World guidelines for falls prevention and management for older adults: A global initiative

Montero-Odasso, Manuel and van der Velde, Nathalie and Martin, Finbarr C. and Petrovic, Mirko and Tan, Maw Pin and Ryg, Jesper and Aguilar-Navarro, Sara and Alexander, Neil B. and Becker, Clemens and Blain, Hubert and Bourke, Robbie and Cameron, Ian D. and Camicioli, Richard and Clemson, Lindy and Close, Jacqueline and Delbaere, Kim and Duan, Leilei and Duque, Gustavo and Dyer, Suzanne M. and Freiberger, Ellen and Ganz, David A. and Gomez, Fernando and Hausdorff, Jeffrey M. and Hogan, David B. and Hunter, Susan M. W. and Jauregui, Jose R. and Kamkar, Nellie and Kenny, Rose-Anne and Lamb, Sarah E. and Latham, Nancy K. and Lipsitz, Lewis A. and Liu-Ambrose, Teresa and Logan, Pip and Lord, Stephen R. and Mallet, Louise and Marsh, David and Milisen, Koen and Moctezuma-Gallegos, Rogelio and Morris, Meg E. and Nieuwboer, Alice and Perracini, Monica R. and Pieruccini-Faria, Frederico and Pighills, Alison and Said, Catherine and Sejdic, Ervin and Sherrington, Catherine and Skelton, Dawn A. and Dsouza, Sabestina and Speechley, Mark and Stark, Susan and Todd, Chris and Troen, Bruce R. and van der Cammen, Tischa and Verghese, Joe and Vlaeyen, Ellen and Watt, Jennifer A. and Masud, Tahir and Falls, Task Force Global Guidelines (2022) World guidelines for falls prevention and management for older adults: A global initiative. Age and Ageing, 51 (9). ISSN 0002-0729, DOI

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Background falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present. Objectives to create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider: (i) a person-centred approach that includes the perspectives of older adults with lived experience, caregivers and other stakeholders; (ii) gaps in previous guidelines; (iii) recent developments in e-health and (iv) implementation across locations with limited access to resources such as low- and middle-income countries. Methods a steering committee and a worldwide multidisciplinary group of experts and stakeholders, including older adults, were assembled. Geriatrics and gerontological societies were represented. Using a modified Delphi process, recommendations from 11 topic-specific working groups (WGs), 10 ad-hoc WGs and a WG dealing with the perspectives of older adults were reviewed and refined. The final recommendations were determined by voting. Recommendations all older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for community-dwelling older adults. Those considered at high risk should be offered a comprehensive multifactorial falls risk assessment with a view to co-design and implement personalised multidomain interventions. Other recommendations cover details of assessment and intervention components and combinations, and recommendations for specific settings and populations. Conclusions the core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

Item Type: Article
Funders: None
Uncontrolled Keywords: Falls; Injury; Aged; Guidelines; Recommendations; Clinical practice; World; Global; Consensus; Older people
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 24 Nov 2023 02:17
Last Modified: 03 Dec 2023 01:24

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