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Prevalence of fall risk–increasing drugs in older adults presenting with falls to the emergency department

Prevalence of fall risk–increasing drugs in older adults presenting with falls to the emergency... Falls accounted for 3 million emergency department (ED) visits, 950,000 hospitalizations, and 32,000 deaths among older adults, aged 65 and older, in 2018.1 Due to the burden of fall‐related injuries, clinicians and researchers have sought to identify modifiable risk factors for falls. Specifically, there has been interest in addressing medications demonstrating strong and reproducible associations with falls and fall‐related injuries, referred to as fall risk–increasing drugs (FRIDs). The Centers for Disease Control and Prevention recently released the Stopping Elderly Accidents, Deaths, & Injuries (STEADI)‐Rx list of high risk FRIDs that should be identified and intervened upon to reduce fall risk.2 Similarly, the American Geriatrics Society (AGS) identifies specific FRIDs within the Beers Criteria.3 The STEADI‐Rx and AGS Beers list identify over 100 FRIDs including centrally acting drugs (benzodiazepines, antiepileptics, antidepressants, opioids, and antipsychotics) as well as chronic preventive medications (namely, antihypertensive and antihyperglycemic agents). While the STEADI‐Rx and AGS Beers lists were originally designed for community pharmacists and geriatricians, respectively, we believe these tools can also be used by ED clinicians to screen for FRIDs in older adults presenting with falls. As such, we sought: (1) to determine the prevalence of FRIDs identified based on the STEADI‐Rx or AGS Beers http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Academic Emergency Medicine Wiley

Prevalence of fall risk–increasing drugs in older adults presenting with falls to the emergency department

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References (11)

Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
ISSN
1069-6563
eISSN
1553-2712
DOI
10.1111/acem.14743
Publisher site
See Article on Publisher Site

Abstract

Falls accounted for 3 million emergency department (ED) visits, 950,000 hospitalizations, and 32,000 deaths among older adults, aged 65 and older, in 2018.1 Due to the burden of fall‐related injuries, clinicians and researchers have sought to identify modifiable risk factors for falls. Specifically, there has been interest in addressing medications demonstrating strong and reproducible associations with falls and fall‐related injuries, referred to as fall risk–increasing drugs (FRIDs). The Centers for Disease Control and Prevention recently released the Stopping Elderly Accidents, Deaths, & Injuries (STEADI)‐Rx list of high risk FRIDs that should be identified and intervened upon to reduce fall risk.2 Similarly, the American Geriatrics Society (AGS) identifies specific FRIDs within the Beers Criteria.3 The STEADI‐Rx and AGS Beers list identify over 100 FRIDs including centrally acting drugs (benzodiazepines, antiepileptics, antidepressants, opioids, and antipsychotics) as well as chronic preventive medications (namely, antihypertensive and antihyperglycemic agents). While the STEADI‐Rx and AGS Beers lists were originally designed for community pharmacists and geriatricians, respectively, we believe these tools can also be used by ED clinicians to screen for FRIDs in older adults presenting with falls. As such, we sought: (1) to determine the prevalence of FRIDs identified based on the STEADI‐Rx or AGS Beers

Journal

Academic Emergency MedicineWiley

Published: Nov 1, 2023

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