World guidelines for falls prevention and management for older adults: a global initiative-Reference-Cited by-同舟云学术

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

Published:2022-09 Issue:9 Volume:51 Page:
ISSN:0002-0729
Container-title:Age and Ageing
language:en
Short-container-title:

Author:

Montero-Odasso Manuel¹²³^ORCID,van der Velde Nathalie⁴⁵,Martin Finbarr C⁶^ORCID,Petrovic Mirko⁷,Tan Maw Pin⁸⁹,Ryg Jesper¹⁰¹¹^ORCID,Aguilar-Navarro Sara¹²,Alexander Neil B¹³,Becker Clemens¹⁴,Blain Hubert¹⁵^ORCID,Bourke Robbie¹⁶,Cameron Ian D¹⁷,Camicioli Richard¹⁸,Clemson Lindy¹⁹,Close Jacqueline²⁰²¹,Delbaere Kim²²,Duan Leilei²³,Duque Gustavo²⁴^ORCID,Dyer Suzanne M²⁵,Freiberger Ellen²⁶,Ganz David A²⁷,Gómez Fernando²⁸,Hausdorff Jeffrey M²⁹³⁰³¹,Hogan David B³²,Hunter Susan M W³³,Jauregui Jose R³⁴,Kamkar Nellie¹,Kenny Rose-Anne¹⁶,Lamb Sarah E³⁵,Latham Nancy K³⁶,Lipsitz Lewis A³⁷,Liu-Ambrose Teresa³⁸,Logan Pip³⁹,Lord Stephen R⁴⁰⁴¹,Mallet Louise⁴²,Marsh David⁴³,Milisen Koen⁴⁴⁴⁵^ORCID,Moctezuma-Gallegos Rogelio⁴⁶⁴⁷,Morris Meg E⁴⁸,Nieuwboer Alice⁴⁹,Perracini Monica R⁵⁰^ORCID,Pieruccini-Faria Frederico¹²,Pighills Alison⁵¹,Said Catherine⁵²⁵³⁵⁴,Sejdic Ervin⁵⁵,Sherrington Catherine⁵⁶,Skelton Dawn A ⁵⁷,Dsouza Sabestina⁵⁸,Speechley Mark³⁵⁹,Stark Susan⁶⁰,Todd Chris⁶¹⁶²,Troen Bruce R⁶³,van der Cammen Tischa⁶⁴⁶⁵,Verghese Joe⁶⁶⁶⁷,Vlaeyen Ellen⁶⁸⁶⁹,Watt Jennifer A⁷⁰⁷¹,Masud Tahir⁷²,Kaur Ajit Singh Devinder,Aguilar-Navarro Sara G,Aguilera Caona Edgar,Alexander Neil B,Allen Natalie,Anweiller Cedric,Avila-Funes Alberto,Barbosa Santos Renato,Batchelor Francis,Becker Clemens,Beauchamp Marla,Birimoglu Canan,Blain Hubert,Bohlke Kayla,Bourke Robert,Alonzo Bouzòn Christina,Bridenbaugh Stephanie,Gabriel Buendia Patricio,Cameron Ian,Camicioli Richard,Canning Colleen,Alberto Cano-Gutierrez Carlos,Carlos Carbajal Juan,Cristina Carvalho de Abreu Daniela,Casas-Herrero Alvaro,Ceriani Alejandro,Cesari Matteo,Chiari Lorenzo,Clemson Lindy,Close Jacqueline,Manuel Cornejo Alemǻn Luis,Dawson Rik,Delbaere Kim,Doody Paul,Dsouza Sabestina,Duan Leilei,Duque Gustavo,Dyer Suzanne,Ellmers Toby,Fairhall Nicola,Ferruci Luigi,Freiberger Ellen,Frith James,Gac Espinola Homero,Ganz David A,Giber Fabiana,Fernando Gómez José,Miguel Gutiérrez-Robledo Luis,Hartikainen Sirpa,Hausdorff Jeffrey,Hogan David B,Hooi Wong Chek,Howe Simon,Hunter Susan,Perez Jara Javier,Jauregui Ricardo,Jellema Anton,Jenni Suen,Jepson Ditte,Kalula Sebastiana,Kamkar Nellie,Kaur Ajit Singh Devinder,Anne Kenny Rose,Kerse Ngaire,Kobusingye Olive,Kressig Reto,Kwok Wing,Lamb Sallie,Latham Nancy,Ling Lim Mei,Lipsitz Lewis,Liu-Ambrose Teresa,Logan Pip,Lord Stephen,Alves Lourenço Roberto,Madden Kenneth,Mallet Louise,Marín-Larraín Pedro,Marsh David R,Martin Finbarr C,Martínez Padilla Diego,Masud Tahir,Mat Sumaiyah,McGarrigle Lisa,McIlroy Bill,Melgar-Cuellar Felipe,Menant Jasmine,Milisen Koen,Mimenza Alberto,Moctezuma-Gallegos Rogelio,Montero-Odasso Manuel,Morris Meg E,Muneeb Irfan,Negahban Hossein,Nieuwboer Alice,Norris Mireille,Ogliari Giulia,Oliveira Juliana,Parodi José F,Perez Sergio,Perracini Monica,Petrovic Mirko,Ernesto Picado Ovares José,Pieruccini-Faria Frederico,Pighills Alison,Pinheiro Marina,Poelgeest Eveline,Ramirez Ulate Xinia,Robinson Katie,Ryg Jesper,Said Cathy,Sakurai Ryota,Schapira Marcelo,Sejdic Ervin,Seppala Lotta J,Sgaravatti Aldo,Sherrington Cathie,Skelton Dawn,Song Yu,Speechley Mark,Stark Susan,Sultana Munira,Suri Anisha,Pin Tan Maw,Taylor Morag,Thomsen Katja,Tiedemann Anne,Lucia Tito Susana,Todd Chris,Troen Bruce,Van der Cammen Tischa,Van der Velde Nathalie,Verghese Joe,Vlaeyen Ellen,Watt Jennifer,Welmer Ana-Karim,Won Won Chang,Rixt Zijlstra G A,

Affiliation:

1. Lawson Health Research Institute Gait and Brain Lab, Parkwood Institute, , London, ON, Canada

2. University of Western Ontario Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, , London, ON, Canada

3. University of Western Ontario Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, , London, ON, Canada

4. Amsterdam UMC location University of Amsterdam , Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands

5. Amsterdam Public Health, Aging and Later Life , Amsterdam, The Netherlands

6. Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London , London, UK

7. Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University Department of Internal Medicine and Paediatrics, , Ghent, Belgium

8. Centre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya , Kuala Lumpur 50603, Malaysia

9. Faculty of Medicine, University of Malaya Department of Medicine, , Kuala Lumpur 50603, Malaysia

10. Odense University Hospital Department of Geriatric Medicine, , Odense, Denmark

11. University of Southern Denmark Geriatric Research Unit, Department of Clinical Research, , Odense, Denmark

12. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Department of Geriatric Medicine, , Mexico City, Mexico

13. University of Michigan; Veterans Administration Ann Arbor Healthcare System Geriatrics Research Education Clinical Center Department of Internal Medicine, Division of Geriatric and Palliative Medicine, , Ann Arbor, MI, USA

14. Robert Bosch Hospital Department of Clinical Gerontology and Geriatric Rehabilitation, , Stuttgart, Germany

15. Montpellier University hospital and MUSE Department of Geriatrics, , Montpellier, France

16. Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing , St James’s Hospital, Dublin, Ireland

17. 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

18. Neuroscience and Mental Health Institute, University of Alberta Department of Medicine (Neurology), , Edmonton, AB, Canada

19. Sydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney , Sydney, Australia

20. University of New South Wales Falls, Balance and Injury Research Centre, Neuroscience Research Australia, , Sydney, NSW, Australia

21. Prince of Wales Clinical School, Medicine, University of New South Wales , Sydney, NSW, Australia

22. Falls , Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, University of New South Wales, Kensington, NSW, Australia

23. National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention , Beijing, China

24. Research Institute of the McGill University HealthCentre , Montreal, Quebec, Canada

25. Flinders Health and Medical Research Institute , Flinders University, Adelaide, SA, Australia

26. Friedrich-Alexander-University Erlangen-Nürnberg , Institute for Biomedicine of Aging, Nürnberg, Germany

27. David Geffen School of Medicine at UCLA and Veterans Affairs Greater Los Angeles Healthcare System Multicampus Program in Geriatric Medicine and Gerontology, , Los Angeles, CA, USA

28. International Association of Gerontology and Geriatrics Collaborative Center, University Caldas Research Group on Geriatrics and Gerontology, , Manizales, Colombia

29. Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center , Tel Aviv, Israel

30. Sackler Faculty of Medicine, and Sagol School of Neuroscience, Tel Aviv University Department of Physical Therapy, , Tel Aviv, Israel

31. Rush Alzheimer's Disease Center, Rush University Medical Center Department of Orthopaedic Surgery, , Chicago, IL, USA

32. Brenda Strafford Centre on Aging, O’BrienInstitute for Public Health , Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

33. School of Physical Therapy, Faculty of Health Sciences , Elborn College, University of Western Ontario, London, ON, Canada

34. Hospital Italiano de Buenos Aires Ageing Biology Unit, , Buenos Aires, Argentina

35. Faculty of Health and Life Sciences, Mireille Gillings Professor of Health Innovation, Medical School Building , Exeter, England, UK

36. Brigham and Women's Hospital , Boston, MA, USA

37. Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA, USA

38. Djavad Mowafaghian Centre for Brain Health, Center for Hip Health and Mobility , Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, BC, Canada

39. School of Medicine, University of Nottingham , Nottingham, England, UK

40. Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Sydney, NSW, Australia

41. School of Public Health and Community Medicine, University of New South Wales , Sydney, NSW, Australia

42. Faculty of Pharmacy, McGill University Health Center, Université de Montréal Department of Pharmacy, , Montreal, QC, Canada

43. University College London , London, England, UK

44. Academic Centre for Nursing and Midwifery, KU Leuven Department of Public Health and Primary Care, , Leuven, Belgium

45. University Hospitals Leuven Department of Geriatric Medicine, , Leuven, Belgium

46. Geriatric Medicine & Neurology Fellowship , Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”. Mexico City, Mexico

47. Geriatric Medicine Program, Tecnologico de Monterrey , School of Medicine and Health Sciences. Monterrey, Nuevo León, Mexico

48. Healthscope and Academic and Research Collaborative in Health (ARCH) , La Trobe University, Australia

49. Neurorehabilitation Research Group (eNRGy), KU Leuven Department of Rehabilitation Sciences, , Leuven, Belgium

50. Universidade Cidade de Sao Paulo (UNICID) Master’s and Doctoral programs in Physical Therapy, , Sao Paulo, Brazil

51. Mackay Institute of Research and Innovation, Mackay Hospital and Health Service , Mackay, QLD, Australia

52. University of Melbourne Western Health, , Parkville, Melbourne, VIC, Australia

53. Australian Institute for Musculoskeletal Science (AIMSS) , The University of Melbourne and Western Health, St Albans, VIC, Australia

54. Melbourne School of Health Sciences The University of Melbourne , Parkville, Australia

55. Swanson School of Engineering, University of Pittsburgh Department of Electrical and Computer Engineering, , Pittsburgh, PA, USA

56. Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District , Sydney, Australia

57. School of Health and Life Sciences, Research Centre for Health (ReaCH) , Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK

58. Department of Occupational Therapy, Manipal College of Health Professions , Manipal Academy of Higher Education, Manipal, Karnataka, India

59. Schulich School of Medicine & Dentistry, University of Western Ontario Schulich Interfaculty Program in Public Health, , London, ON, Canada

60. School of Medicine, Washington University in St. Louis Program in Occupational Therapy, , St. Louis, MO, USA

61. School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester , Manchester, England, UK

62. Manchester University NHS Foundation Trust , Manchester M13 9WL, UK

63. Division of Geriatrics and Palliative Medicine, Department of Medicine , Jacobs School of Medicine & Biomedical Sciences, University of Buffalo; Research Service, Veterans Affairs Western New York Healthcare System, Buffalo, New York, USA

64. Faculty of Industrial Design Engineering, Delft University of Technology Department of Human-Centred Design, , Delft, The Netherlands

65. Section of Geriatric Medicine, Department of Internal Medicine, Erasmus University Medical Center , Rotterdam, The Netherlands

66. Division of Geriatrics, Department of Medicine, Albert Einstein College of Medicine , Bronx, New York, USA

67. Albert Einstein College of Medicine Department of Neurology, , Bronx, NY, USA

68. Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery , KU Leuven, Leuven, Belgium

69. Faculty of Medicine and Life Sciences, Hasselt University , Hasselt, Belgium

70. Li Ka Shing Knowledge Institute, St. Michael’s Hospital , Toronto, ON, Canada

71. Department of Medicine, University of Toronto , Toronto, ON, Canada

72. The British Geriatrics Society, Nottingham University Hospitals NHS Trust Department of Geriatric Medicine, , Nottingham, England, UK

Abstract

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.

Funder

CIHR Planning and Dissemination Grant from the Institute of Ageing

St. Joseph Foundation, London, Ontario, Canada

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Aging,General Medicine

Link

https://academic.oup.com/ageing/article-pdf/51/9/afac205/47819177/afac205.pdf

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