World guidelines for falls prevention and management for older adults: a global initiative
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- Manuel Montero-Odasso
- Lawson Health Research Institute Gait and Brain Lab, Parkwood Institute, , London, ON, Canada
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- Nathalie van der Velde
- Amsterdam UMC location University of Amsterdam , Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands
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- Finbarr C Martin
- Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London , London, UK
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- Mirko Petrovic
- Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University Department of Internal Medicine and Paediatrics, , Ghent, Belgium
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- Maw Pin Tan
- Centre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya , Kuala Lumpur 50603, Malaysia
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- Jesper Ryg
- Odense University Hospital Department of Geriatric Medicine, , Odense, Denmark
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- Sara Aguilar-Navarro
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Department of Geriatric Medicine, , Mexico City, Mexico
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- Neil B Alexander
- 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
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- Clemens Becker
- Robert Bosch Hospital Department of Clinical Gerontology and Geriatric Rehabilitation, , Stuttgart, Germany
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- Hubert Blain
- Montpellier University hospital and MUSE Department of Geriatrics, , Montpellier, France
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- Robbie Bourke
- Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing , St James’s Hospital, Dublin, Ireland
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- Ian D Cameron
- 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
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- Richard Camicioli
- Neuroscience and Mental Health Institute, University of Alberta Department of Medicine (Neurology), , Edmonton, AB, Canada
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- Lindy Clemson
- Sydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney , Sydney, Australia
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- Jacqueline Close
- University of New South Wales Falls, Balance and Injury Research Centre, Neuroscience Research Australia, , Sydney, NSW, Australia
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- Kim Delbaere
- Falls , Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, University of New South Wales, Kensington, NSW, Australia
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- Leilei Duan
- National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention , Beijing, China
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- Gustavo Duque
- Research Institute of the McGill University HealthCentre , Montreal, Quebec, Canada
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- Suzanne M Dyer
- Flinders Health and Medical Research Institute , Flinders University, Adelaide, SA, Australia
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- Ellen Freiberger
- Friedrich-Alexander-University Erlangen-Nürnberg , Institute for Biomedicine of Aging, Nürnberg, Germany
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- David A Ganz
- 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
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- Fernando Gómez
- International Association of Gerontology and Geriatrics Collaborative Center, University Caldas Research Group on Geriatrics and Gerontology, , Manizales, Colombia
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- Jeffrey M Hausdorff
- Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center , Tel Aviv, Israel
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- David B Hogan
- Brenda Strafford Centre on Aging, O’BrienInstitute for Public Health , Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
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- Susan M W Hunter
- School of Physical Therapy, Faculty of Health Sciences , Elborn College, University of Western Ontario, London, ON, Canada
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- Jose R Jauregui
- Hospital Italiano de Buenos Aires Ageing Biology Unit, , Buenos Aires, Argentina
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- Nellie Kamkar
- Lawson Health Research Institute Gait and Brain Lab, Parkwood Institute, , London, ON, Canada
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- Rose-Anne Kenny
- Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing , St James’s Hospital, Dublin, Ireland
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- Sarah E Lamb
- Faculty of Health and Life Sciences, Mireille Gillings Professor of Health Innovation, Medical School Building , Exeter, England, UK
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- Nancy K Latham
- Brigham and Women's Hospital , Boston, MA, USA
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- Lewis A Lipsitz
- Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA, USA
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- Teresa Liu-Ambrose
- Djavad Mowafaghian Centre for Brain Health, Center for Hip Health and Mobility , Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, BC, Canada
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- Pip Logan
- School of Medicine, University of Nottingham , Nottingham, England, UK
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- Stephen R Lord
- Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Sydney, NSW, Australia
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- Louise Mallet
- Faculty of Pharmacy, McGill University Health Center, Université de Montréal Department of Pharmacy, , Montreal, QC, Canada
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- David Marsh
- University College London , London, England, UK
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- Koen Milisen
- Academic Centre for Nursing and Midwifery, KU Leuven Department of Public Health and Primary Care, , Leuven, Belgium
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- Rogelio Moctezuma-Gallegos
- Geriatric Medicine & Neurology Fellowship , Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”. Mexico City, Mexico
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- Meg E Morris
- Healthscope and Academic and Research Collaborative in Health (ARCH) , La Trobe University, Australia
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- Alice Nieuwboer
- Neurorehabilitation Research Group (eNRGy), KU Leuven Department of Rehabilitation Sciences, , Leuven, Belgium
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- Monica R Perracini
- Universidade Cidade de Sao Paulo (UNICID) Master’s and Doctoral programs in Physical Therapy, , Sao Paulo, Brazil
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- Frederico Pieruccini-Faria
- Lawson Health Research Institute Gait and Brain Lab, Parkwood Institute, , London, ON, Canada
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- Alison Pighills
- Mackay Institute of Research and Innovation, Mackay Hospital and Health Service , Mackay, QLD, Australia
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- Catherine Said
- University of Melbourne Western Health, , Parkville, Melbourne, VIC, Australia
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- Ervin Sejdic
- Swanson School of Engineering, University of Pittsburgh Department of Electrical and Computer Engineering, , Pittsburgh, PA, USA
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- Catherine Sherrington
- Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District , Sydney, Australia
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- Dawn A Skelton
- School of Health and Life Sciences, Research Centre for Health (ReaCH) , Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK
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- Sabestina Dsouza
- Department of Occupational Therapy, Manipal College of Health Professions , Manipal Academy of Higher Education, Manipal, Karnataka, India
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- Mark Speechley
- University of Western Ontario Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, , London, ON, Canada
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- Susan Stark
- School of Medicine, Washington University in St. Louis Program in Occupational Therapy, , St. Louis, MO, USA
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- Chris Todd
- School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester , Manchester, England, UK
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- Bruce R Troen
- 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
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- Tischa van der Cammen
- Faculty of Industrial Design Engineering, Delft University of Technology Department of Human-Centred Design, , Delft, The Netherlands
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- Joe Verghese
- Division of Geriatrics, Department of Medicine, Albert Einstein College of Medicine , Bronx, New York, USA
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- Ellen Vlaeyen
- Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery , KU Leuven, Leuven, Belgium
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- Jennifer A Watt
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital , Toronto, ON, Canada
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- Tahir Masud
- The British Geriatrics Society, Nottingham University Hospitals NHS Trust Department of Geriatric Medicine, , Nottingham, England, UK
説明
<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Recommendations</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>the core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.</jats:p> </jats:sec>
収録刊行物
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- Age and Ageing
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Age and Ageing 51 (9), 2022-09
Oxford University Press (OUP)