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

Published: 2022-08-26
Venue: Age and Ageing, vol. 51, no. 9
Cited by: 1,730
Open access: Yes, hybrid
DOI: 10.1093/ageing/afac205
PubMed: 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.

Abstract

@article{monteroodasso2022world, title = {{World guidelines for falls prevention and management for older adults: a global initiative}}, author = {Manuel Montero‐Odasso and Nathalie van der Velde and Finbarr C. Martin and Mirko Petrović and Maw Pin Tan and Jesper Ryg and Sara G. Aguilar-Navarro and Neil B. Alexander and Clemens Becker and Hubert Blain and Robbie Bourke and Ian Douglas Cameron and Richard M. Camicioli and Lindy Maxted Clemson and Jacqueline Close and Kim Delbaere and Leilei Duan and Gustavo Duque and Suzanne M Dyer and Ellen Freiberger and David A. Ganz and Fernando Gómez and Jeffrey M. Hausdorff and David B. Hogan and Susan M W Hunter and José Ricardo Jáuregui and Nellie Kamkar and Rose Anne Kenny and Sarah E Lamb and Nancy K. Latham and Lewis Arnold Lipsitz and Teresa Y L Liu-Ambrose and Pip Logan and Stephen R. Lord and Louise Mallet and David Marsh and Koen Milisen and Rogelio Moctezuma‐Gallegos and Meg E. Morris and Alice Nieuwboer and Mônica Rodrigues Perracini and Frederico Pieruccini‐Faria and Alison Pighills and Catherine M. Said and Ervin Sejdić and Catherine Sherrington and Dawn Ann Skelton and Sabestina Dsouza and Mark R. Speechley and Susan Lynn Stark and Chris J. Todd and Bruce Robert Troen and Nathalie van der Velde and Joe Verghese and Ellen Vlaeyen and Jennifer Ann Watt and Tahir Masud and the Task Force on Global Guidelines for Falls in Older Adults and Devinder Kaur Ajit Singh and Sara G. Aguilar-Navarro and Edgar Aguilera Caona and Neil B. Alexander and Natalie Elizabeth Allen and Cedric Anweiller and José Alberto Ávila‐Funes and Renato Barbosa dos Santos and Frances Batchelor and Clemens Becker and Marla K. Beauchamp and Canan Birimoglu and Hubert Blain and Kayla Bohlke and Robert Bourke and Christina Alonzo Bouzòn and Stephanie A. Bridenbaugh and Patricio Gabriel Buendia and Ian Douglas Cameron and Richard M. Camicioli and Colleen G. Canning and Carlos Alberto Cano and Juan Carlos Carbajal and Daniela Cristina Carvalho de Abreu and Álvaro Casas Herrero and Alejandro Ceriani and Matteo Cesari and Lorenzo Chiari and Lindy Maxted Clemson and Jacqueline Close and Luis Manuel Cornejo Alemán and Rik Dawson and Kim Delbaere and Paul Doody and Sabestina Dsouza and Leilei Duan and Gustavo Duque and Suzanne M Dyer and Toby Jack Ellmers and Nicola Fairhall and Luigi Ferrucci and Ellen Freiberger and James Frith and Homero Gac Espinola and David A. Ganz and Fabiana Giber and José Fernándo Gómez and Luis Miguel Gutiérrez‐Robledo and Sirpa A. Hartikainen and Jeffrey M. Hausdorff and David B. Hogan and Chek Hooi Wong and Simon Howe and Susan Hunter and Javier Perez Jara and Ricardo Jauregui and Anton Jellema and Jenni Suen and Ditte Jepson and Sebastiana Kalula and Nellie Kamkar and Devinder Kaur Ajit Singh and Rose Anne Kenny and Ngaire M Kerse and Olive Chifefe Kobusingye and Reto Werner Kressig and Wing S Kwok and Sallie Lamb and Nancy K. Latham and Mei Ling Lim and Lewis Arnold Lipsitz and Teresa Y L Liu-Ambrose and Pip Logan and Stephen R. Lord and Roberto Alves Lourenço and Kenneth Michael Madden and Louise Mallet and Pedro Marín-Larraín and David Marsh and Finbarr C. Martin and Diego Martínez Padilla and Tahir Masud and Sumaiyah Mat and Lisa McGarrigle and Bill McIlroy and Felipe Melgar Cuellar and Jasmine C. Menant and Koen Milisen and Alberto José Mimenza and Rogelio Moctezuma‐Gallegos and Manuel Montero‐Odasso and Meg E. Morris and Irfan Muneeb and Hossein Negahban and Alice Nieuwboer and Mireille Norris and Giulia Ogliari and Juliana Oliveira and Jose Francisco Parodi and Sergio Pérez and Mônica Rodrigues Perracini and Mirko Petrović and José Ernesto Picado Ovares and Frederico Pieruccini‐Faria and Alison Pighills and Marina B. Pinheiro and Eveline P. van Poelgeest and Xinia Ramirez Ulate and Katie Robinson and Jesper Ryg and Cathy Said and Ryota Sakurai and Marcelo Carlos Schapira and Ervin Sejdić and Lotta J Seppala and Aldo Sgaravatti and Cathie Sherrington and Dawn Ann Skelton and Yu Song and Mark R. Speechley and Susan Lynn Stark and Munira Sultana and Anisha Suri and Maw Pin Tan and Morag E. Taylor and Katja Thomsen and Anne Tiedemann and Susana Lucia Tito and Chris J. Todd and Bruce Robert Troen and Nathalie van der Velde and Nathalie van der Velde and Joe Verghese and Ellen Vlaeyen and Jennifer Ann Watt and Ana-Karim Welmer and Chang Won Won and G. A. Rixt Zijlstra}, journal = {Age and Ageing}, year = {2022}, volume = {51}, number = {9}, doi = {10.1093/ageing/afac205}, url = {https://doi.org/10.1093/ageing/afac205} }

TY - JOUR AU - Montero‐Odasso, Manuel AU - Velde, Nathalie van der AU - Martin, Finbarr C. AU - Petrović, Mirko AU - Tan, Maw Pin AU - Ryg, Jesper AU - Aguilar-Navarro, Sara G. AU - Alexander, Neil B. AU - Becker, Clemens AU - Blain, Hubert AU - Bourke, Robbie AU - Cameron, Ian Douglas AU - Camicioli, Richard M. AU - Clemson, Lindy Maxted AU - Close, Jacqueline AU - Delbaere, Kim AU - Duan, Leilei AU - Duque, Gustavo AU - Dyer, Suzanne M AU - Freiberger, Ellen AU - Ganz, David A. AU - Gómez, Fernando AU - Hausdorff, Jeffrey M. AU - Hogan, David B. AU - Hunter, Susan M W AU - Jáuregui, José Ricardo AU - Kamkar, Nellie AU - Kenny, Rose Anne AU - Lamb, Sarah E AU - Latham, Nancy K. AU - Lipsitz, Lewis Arnold AU - Liu-Ambrose, Teresa Y L AU - Logan, Pip AU - Lord, Stephen R. AU - Mallet, Louise AU - Marsh, David AU - Milisen, Koen AU - Moctezuma‐Gallegos, Rogelio AU - Morris, Meg E. AU - Nieuwboer, Alice AU - Perracini, Mônica Rodrigues AU - Pieruccini‐Faria, Frederico AU - Pighills, Alison AU - Said, Catherine M. AU - Sejdić, Ervin AU - Sherrington, Catherine AU - Skelton, Dawn Ann AU - Dsouza, Sabestina AU - Speechley, Mark R. AU - Stark, Susan Lynn AU - Todd, Chris J. AU - Troen, Bruce Robert AU - Velde, Nathalie van der AU - Verghese, Joe AU - Vlaeyen, Ellen AU - Watt, Jennifer Ann AU - Masud, Tahir AU - Adults, the Task Force on Global Guidelines for Falls in Older AU - Singh, Devinder Kaur Ajit AU - Aguilar-Navarro, Sara G. AU - Caona, Edgar Aguilera AU - Alexander, Neil B. AU - Allen, Natalie Elizabeth AU - Anweiller, Cedric AU - Ávila‐Funes, José Alberto AU - Santos, Renato Barbosa dos AU - Batchelor, Frances AU - Becker, Clemens AU - Beauchamp, Marla K. AU - Birimoglu, Canan AU - Blain, Hubert AU - Bohlke, Kayla AU - Bourke, Robert AU - Bouzòn, Christina Alonzo AU - Bridenbaugh, Stephanie A. AU - Buendia, Patricio Gabriel AU - Cameron, Ian Douglas AU - Camicioli, Richard M. AU - Canning, Colleen G. AU - Cano, Carlos Alberto AU - Carbajal, Juan Carlos AU - Abreu, Daniela Cristina Carvalho de AU - Herrero, Álvaro Casas AU - Ceriani, Alejandro AU - Cesari, Matteo AU - Chiari, Lorenzo AU - Clemson, Lindy Maxted AU - Close, Jacqueline AU - Alemán, Luis Manuel Cornejo AU - Dawson, Rik AU - Delbaere, Kim AU - Doody, Paul AU - Dsouza, Sabestina AU - Duan, Leilei AU - Duque, Gustavo AU - Dyer, Suzanne M AU - Ellmers, Toby Jack AU - Fairhall, Nicola AU - Ferrucci, Luigi AU - Freiberger, Ellen AU - Frith, James AU - Espinola, Homero Gac AU - Ganz, David A. AU - Giber, Fabiana AU - Gómez, José Fernándo AU - Gutiérrez‐Robledo, Luis Miguel AU - Hartikainen, Sirpa A. AU - Hausdorff, Jeffrey M. AU - Hogan, David B. AU - Wong, Chek Hooi AU - Howe, Simon AU - Hunter, Susan AU - Jara, Javier Perez AU - Jauregui, Ricardo AU - Jellema, Anton AU - Suen, Jenni AU - Jepson, Ditte AU - Kalula, Sebastiana AU - Kamkar, Nellie AU - Singh, Devinder Kaur Ajit AU - Kenny, Rose Anne AU - Kerse, Ngaire M AU - Kobusingye, Olive Chifefe AU - Kressig, Reto Werner AU - Kwok, Wing S AU - Lamb, Sallie AU - Latham, Nancy K. AU - Lim, Mei Ling AU - Lipsitz, Lewis Arnold AU - Liu-Ambrose, Teresa Y L AU - Logan, Pip AU - Lord, Stephen R. AU - Lourenço, Roberto Alves AU - Madden, Kenneth Michael AU - Mallet, Louise AU - Marín-Larraín, Pedro AU - Marsh, David AU - Martin, Finbarr C. AU - Padilla, Diego Martínez AU - Masud, Tahir AU - Mat, Sumaiyah AU - McGarrigle, Lisa AU - McIlroy, Bill AU - Cuellar, Felipe Melgar AU - Menant, Jasmine C. AU - Milisen, Koen AU - Mimenza, Alberto José AU - Moctezuma‐Gallegos, Rogelio AU - Montero‐Odasso, Manuel AU - Morris, Meg E. AU - Muneeb, Irfan AU - Negahban, Hossein AU - Nieuwboer, Alice AU - Norris, Mireille AU - Ogliari, Giulia AU - Oliveira, Juliana AU - Parodi, Jose Francisco AU - Pérez, Sergio AU - Perracini, Mônica Rodrigues AU - Petrović, Mirko AU - Ovares, José Ernesto Picado AU - Pieruccini‐Faria, Frederico AU - Pighills, Alison AU - Pinheiro, Marina B. AU - Poelgeest, Eveline P. van AU - Ulate, Xinia Ramirez AU - Robinson, Katie AU - Ryg, Jesper AU - Said, Cathy AU - Sakurai, Ryota AU - Schapira, Marcelo Carlos AU - Sejdić, Ervin AU - Seppala, Lotta J AU - Sgaravatti, Aldo AU - Sherrington, Cathie AU - Skelton, Dawn Ann AU - Song, Yu AU - Speechley, Mark R. AU - Stark, Susan Lynn AU - Sultana, Munira AU - Suri, Anisha AU - Tan, Maw Pin AU - Taylor, Morag E. AU - Thomsen, Katja AU - Tiedemann, Anne AU - Tito, Susana Lucia AU - Todd, Chris J. AU - Troen, Bruce Robert AU - Velde, Nathalie van der AU - Velde, Nathalie van der AU - Verghese, Joe AU - Vlaeyen, Ellen AU - Watt, Jennifer Ann AU - Welmer, Ana-Karim AU - Won, Chang Won AU - Zijlstra, G. A. Rixt TI - World guidelines for falls prevention and management for older adults: a global initiative JO - Age and Ageing VL - 51 IS - 9 PY - 2022 DA - 2022/08/26 DO - 10.1093/ageing/afac205 UR - https://doi.org/10.1093/ageing/afac205 ER -

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

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