{
  "abstract": "Background and Importance Falls among older adults represent a major public health issue, leading to more than 100,000 hospitalisations and over 10,000 deaths annually. In order to address this challenge, a multidisciplinary team at the hospital, developed a fall risk score combined with an algorithm to identify hospitalised patients with a high risk of fall (patients with a score ≥4). Pharmacists receive a daily list of at risk patients to review prescriptions, detect inappropriate medications, and help reduce iatrogenic fall risk.Aim and Objectives The objective of this study was to evaluate 12 months of implementation, focusing on the number of pharmaceutical interventions and the types of iatrogenic risks identified.Material and Methods The fall risk score integrates several clinical and therapeutic criteria: history of falls, balance disorders, assistance with hygiene, cognitive impairment, sedative or neuroleptic use, post-anaesthesia status, and environmental factors. Each item contributes a weighted score, with ≥4 indicating high risk. This alert is included in the patient’s medical record, allowing automatic extraction by the algorithm. Data were collected for all patients with a score ≥ 4, between April 2024 and April 2025, including age, sex, score, number of chronic medications, inappropriate prescriptions (based on institutional and international guidelines) and pharmaceutical actions taken.Results A total of 1149 patients were included (median age: 84 years; 50% men/50% women; median score: 6), with a median of 10 prescribed drugs. Overall, 37% had at least one inappropriate prescription. The most frequent issues were unnecessary proton pump inhibitors (74%), inappropriate doses of hypnotics (18%), and harmful drug associations (17%). Patients with inappropriate prescriptions were mainly hospitalised medical wards (73%), surgical/ambulatory units (19%), cardiac intensive care (6%), and intensive care (2%). Overall, 309 pharmaceutical interventions were made on prescriptions.Conclusion and Relevance Future prospects include strengthening collaboration with prescribers through targeted training and evaluating the clinical outcomes of interventions. In addition, physicians are now required to justify the prescription of proton pump inhibitors upon hospital admission. Discharge letters will also include a dedicated section to alert community physicians to potential iatrogenic risks, ensuring continuity of care and supporting deprescribing strategies.References and/or Acknowledgements 1. https://academic.oup.com/ageing/article/50/4/1189/60433862. https://pubmed.ncbi.nlm.nih.gov/33568364/Conflict of Interest No conflict of interest",
  "authors": [
    {
      "affiliations": [
        "Hospital Europeen, Bouche Du Rhone, Marseille, France"
      ],
      "name": "L Terra"
    },
    {
      "affiliations": [
        "Hospital Europeen, Bouche Du Rhone, Marseille, France"
      ],
      "name": "E Coquet"
    },
    {
      "affiliations": [
        "Hospital Europeen, Bouche Du Rhone, Marseille, France"
      ],
      "name": "V Falabregues"
    }
  ],
  "title": "4CPS-060 Pharmacists as key players in fall prevention: evaluation of an algorithm-based risk score",
  "uid": "c4631498-7f52-5c14-bf34-364877799955"
}