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

Manuel Montero-Odasso*, Nathalie Van Der Velde, 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. Dyer, Ellen FreibergerDavid 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, Susan Stark, Chris Todd, Bruce R. Troen, Tischa Van Der Cammen, Joe Verghese, Ellen Vlaeyen, Jennifer A. Watt, Tahir Masud, Devinder Kaur Ajit Singh, Sara G. Aguilar-Navarro, Edgar Aguilera Caona, Neil B. Alexander, Natalie Allen, Cedric Anweiller, Alberto Avila-Funes, Renato Barbosa Santos, Francis Batchelor, Clemens Becker, Marla Beauchamp, Canan Birimoglu, Hubert Blain, Kayla Bohlke, Robert Bourke, Christina Alonzo Bouzòn, Stephanie Bridenbaugh, Patricio Gabriel Buendia, Ian Cameron, Richard Camicioli, Colleen Canning, Carlos Alberto Cano-Gutierrez, Juan Carlos Carbajal, Daniela Cristina Carvalho De Abreu, Alvaro Casas-Herrero, Alejandro Ceriani, Matteo Cesari, Lorenzo Chiari, Lindy Clemson, Jacqueline Close, Luis Manuel Cornejo Alemn, Rik Dawson, Paul Doody, Sabestina Dsouza, Leilei Duan, Gustavo Duque, Suzanne Dyer, Toby Ellmers, Nicola Fairhall, Luigi Ferruci, Ellen Freiberger, James Frith, Homero Gac Espinola, David A. Ganz, Fabiana Giber, Jos Fernando Gómez, Luis Miguel Gutirrez-Robledo, Sirpa Hartikainen, Jeffrey Hausdorff, Chek Hooi Wong, Simon Howe, Susan Hunter, Javier Perez Jara, Ricardo Jauregui, Anton Jellema, Suen Jenni, Ditte Jepson, Sebastiana Kalula, Nellie Kamkar, Devinder Kaur Ajit Singh, Rose Anne Kenny, Ngaire Kerse, Olive Kobusingye, Reto Kressig, Wing Kwok, Sallie Lamb, Nancy Latham, Mei Ling Lim, Lewis Lipsitz, Teresa Liu-Ambrose, Pip Logan, Stephen Lord, Roberto Alves Lourenço, Kenneth Madden, Louise Mallet, Pedro Marín-Larraín, David R. Marsh, Finbarr C. Martin, Diego Martínez Padilla, Tahir Masud, Sumaiyah Mat, Lisa Mcgarrigle, Bill Mcilroy, Felipe Melgar-Cuellar, Jasmine Menant, Koen Milisen, Alberto Mimenza, Rogelio Moctezuma-Gallegos, Manuel Montero-Odasso*, Irfan Muneeb, Hossein Negahban, Alice Nieuwboer, Mireille Norris, Giulia Ogliari, Juliana Oliveira, Jos F. Parodi, Sergio Perez, Mirko Petrovic, Jos Ernesto Picado Ovares, Frederico Pieruccini-Faria, Alison Pighills, Marina Pinheiro, Eveline Poelgeest, Xinia Ramirez Ulate, Katie Robinson, Cathy Said, Ryota Sakurai, Marcelo Schapira, Ervin Sejdic, Lotta J. Seppala, Aldo Sgaravatti, Cathie Sherrington, Yu Song, Mark Speechley, Susan Stark, Munira Sultana, Anisha Suri, Maw Pin Tan, Morag Taylor, Katja Thomsen, Anne Tiedemann, Susana Lucia Tito, Chris Todd, Bruce Troen, Tischa Van Der Cammen, Nathalie Van Der Velde, Joe Verghese, Ellen Vlaeyen, Jennifer Watt, Ana Karim Welmer, Chang Won Won, G. A. Rixt Zijlstra

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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
StatePublished - 1 Sep 2022

Funding

FundersFunder number
National Institute on AgingP30AG024824
National Institute on Aging

    Keywords

    • aged
    • clinical practice
    • consensus
    • falls
    • global
    • guidelines
    • injury
    • older people
    • recommendations
    • world

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