World guidelines for falls prevention and management for older adults: a global initiative.
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 on...
| Publicado en: | Age & Ageing Vol. 51; no. 9; pp. 1 - 37 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Sep2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=159529125&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 159529125 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2022 vid: 51 iid: 9 pid: 622 pub: Oxford University Press / USA artinfo: ui: 159529125 10.1093/ageing/afac205 ppf: 1 ppct: 36 formats: tig: atl: World guidelines for falls prevention and management for older adults: a global initiative. aug: au: 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 affil: Gait and Brain Lab, Parkwood Institute, Lawson Health Research Institute , London, ON, Canada Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario , London, ON, Canada Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario , London, ON, Canada Amsterdam UMC location University of Amsterdam , Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands Amsterdam Public Health, Aging and Later Life , Amsterdam, The Netherlands Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London , London, UK Department of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University , Ghent, Belgium Centre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya , Kuala Lumpur 50603, Malaysia Department of Medicine, Faculty of Medicine, University of Malaya , Kuala Lumpur 50603, Malaysia Department of Geriatric Medicine, Odense University Hospital , Odense, Denmark Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark , Odense, Denmark Department of Geriatric Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán , Mexico City, Mexico 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 Department of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital , Stuttgart, Germany Department of Geriatrics, Montpellier University hospital and MUSE , Montpellier, France Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing , St James's Hospital, Dublin, Ireland 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 Department of Medicine (Neurology), Neuroscience and Mental Health Institute, University of Alberta , Edmonton, AB, Canada Sydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney , Sydney, Australia Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales , Sydney, NSW, Australia Prince of Wales Clinical School, Medicine, University of New South Wales , Sydney, NSW, Australia Falls , Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, University of New South Wales, Kensington, NSW, Australia National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention , Beijing, China Research Institute of the McGill University HealthCentre , Montreal, Quebec, Canada Flinders Health and Medical Research Institute , Flinders University, Adelaide, SA, Australia Friedrich-Alexander-University Erlangen-Nürnberg , Institute for Biomedicine of Aging, Nürnberg, Germany su: Patient-centered care Old age Medical protocols Physical activity Risk assessment Accidental falls Independent living sug: subj: Patient-centered care Old age Medical protocols Physical activity Risk assessment Accidental falls Independent living ab: 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. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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