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

Seppälä, Lotta J.; Velde, N. van der; Masud, Tahir; Blain, Hubert; Petrovic, Mirko; Cammen, Tischa Jm van der; Szczerbińska, Katarzyna; Hartikainen, Sirpa; Kenny, Rose Anne; Ryg, Jesper; Eklund, Patrik; Topinková, Eva; Mair, Alpana; Laflamme, Lucie; Thaler, H; Bahat, Gülistan; Gutiérrez-Valencia, M.; Mora, María Ángeles Caballero; Landi, Francesco; Emmelot-Vonk, Mariëlle H.; Cherubini, Antonio; Baeyens, Jean-Pierre; Correa-Pérez, Andrea; Guðmundsson, Adalsteinn; Marengoni, Alessandra; O’Mahony, Denis; Parekh, Nikesh; Pisa, Federica Edith; Rajkumar, Chakravarthi; Wehling, Martin; Ziere, Gijsbertus

doi:10.1007/s41999-019-00162-8

Cited by 22 publications

(21 citation statements)

References 48 publications

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“…Previous studies have reported cardiovascular and psychotropic medicines as the most common medications in the FRIDs [13][14][15][16][17][18][19]. Although more than threequarters of the pharmacists in our study knew antihypertensives could cause a fall and orthostatic hypotension, however most could not specifically relate other drugs such as antipsychotics, anticholinergics and antidiabetics as risk factors for fall and orthostatic hypotension.…”

Section: Discussionmentioning

confidence: 58%

“…The main instrument used for data collection was a structured questionnaire developed by the investigators following extensive review of relevant studies [5,8,13], as well as employing previous experience. The questionnaire consisted of four sections.…”

Section: Data Collection Instrumentmentioning

confidence: 99%

“…Moreover, several physicians perceive the uncertainty about the implications of discontinuing FRIDs and ODs as challenging [12]. Subsequently, inadequate knowledge and skills in FRIDs and ODs withdrawal and unwillingness to withdraw implies preventable injurious events and other adverse outcomes related to falls remain [13]. Cardiovascular and psychotropic medicines are the most commonly reported medications in the fall-risk-increasing drugs [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, inadequate knowledge and skills in FRIDs and ODs withdrawal and unwillingness to withdraw implies preventable injurious events and other adverse outcomes related to falls remain [13]. Cardiovascular and psychotropic medicines are the most commonly reported medications in the fall-risk-increasing drugs [13][14][15][16][17][18][19]. Fall prevention involves a multidisciplinary approach of healthcare professionals such as pharmacists, physicians, physiotherapists, occupational therapists and nutritionists [14].…”

Section: Introductionmentioning

confidence: 99%

“…Thus, all health professionals involved in the management of patients at risk of falling should develop and maintain the basic skills and competence in fall assessment and prevention. This might have informed the increasing consideration being paid to fallrisk-increasing drugs (FRIDs) and medications that can cause orthostatic (ODs) [13]. However, criteria defining the appropriate or inappropriate use of both FRIDs and ODs in Nigeria are not readily available, while pharmacist's role in fall prevention programmes are not obvious.…”

Section: Introductionmentioning

confidence: 99%

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Pharmacists’ knowledge and counselling on fall risk increasing drugs in a tertiary teaching hospital in Nigeria

Akande‐Sholabi

Ogundipe

Adisa

2020

BMC Health Serv Res

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Background: Falls and fall-related injuries are a foremost health concern among older adults aged 60 years and above. Fall-risk-increasing drugs (FRIDs) use by older adults is one related cause of falling, and it is frequently used among older adults. Pharmacist-led counselling is an aspect of patient education that has been associated with improved therapeutic outcome and quality of life in high income countries with scarcity of information in lowmiddle income countries. This study therefore aims to assess hospital pharmacists' knowledge and counselling on fall-related medications using the list compiled by the Swedish National Board of Health and Welfare on FRIDs and orthostatic drugs (ODs). Methods: A cross-sectional survey was carried out among 56 pharmacists working in a teaching hospital in Nigeria, between July and August 2019, using a self-administered questionnaire. Data were summarized with descriptive statistics while chi-square test was used for categorical variables at p < 0.05. Results: Thirty-five (62.5%) were within 10 years of practice experience. Two-third (62.5%) of the pharmacists possessed an additional qualification to Bachelor of Pharmacy degree. Twenty-two (40.0%) were aware of the FRIDs and ODs list. In all, (89.3%) had "unsatisfactory" knowledge of classes of medications and specific medicines that could cause a fall. Most pharmacists 42 (80.8%) focused counsel on appropriate medication use, adverse effects of drugs and storage of medications. Knowledge score of both FRIDs and ODs were neither significantly associated with pharmacists' years of qualification (χ 2 = 1.282; p = 0.733), (χ 2 = 2.311; p = 0.510) nor with possession of additional qualification (χ 2 = 0.854; p = 0.836), (χ 2 = 2.996; p = 0.392). Majority, 53 (98.1%) believed that patients will benefit from effective counselling on FRIDs and ODs. About half (25; 51.0%) suggested training through seminar presentation as a measure for FRIDs and ODs sensitization. Conclusion: A substantial gap in knowledge and awareness of FRIDs and ODs was noted among the hospital pharmacists. However, engagement of pharmacists on counsel that focus on medication use, adverse effect and storage was relatively better. Thus, there is a general need to create awareness about fall-risk-increasing drugs among hospital pharmacists, so as to help improve the therapeutic outcome particularly in the older adults.

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Section: Discussionmentioning

confidence: 58%

Section: Data Collection Instrumentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pharmacists’ knowledge and counselling on fall risk increasing drugs in a tertiary teaching hospital in Nigeria

Akande‐Sholabi

Ogundipe

Adisa

2020

BMC Health Serv Res

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Medication management of antipsychotic treatment in schizophrenia—A narrative review

Isohanni

Jääskeläinen

Miller

et al. 2020

Human Psychopharmacology

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Background/Objective: The risk-benefit ratio of antipsychotics in schizophrenia depends primarily on their effect on brain chemistry. An important factor influencing the efficacy of prescribed drugs is medication management, which can be defined as an ongoing process to manage and monitor the recommended use of antipsychotics to facilitate their cost-effective, adherent, and acceptable use. Materials: We reviewed narratively relevant literature that examined the medication management of antipsychotics in schizophrenia based on a search of PubMed, Scopus, Web of Science, PsycARTICLES, and Cochrane in May 2020. We also included controlled interventional studies with a follow-up period of at least 2 years. Result: Based on the previous literature, there is no unified approach for optimal medication management, but multiple useful strategies are presented for individual patients, prescribers, and organizations. Conclusions: Systematic medication management may improve the risk-benefit balance of antipsychotics by achieving the lowest effective dose, minimizing adverse effects, and improving adherence. There is a need for well-designed naturalistic studies and clinical trials to optimize management in schizophrenia.

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Multisektorale Schnittstelle: Hospitalisierungen von Pflegeheimbewohnenden mit Schwerpunkt Sturz

Behrendt

Schwinger

Tsiasioti

et al. 2021

Krankenhaus-Report 2021

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Zusammenfassung Zusammenfassung Knapp eine dreiviertel Million Pflegebedürftige leben in deutschen Pflegeheimen und sind in der Regel hochbetagt, multimorbid und vulnerabel. Jeder fünfte von ihnen ist jährlich im Durchschnitt der Quartale mindestens einmal im Krankenhaus. Hospitalisierungen sind damit einer der zentralen Bestandteile ihrer gesundheitlichen Versorgung. Gleichzeitig sind sie gerade für diese Personengruppe nachweislich mit erhöhten Risiken für die Verschlechterung des Gesundheitszustands verbunden, die Frage der Vermeidbarkeit von Hospitalisierungen gewinnt hier gegenwärtig an Auftrieb. Primär basierend auf Analysen von Routinedaten der AOK-Kranken- und Pflegekassen identifiziert der Beitrag die häufigsten Anlässe für den Transfer von Pflegeheimbewohnenden ins Krankenhaus: kardiovaskuläre und Atemwegserkrankungen sowie Infarkte. Darüber hinaus zeigen sich bei Pflegeheimbewohnenden Indikationen, die als potentielle Hinweise für Versorgungsdefizite im Setting Pflegeheim gelten. Die empirische Detailanalyse eines der häufigsten Anlässe, dem Sturz, unterstreicht die Bedeutung einer berufsgruppenübergreifenden Prävention: drei Viertel der Pflegeheimbewohnenden erhalten sturzrisikoerhöhende Medikation, 16% von ihnen werden spätestens im Folgequartal der Verordnung sturzassoziiert hospitalisiert. Sturzprophylaxe ist in diesem Sinne auch immer Hospitalisierungsprävention.

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

Cited by 22 publications

References 48 publications

Pharmacists’ knowledge and counselling on fall risk increasing drugs in a tertiary teaching hospital in Nigeria

Pharmacists’ knowledge and counselling on fall risk increasing drugs in a tertiary teaching hospital in Nigeria

Medication management of antipsychotic treatment in schizophrenia—A narrative review

Multisektorale Schnittstelle: Hospitalisierungen von Pflegeheimbewohnenden mit Schwerpunkt Sturz

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