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

Manuel Montero-Odasso, Nathalie van der Velde, Finbarr C. Martin, Mirko Petrovic, Maw Pin Tan, Jesper Ryg, Sara Aguilar-Navarro, Neil B. Alexander, Clemens Becker, Hubert Blain, Robbie Bourke, Ian D. Cameron, Richard Camicioli, Lindy Clemson, Jacqueline Close, Kim Delbaere, Leilei Duan, Gustavo Duque, Suzanne M. Dyer, Ellen FreibergerDavid A. Ganz, Fernando Gómez, Jeffrey M. Hausdorff, David B. Hogan, Susan M.W. Hunter, Jose R. Jauregui, Nellie Kamkar, Rose Anne Kenny, Sarah E. Lamb, Nancy K. Latham, Lewis A. Lipsitz, Teresa Liu-Ambrose, Pip Logan, Stephen R. Lord, Louise Mallet, David Marsh, Koen Milisen, Rogelio Moctezuma-Gallegos, Meg E. Morris, Alice Nieuwboer, Monica R. Perracini, Frederico Pieruccini-Faria, Alison Pighills, Catherine Said, Ervin Sejdic, Catherine Sherrington, Dawn A. Skelton, Sabestina Dsouza, Mark Speechley, Susan Stark, Chris Todd, Bruce R. Troen, Tischa van der Cammen, Joe Verghese, Ellen Vlaeyen, Jennifer A. Watt, Tahir Masud, Task Force on Global Guidelines for Falls in Older Adults

Research output: Contribution to journalArticlepeer-review

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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.

Original languageEnglish
Article numberafac205
Pages (from-to)1-36
Number of pages36
JournalAge and Ageing
Volume51
Issue number9
DOIs
Publication statusPublished - Sep 2022

Keywords

  • aged
  • clinical practice
  • consensus
  • falls
  • global
  • guidelines
  • injury
  • older people
  • recommendations
  • world

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