欧洲老年医学学会增加跌倒风险药物（FRIDs）任务与完成小组：关于知识传播、管理及未来研究的立场

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

作者信息

Seppala L J, van der Velde N, Masud T, Blain H, Petrovic M, van der Cammen T J, Szczerbińska K, Hartikainen S, Kenny R A, Ryg J, Eklund P, Topinková E, Mair A, Laflamme L, Thaler H, Bahat G, Gutiérrez-Valencia M, Caballero-Mora M A, Landi F, Emmelot-Vonk M H, Cherubini A, Baeyens J P, Correa-Pérez A, Gudmundsson A, Marengoni A, O'Mahony D, Parekh N, Pisa F E, Rajkumar C, Wehling M, Ziere G

机构信息

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

Nottingham University Hospitals NHS Trust, Nottingham, UK.

出版信息

Eur Geriatr Med. 2019 Apr;10(2):275-283. doi: 10.1007/s41999-019-00162-8.

DOI:10.1007/s41999-019-00162-8

PMID:34652762

Abstract

Falls are a major public health concern in the older population, and certain medication classes are a significant risk factor for falls. However, knowledge is lacking among both physicians and older people, including caregivers, concerning the role of medication as a risk factor. In the present statement, the European Geriatric Medicine Society (EuGMS) Task and Finish group on fall-risk-increasing drugs (FRIDs), in collaboration with the EuGMS Special Interest group on Pharmacology and the European Union of Medical Specialists (UEMS) Geriatric Medicine Section, outlines its position regarding knowledge dissemination on medication-related falls in older people across Europe. The EuGMS Task and Finish group is developing educational materials to facilitate knowledge dissemination for healthcare professionals and older people. In addition, steps in primary prevention through judicious prescribing, deprescribing of FRIDs (withdrawal and dose reduction), and gaps in current research are outlined in this position paper.

摘要

跌倒在老年人群中是一个重大的公共卫生问题，某些药物类别是跌倒的重要风险因素。然而，医生以及包括护理人员在内的老年人对于药物作为风险因素的作用缺乏了解。在本声明中，欧洲老年医学学会（EuGMS）增加跌倒风险药物（FRIDs）任务与完成小组，与EuGMS药理学特别兴趣小组以及欧洲医学专家联盟（UEMS）老年医学分会合作，概述了其在欧洲各地老年人中关于药物相关跌倒知识传播的立场。EuGMS任务与完成小组正在开发教育材料，以促进向医疗保健专业人员和老年人传播知识。此外，本立场文件还概述了通过合理开药、停用FRIDs（撤药和减量）进行一级预防的步骤以及当前研究中的差距。