicine and Paediatrics Ghent University Ghent Belgium
Faculty of Industrial Design Engineering Delft University of Technology Delft The Netherlands
Geriatria Accettazione Geriatrica e Centro di ricerca per l'invecchiamento IRCCS INRCA Ancona Italy
Health Care of Older People East Kent Hospitals University NHS Foundation Trust Canterbury Kent UK
Outpatient Geriatric Assessment Unit Henry Dunant Hospital Center Athens Greece
Research Department of Primary Care and Population Health University College London London UK
School of Pharmacy University of Eastern Finland Kuopio Finland
Servicio de Geriatría Hospital Universitario Ramón y Cajal Madrid Spain
Unit of Innovation and Organization Navarre Health Service Pamplona Spain
References provided by Crossref.org
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- $a Seppala, Lotta J $u Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
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