World guidelines for falls prevention and management for older adults: a global initiative.
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.Palavras-chave
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