New horizons in falls prevention and management for older adults: a global initiative

Manuel Montero-Odasso*, Nathalie van der Velde, Neil B. Alexander, Clemens Becker, Hubert Blain, Richard Camicioli, Jacqueline Close, Leilei Duan, Gustavo Duque, David A. Ganz, Fernando Gómez, Jeffrey M. Hausdorff , David B. Hogan, Jose R. Jauregui, Rose Anne Kenny, Lewis A. Lipsitz, Pip A. Logan, Stephen R. Lord, Louise Mallett, David R. MarshFinbarr C. Martin, Koen Milisen, Alice Nieuwboer, Mirko Petrovic, Jesper Ryg, Ervin Sejdic, Cathie Sherrington, Dawn A. Skelton, Mark Speechley, Maw Pin Tan, Chris Todd, Tischa van der Cammen , Joe Verghese, Nellie Kamkar, Yanina Sarquis-Adamson , Tahir Masud, Task Force on Global Guidelines for Falls in Older Adults

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: falls and fall-related injuries are common in older adults, have negative effects both on quality of life and functional independence and are associated with increased morbidity, mortality and health care costs. Current clinical approaches and advice from falls guidelines vary substantially between countries and settings, warranting a standardised approach. At the first World Congress on Falls and Postural Instability in Kuala Lumpur, Malaysia, in December 2019, a worldwide task force of experts in falls in older adults, committed to achieving a global consensus on updating clinical practice guidelines for falls prevention and management by incorporating current and emerging evidence in falls research. Moreover, the importance of taking a person-centred approach and including perspectives from patients, caregivers and other stakeholders was recognised as important components of this endeavour. Finally, the need to specifically include recent developments in e-health was acknowledged, as well as the importance of addressing differences between settings and including developing countries.
Methods: a steering committee was assembled and 10 working Groups were created to provide preliminary evidence-based recommendations. A cross-cutting theme on patient’s perspective was also created. In addition, a worldwide multidisciplinary group of experts and stakeholders, to review the proposed recommendations and to participate in a Delphi process to achieve consensus for the final recommendations, was brought together.
Conclusion: in this New Horizons article, the global challenges in falls prevention are depicted, the goals of the worldwide task force are summarised and the conceptual framework for development of a global falls prevention and management guideline is presented.
Original languageEnglish
Pages (from-to)1499-1507
Number of pages9
JournalAge and Ageing
Volume50
Issue number5
Early online date26 May 2021
DOIs
Publication statusPublished - Sep 2021

Keywords

  • falls
  • injury
  • aged
  • guidelines
  • clinical practice
  • world
  • consensus
  • older adults

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