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

Montero-Odasso M, van der Velde N, Petrovic M, Martin FC, Tan MP, Ryg J, Aguilar-Navarro S, Alexander NB, Becker C, Blain H, Bourke R, Cameron ID, Camicioli R, Clemson L, Close J, Delbaere K, Duan L, Duque G, Dyer S, Freiberger E, Ganz DA, Gómez F, Hausdorff J, Hogan DB, Hunter SM, Jauregui JR, Kamkar N, Kenny RA, Lamb SE, Latham N, Lipsitz L, Liu-Ambrose T, Logan P, Lord SR, Mallet L, Marsh D, Milisen K, Moctezuma-Gallegos R, Morris ME, Nieuwboer A, Perracini MR, Pieruccini-Faria F, Pighills A, Sejdic E, Said C, Sherrington C, Skelton DA, Dsouza S, Speechley M, Stark S, Todd C, Troen B, van der Cammen T, Verghese J, Vlaeyen E, Watt JA, Masud T (2022)

Publication Language: English

Publication Type: Journal article

Publication year: 2022

Journal

Book Volume: 51

Article Number: afac205

Journal Issue: 9

DOI: 10.1093/ageing/afac205

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.

Authors with CRIS profile

Involved external institutions

McGill University Health Centre (MUHC) / Centre universitaire de santé McGill Canada (CA) Universidad de Caldas / Caldas University Colombia (CO) University of Calgary Canada (CA) Western University Canada (CA) Hospital Italiano de Buenos Aires Argentina (AR) St. James's Hospital Ireland (IE) Neuroscience Research Australia NeuRA Australia (AU) University College London (UCL) United Kingdom (GB) La Trobe University Australia (AU) Universidade Cidade de São Paulo Brazil (BR) University of Sydney (USYD) Australia (AU) Glasgow Caledonian University (GCU) United Kingdom (GB) Washington University in St. Louis United States (USA) (US) Albert Einstein College of Medicine United States (USA) (US) Li Ka Shing Knowledge Institute Canada (CA) Nottingham University Hospitals United Kingdom (GB) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico (MX) Parkwood Institute Canada (CA) University of Malaya (UM) / Universiti Malaya Malaysia (MY) Odense Universitetshospital (OUH) Denmark (DK) University of New South Wales (UNSW) Australia (AU) Manipal College of Health Professions India (IN) Chinese Center for Disease Control and Prevention (CCDC) / 中国疾病预防控制中心 China (CN) Flinders University Australia (AU) University of California Los Angeles (UCLA) United States (USA) (US) Tel Aviv Sourasky Medical Center / Ichilov Hospital Israel (IL) Brigham and Women's Hospital (BWH) United States (USA) (US) Harvard University United States (USA) (US) Djavad Mowafaghian Centre for Brain Health Canada (CA) University of Nottingham United Kingdom (GB) Mackay Hospital and Health Service (MHHS) Australia (AU) The University of Melbourne Australia (AU) University of Pittsburgh United States (USA) (US) University of Manchester United Kingdom (GB) University at Buffalo. State University of New York (SUNY Buffalo) United States (USA) (US) Delft University of Technology (TU Delft) Netherlands (NL) University of Amsterdam Netherlands (NL) Katholieke Universiteit Leuven (KUL) / Catholic University of Leuven Belgium (BE) Universiteit Gent (UGent) / Ghent University Belgium (BE) University of Exeter United Kingdom (GB) King’s College London United Kingdom (GB) University of Alberta Canada (CA) University of Michigan United States (USA) (US) Robert-Bosch-Krankenhaus Germany (DE) Centre Hospitalier Universitaire de Montpellier (CHU/CHRU MTP) France (FR)

How to cite

APA:

Montero-Odasso, M., van der Velde, N., Petrovic, M., Martin, F.C., Tan, M.P., Ryg, J.,... Masud, T. (2022). World guidelines for falls prevention and management for older adults: a global initiative. Age and Ageing, 51(9). https://doi.org/10.1093/ageing/afac205

MLA:

Montero-Odasso, Manuel, et al. "World guidelines for falls prevention and management for older adults: a global initiative." Age and Ageing 51.9 (2022).

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