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World guidelines for falls prevention and management for older adults: a global initiative.
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; Gómez, 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.
Afiliação
  • Montero-Odasso M; Gait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, ON, Canada.
  • van der Velde N; Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
  • Martin FC; Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
  • Petrovic M; Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands.
  • Tan MP; Amsterdam Public Health, Aging and Later Life, Amsterdam, The Netherlands.
  • Ryg J; Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
  • Aguilar-Navarro S; Department of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
  • Alexander NB; Centre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia.
  • Becker C; Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
  • Blain H; Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.
  • Bourke R; Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
  • Cameron ID; Department of Geriatric Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Camicioli R; Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan; Veterans Administration Ann Arbor Healthcare System Geriatrics Research Education Clinical Center, Ann Arbor, MI, USA.
  • Clemson L; Department of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany.
  • Close J; Department of Geriatrics, Montpellier University hospital and MUSE, Montpellier, France.
  • Delbaere K; Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing, St James's Hospital, Dublin, Ireland.
  • Duan L; John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District and Faculty of Medicine and Health, University of Sydney. Department of Medicine (Neurology) and Neuroscience and Mental Health, Sydney, NSW, Australia.
  • Duque G; Department of Medicine (Neurology), Neuroscience and Mental Health Institute, University of Alberta, Edmonton, AB, Canada.
  • Dyer SM; Sydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Sydney, Australia.
  • Freiberger E; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Sydney, NSW, Australia.
  • Ganz DA; Prince of Wales Clinical School, Medicine, University of New South Wales, Sydney, NSW, Australia.
  • Gómez F; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, University of New South Wales, Kensington, NSW, Australia.
  • Hausdorff JM; National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
  • Hogan DB; Research Institute of the McGill University HealthCentre, Montreal, Quebec, Canada.
  • Hunter SMW; Flinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia.
  • Jauregui JR; Friedrich-Alexander-University Erlangen-Nürnberg, Institute for Biomedicine of Aging, Nürnberg, Germany.
  • Kamkar N; Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at UCLA and Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
  • Kenny RA; Research Group on Geriatrics and Gerontology, International Association of Gerontology and Geriatrics Collaborative Center, University Caldas, Manizales, Colombia.
  • Lamb SE; Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
  • Latham NK; Department of Physical Therapy, Sackler Faculty of Medicine, and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
  • Lipsitz LA; Department of Orthopaedic Surgery, Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA.
  • Liu-Ambrose T; Brenda Strafford Centre on Aging, O'BrienInstitute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Logan P; School of Physical Therapy, Faculty of Health Sciences, Elborn College, University of Western Ontario, London, ON, Canada.
  • Lord SR; Ageing Biology Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
  • Mallet L; Gait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, ON, Canada.
  • Marsh D; Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing, St James's Hospital, Dublin, Ireland.
  • Milisen K; Faculty of Health and Life Sciences, Mireille Gillings Professor of Health Innovation, Medical School Building, Exeter, England, UK.
  • Moctezuma-Gallegos R; Brigham and Women's Hospital, Boston, MA, USA.
  • Morris ME; Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Nieuwboer A; Djavad Mowafaghian Centre for Brain Health, Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, BC, Canada.
  • Perracini MR; School of Medicine, University of Nottingham, Nottingham, England, UK.
  • Pieruccini-Faria F; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.
  • Pighills A; School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
  • Said C; Department of Pharmacy, Faculty of Pharmacy, McGill University Health Center, Université de Montréal, Montreal, QC, Canada.
  • Sejdic E; University College London, London, England, UK.
  • Sherrington C; Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
  • Skelton DA; Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
  • Dsouza S; Geriatric Medicine & Neurology Fellowship, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán". Mexico City, Mexico.
  • Speechley M; Geriatric Medicine Program, Tecnologico de Monterrey, School of Medicine and Health Sciences. Monterrey, Nuevo León, Mexico.
  • Stark S; Healthscope and Academic and Research Collaborative in Health (ARCH), La Trobe University, Australia.
Age Ageing ; 51(9)2022 09 02.
Article em En | MEDLINE | ID: mdl-36178003
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Vida Independente Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Aged / Humans Idioma: En Revista: Age Ageing Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Vida Independente Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Aged / Humans Idioma: En Revista: Age Ageing Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá