General Practice interventions as part of a multidisciplinary approach
A systematic review and meta-analysis looked at the involvement of general practices in falls prevention as part of a multidisciplinary approach. As with other literature around falls and falls prevention, the content of the intervention varied leading to difficulties pooling results. While overall the literature shows no effect of interventions to reduce the proportion of those who fell more than once, six studies showed a significant reduction in the number of people who experienced an injurious fall. Medication review was part of the suite of interventions studied but their effect could not be isolated from the rest of the multidisciplinary approach. The recommendation box below sets out the recommendations on reviewing the evidence, and a considered judgment process.
Recommendations to show the impact of polypharmacy reviews on falls prevention (based on one low quality SR)
Conditional recommendation
General practice-based MDT polypharmacy interventions should be considered to contribute to falls prevention.