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. 2013 Jun 27;2(2):171–175. doi: 10.5812/nms.10709

Table 1. Summary of Articles Included in the Literature Review.

Author Study/ArticleType Number of Participants Age of Participants, Years Definition of Polypharmacy Association with Falls
Buatois et al. 2010 Population-based Prospective study 1618 Over 65 Four or more medications Four or more medications/day a variable that can predict falls
Fick et al. 2008 Retrospective, Cohort 17,971 Over 65 Potentially inappropriate medications Higher incidence of falls, hip and femur fractures than comparison group
Freeland et al. 2012 Retrospective Cohort 118 Over 65 Four or more medications 14% increase in fall risk with the addition of each medication beyond a 4 medication regimen
French et al. 2005 Case-control 2212 Median age 77 - Linked to combination of meds known to cause falls
Gallagher et al. 2007 Literature review Over 65 Inappropriate prescribing Linked to a range of adverse reactions in older adults, including falls
Ganz et al. 2007 Literature review Older people Older people - Links to number and type of medications taken
Hartikainen et al. 2007 Systematic literature review Older people Older people Four or more medications Increased number of medications associated with inc falls
Kelly et al. 2003 Case-control 2278 Over 66 - Increased risk of falls associated with types of medications rather than number
Kojima et al. 2011 Cross-sectional study 262 mean age 76.2 ± 6.8 Multiple drug use Polypharmacy rather than number of comorbidities was associated with fall risk
Kojima et al. 2012 longitudinal observational study 172 mean age 76.9 ± 7.0 Multiple drug use Polypharmacyis associated with falls
Lawlor et al. 2003 Cross-sectional study 4050 - Falls increased with increase in number of medications as with increase in comorbidities
Tromp et al. 2001 Prospective cohort study 1285 Over 65 - Four or more medications increases risk of falls
Veehoff et al. 2000 Literature review Older people Older people Two or more medications Standard of literature poor, need for further research
Weber et al. 2007 Prospective study with control group 620 Over 70 Four or more medications No significant reduction in falls intervention group
Wilson NM, Hilmer SN, March LM, et al. Retrospective study. Data from RCT 602 Mean age was 85.7 ± 6.4, number of different medications DBI is significantly and independently associated with falls in older people
Ziere et al. 2005 Population-based Cross-sectional study 6928 Median age 70.6 Four or more medications Risk of falling increases with number of medications used/day