{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T06:24:27Z","timestamp":1787293467660,"version":"build-2736575974"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011903","name":"Richter Gedeon Talentum Alap\u00edtv\u00e1ny","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011903","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Falls are a leading cause of injury and hospitalization in older adults, with pharmacotherapy identified as a modifiable risk factor. Tools for identifying potentially inappropriate medications (PIMs), such as the EU(7)PIM, PRISCUS, and FORTA lists, differ in methodology. However, their comparative performance in predicting fall risk has not been systematically evaluated. The aim of our work was to investigate the association between PIM use and fall risk among older adults and to analyze the correlations between PIM utilization based on three PIM lists (EU(7)PIM, PRISCUS, and FORTA C\/D) and fall risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a retrospective case -control study based on real-world data from Hungarian emergency and primary care settings, we analyzed fall-related emergency department visits (n=886) in individuals aged \u226565 years and matched them with a control group from general practices (n = 1364).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Use of PIMs identified by all three lists was significantly associated with increased fall risk. (Use of 1 FORTA C\/D active substance: AOR: 1.434; CI95%:1.120\u20131.838; p = 0.004; Use of 1 EU(7)PIM active substance: AOR: 1.201; CI95%: 0.907\u20131.591; p = 0.200; Use of 1 PRISCUS active substance: AOR: 1.390; CI95%:1.069\u20131.808; p = 0.014) Of the three lists, use of drugs on the PRISCUS list was most significantly associated with increased fall risk. (Use of 2 PRISCUS active substance: AOR: 1.557; CI95%:1.148\u20132.114; p = 0.004; Use of 3 PRISCUS active substance: AOR: 2.045; CI95%: 1.408\u20132.982; p = 0.000; Use of 4 PRISCUS active substance: AOR: 1.869; CI95%: 1.149\u20133.065; p = 0.012; Use of 5 PRISCUS active substance: AOR: 2.638; CI95%: 1.464\u20134.895; p = 0.002).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We introduce the concept of \u201cpolyPIMuse\u201d \u2013the use of \u22655 PIM-listed drugs \u2013which further elevated fall risk, particularly for PRISCUS and FORTA C\/D lists. Despite methodological differences, all three PIM tools proved useful in predicting fall risk. Incorporating these tools into routine medication reviews may aid fall prevention strategies in geriatric care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fragi.2026.1903105","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T05:37:51Z","timestamp":1787290671000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["PolyPIMuse significantly increases fall risk: comparison of three medication evaluation tools"],"prefix":"10.3389","volume":"7","author":[{"given":"Andr\u00e1s","family":"\u00c9rszegi","sequence":"first","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Albert Szent-Gy\u00f6rgyi Health Center, Institute of Clinical PharmacyUniversity of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9ka","family":"Viola","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Albert Szent-Gy\u00f6rgyi Health Center, Institute of Clinical PharmacyUniversity of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Varg\u00e1n\u00e9 Szab\u00f3","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zs\u00f3fia","family":"Engi","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1ria","family":"Matuz","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Albert Szent-Gy\u00f6rgyi Health Center, Institute of Clinical PharmacyUniversity of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ria","family":"Benk\u0151","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Albert Szent-Gy\u00f6rgyi Health Center, Institute of Clinical PharmacyUniversity of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Pet\u0151","sequence":"additional","affiliation":[{"name":"Albert Szent-Gy\u00f6rgyi Health Center, Department of Emergency MedicineUniversity of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dezs\u0151","family":"Csupor","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Institute for Translational Medicine, University of P\u00e9cs","place":["P\u00e9cs, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"M112","DOI":"10.1093\/geronj\/44.4.m112","article-title":"Risk factors for Falls in a community-based prospective study of people 70 years and older","volume":"44","author":"Campbell","year":"1989","journal-title":"J. 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