Redefining iatrogenic falls due to medications in geriatric patients

Abstract

Introduction:

Iatrogenic falls in geriatric patients, particularly induced by medications, are a growing concern in healthcare due to the global population ageing and the increasing prevalence of polypharmacy. Geriatric syndromes, including falls, delirium, cognitive impairment, orthostatic hypotension, incontinence, and chronic pain, can significantly lessen the success rate of pharmacological treatments and raise the risk of adverse drug reactions (ADRs). Treatments for chronic pain, such as opioid agonists, are also associated with delirium and a complexity of falls. The proposed redefinition of the term “iatrogenic falls” due to medication in geriatrics can be defined as “drug-induced iatrogenic falls, as adjoining the specification based on the nature of falls, and the type of iatrogenic factor.

Conclusion:

From a clinician's perspective, addressing “drug-induced iatrogenic falls” requires a multifaceted approach that includes regular medication reviews, risk assessment, personalised prescribing and deprescribing, and patient education.