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Title: | World guidelines for falls prevention and management for older adults: a global initiative | Authors: | Montero-Odasso, Manuel van der Velde, Nathalie Martin, Finbarr C. Petrovic, Mirko Tan, Maw Pin Ryg, Jesper Aguilar-Navarro, Sara Alexander, Neil B. Becker, Clemens Blain, Hubert Bourke, Robbie Cameron, Ian D. Camicioli, Richard Clemson, Lindy Close, Jacqueline Delbaere, Kim Duan, Leilei Duque, Gustavo Dyer, Suzanne M. Freiberger, Ellen Ganz, David A. Gomez, Fernando Hausdorff, Jeffrey M. Hogan, David B. Hunter, Susan M. W. Jauregui, Jose R. Kamkar, Nellie Kenny, Rose-Anne Lamb, Sarah E. Latham, Nancy K. Lipsitz, Lewis A. Liu-Ambrose, Teresa Logan, Pip Lord, Stephen R. Mallet, Louise Marsh, David Milisen, Koen Moctezuma-Gallegos, Rogelio Morris , Meg E. Nieuwboer, Alice Perracini, Monica R. Pieruccini-Faria, Frederico Pighills, Alison Said, Catherine Sejdic, Ervin Sherrington, Catherine Skelton, Dawn A. Dsouza, Sabestina Speechley, Mark Stark, Susan Todd, Chris Troen, Bruce R. van der Cammen, Tischa Verghese, Joe VLAEYEN, Ellen Watt, Jennifer A. Masud, Tahir |
Issue Date: | 2022 | Publisher: | OXFORD UNIV PRESS | Source: | AGE AND AGEING, 51 (9) (Art N° afac205) | Abstract: | 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. | Notes: | Montero-Odasso, M (corresponding author), Lawson Hlth Res Inst, Parkwood Inst, Gait & Brain Lab, London, ON, Canada.; Montero-Odasso, M (corresponding author), Univ Western Ontario, Schulich Sch Med & Dent, Dept Med, Div Geriatr Med, London, ON, Canada.; Montero-Odasso, M (corresponding author), Univ Western Ontario, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, ON, Canada. mmontero@uwo.ca |
Keywords: | falls;injury;aged;guidelines;recommendations;clinical practice;world;global;consensus;older people | Document URI: | http://hdl.handle.net/1942/38849 | ISSN: | 0002-0729 | e-ISSN: | 1468-2834 | DOI: | 10.1093/ageing/afac205 | ISI #: | 000862035100001 | Rights: | The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. This is an Open Access ar ticle distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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