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
Lotta J Seppala
1
,
Mirko Petrovic
2
,
Jesper Ryg
3
,
Eva Topinková
4
,
Katarzyna Szczerbińska
5
,
Tischa J. M. van der Cammen
6
,
Sirpa Hartikainen
7
,
Birkan Ilhan
8
,
Francesco Landi
9
,
Yvonne Morrissey
10
,
Alpana Mair
11
,
Marta Gutiérrez Valencia
12
,
Marielle H. Emmelot-Vonk
13
,
María Ángeles Caballero Mora
14
,
Michael Denkinger
15
,
P. Crome
16
,
Stephen H.D. Jackson
17
,
Andrea Correa-Pérez
18
,
Wilma Knol
19
,
George Soulis
20
,
Adalsteinn Gudmundsson
21
,
Gijsbertus J. Ziere
22
,
Martin Wehling
23
,
D. O'Mahony
24
,
Antonio Cherubini
25
,
Nathalie van der Velde
1
1
3
6
10
Health Care of Older People, East Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, UK
|
11
Effective Prescribing and Therapeutics, Health and Social Care Directorate, Scottish Government, Edinburgh, Scotland, UK
|
12
Unit of Innovation and Organization, Navarre Health Service, Pamplona, Spain
|
14
16
18
20
Outpatient Geriatric Assessment Unit, Henry Dunant Hospital Center, Athens, Greece
|
21
24
Publication type: Journal Article
Publication date: 2020-12-22
scimago Q1
wos Q1
SJR: 1.993
CiteScore: 10.7
Impact factor: 7.1
ISSN: 00020729, 14682834
PubMed ID:
33349863
General Medicine
Geriatrics and Gerontology
Aging
Abstract
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.
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Total citations:
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Citations from 2024:
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(57.14%)
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Seppala L. J. et al. 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 // Age and Ageing. 2020. Vol. 50. No. 4. pp. 1189-1199.
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Seppala L. J., Petrovic M., Ryg J., Topinková E., Szczerbińska K., van der Cammen T. J., Hartikainen S., Ilhan B., Landi F., Morrissey Y., Mair A., Gutiérrez Valencia M., Emmelot-Vonk M. H., Mora M. Á. C., Denkinger M., Crome P., Jackson S. H., Correa-Pérez A., Knol W., Soulis G., Gudmundsson A., Ziere G. J., Wehling M., O'Mahony D., Cherubini A., van der Velde N. 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 // Age and Ageing. 2020. Vol. 50. No. 4. pp. 1189-1199.
Cite this
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TY - JOUR
DO - 10.1093/ageing/afaa249
UR - https://doi.org/10.1093/ageing/afaa249
TI - 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
T2 - Age and Ageing
AU - Seppala, Lotta J
AU - Petrovic, Mirko
AU - Ryg, Jesper
AU - Topinková, Eva
AU - Szczerbińska, Katarzyna
AU - van der Cammen, Tischa J. M.
AU - Hartikainen, Sirpa
AU - Ilhan, Birkan
AU - Landi, Francesco
AU - Morrissey, Yvonne
AU - Mair, Alpana
AU - Gutiérrez Valencia, Marta
AU - Emmelot-Vonk, Marielle H.
AU - Mora, María Ángeles Caballero
AU - Denkinger, Michael
AU - Crome, P.
AU - Jackson, Stephen H.D.
AU - Correa-Pérez, Andrea
AU - Knol, Wilma
AU - Soulis, George
AU - Gudmundsson, Adalsteinn
AU - Ziere, Gijsbertus J.
AU - Wehling, Martin
AU - O'Mahony, D.
AU - Cherubini, Antonio
AU - van der Velde, Nathalie
PY - 2020
DA - 2020/12/22
PB - Oxford University Press
SP - 1189-1199
IS - 4
VL - 50
PMID - 33349863
SN - 0002-0729
SN - 1468-2834
ER -
Cite this
BibTex (up to 50 authors)
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@article{2020_Seppala,
author = {Lotta J Seppala and Mirko Petrovic and Jesper Ryg and Eva Topinková and Katarzyna Szczerbińska and Tischa J. M. van der Cammen and Sirpa Hartikainen and Birkan Ilhan and Francesco Landi and Yvonne Morrissey and Alpana Mair and Marta Gutiérrez Valencia and Marielle H. Emmelot-Vonk and María Ángeles Caballero Mora and Michael Denkinger and P. Crome and Stephen H.D. Jackson and Andrea Correa-Pérez and Wilma Knol and George Soulis and Adalsteinn Gudmundsson and Gijsbertus J. Ziere and Martin Wehling and D. O'Mahony and Antonio Cherubini and Nathalie van der Velde},
title = {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},
journal = {Age and Ageing},
year = {2020},
volume = {50},
publisher = {Oxford University Press},
month = {dec},
url = {https://doi.org/10.1093/ageing/afaa249},
number = {4},
pages = {1189--1199},
doi = {10.1093/ageing/afaa249}
}
Cite this
MLA
Copy
Seppala, Lotta J., et al. “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.” Age and Ageing, vol. 50, no. 4, Dec. 2020, pp. 1189-1199. https://doi.org/10.1093/ageing/afaa249.