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

Manuel Montero-Odasso*, Nathalie van der Velde, Task Force on Global Guidelines for Falls in Older Adults , 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. DyerEllen Freiberger, David 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, Tischa van der Cammen, Jennifer Watt, T Masud

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

340 Citations (Scopus)
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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
JournalAge and Ageing
Volume51
Issue number9
DOIs
Publication statusPublished - 1 Sept 2022

Bibliographical note

Declaration of Sources of Funding: The WFGs initiative
is partially funded by a research grant from the St. Joseph
Foundation, London, Ontario, Canada (grant no. 74531)
and by a CIHR Planning and Dissemination Grant from the
Institute of Ageing (RN476173-478689) obtained to fund
the Delphi process and voting, website development, workshops, and production and publication of this guideline.

Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: [email protected].

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