title: Withdrawal of psychotropic drugs decreases the risk of falls requiring treatment.
abstract: This non-randomized, controlled trial assessed the effects of ceasing fall-risk-increasing drugs (FRIDs) (psychotropics or opiates or potent anticholinergics) on the risk of falls requiring medical treatment as a sub-analysis of a randomized, controlled multifactorial fall prevention. The population in this 12-month study consisted of 528 community-dwelling subjects aged 65 years or older with a history of at least one fall. The subjects were divided retrospectively into three groups according to the use of any FRID, any psychotropic drug, and benzodiazepine or related drug (BZD/BZDRD). The subjects in the intervention group (IG) ceasing the drug use were compared with the subjects in IG and the control group (CG) not ceasing the use of the corresponding type of drugs during the intervention period. Falls were recorded from medical records. For the year after the 12-month intervention the relative risk ratio (with 95% confidence intervals=CI) for controls in CG compared with the withdrawal group in IG was 8.26 (1.07-63.73) among the users of psychotropics and 8.11 (1.03-63.60) among the users of BZDs/BZDRDs. Withdrawal of psychotropics, especially BZDs/BZDRDs may have played an important role by lowering the risk of falls requiring medical treatment during the year after the 12-month multifactorial intervention.
authors.affiliation: Department of Geriatrics, Satakunta Central Hospital, Sairaalantie 3, FI-28550 Pori, Finland. maritta.salonoja@satshp.fi
authors.forename: M
authors.initials: M
authors.lastname: Salonoja
authors.forename: M
authors.initials: M
authors.lastname: Salminen
authors.forename: T
authors.initials: T
authors.lastname: Vahlberg
authors.forename: P
authors.initials: P
authors.lastname: Aarnio
authors.forename: S-L
authors.initials: SL
authors.lastname: Kivelä
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011619:Psychotropic Drugs / Q000009:adverse effects*; D012307:Risk Factors; D028761:Withholding Treatment
chemical_list: D011619:Psychotropic Drugs