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EuGMS Task and Finish group on Fall-Risk-Increasing Drugs (FRIDs): Position on Knowledge Dissemination, Management,

L J Seppala¹, N van der Velde², T Masud³

¹Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands.

|February 12, 2019

Summary

Falls in older adults are a significant public health issue, often linked to medications. This paper addresses the knowledge gap on fall-risk-increasing drugs (FRIDs) and outlines prevention strategies.

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Area of Science:

Geriatric Medicine
Pharmacology
Public Health

Background:

Falls represent a major public health concern among the elderly.
Specific medication classes are identified as significant risk factors for falls in older populations.
There is a notable lack of knowledge among healthcare professionals, older adults, and caregivers regarding medication's role in fall risk.

Purpose of the Study:

To outline the European Geriatric Medicine Society's position on disseminating knowledge about medication-related falls in older Europeans.
To address the knowledge gap concerning fall-risk-increasing drugs (FRIDs).
To propose strategies for primary prevention and identify research gaps.

Main Methods:

Position statement development by the EuGMS Task and Finish group on FRIDs.
Collaboration with EuGMS Special Interest group on Pharmacology and UEMS Geriatric Medicine Section.
Outline of educational material development for healthcare professionals and older individuals.

Main Results:

The paper highlights the need for improved knowledge dissemination on FRIDs.
It proposes primary prevention strategies including judicious prescribing and deprescribing (withdrawal and dose reduction) of FRIDs.
Identifies current gaps in research related to medication-induced falls.

Conclusions:

Addressing the knowledge deficit regarding FRIDs is crucial for reducing falls in the older population.
Educational initiatives and strategic interventions like deprescribing are essential for fall prevention.
Further research is needed to fully understand and mitigate medication-related fall risks.