[Synthesis in French of the 2022 global recommendations for the management and prevention of falls in the elderly].

Synthèse en langue française des recommandations mondiales 2022 pour la prise en charge et la prévention des chutes chez les personnes âgées.
Fall ageing clinical practice consensus elder people injury recommendation

Journal

Geriatrie et psychologie neuropsychiatrie du vieillissement
ISSN: 2115-7863
Titre abrégé: Geriatr Psychol Neuropsychiatr Vieil
Pays: France
ID NLM: 101553404

Informations de publication

Date de publication:
01 Jun 2023
Historique:
medline: 31 7 2023
pubmed: 31 7 2023
entrez: 31 7 2023
Statut: ppublish

Résumé

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. To synthesize evidence-based and expert consensus-based 2022 world guidelines for the management and prevention of falls in older adults. These recommendations consider a person-centred approach that includes the preferences of the patient, caregivers and other stakeholders, gaps in previous guidelines, recent developments in e-health and both local context and resources. All older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for communitydwelling older adults. An algorithm is proposed to stratify falls risk and interventions for persons at low, moderate or high risk. 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. The core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

Sections du résumé

BACKGROUND 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.
OBJECTIVE OBJECTIVE
To synthesize evidence-based and expert consensus-based 2022 world guidelines for the management and prevention of falls in older adults. These recommendations consider a person-centred approach that includes the preferences of the patient, caregivers and other stakeholders, gaps in previous guidelines, recent developments in e-health and both local context and resources.
RECOMMENDATIONS CONCLUSIONS
All older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for communitydwelling older adults. An algorithm is proposed to stratify falls risk and interventions for persons at low, moderate or high risk. 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 CONCLUSIONS
The core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

Identifiants

DOI: 10.1684/pnv.2023.1108 PMID: 37519073
pubmed: 37519073
pii: pnv.2023.1108
doi: 10.1684/pnv.2023.1108
doi:

Types de publication

English Abstract Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

149-160

Auteurs

Hubert Blain (H)

Department of Internal Medicine and Geriatrics, MUSE University, Montpellier, France.

Cédric Annweiler (C)

Department of Geriatric Medicine and Memory Clinic, Research Centre on Autonomy and Longevity, University Hospital, Angers, France; Univ Angers, UPRES EA 4638, University of Angers, Angers, France.

Gilles Berrut (G)

Nantes Université, CHU Nantes, pôle hospitalo-universitaire de gérontologie clinique, Nantes, France.

Clemens Becker (C)

Department of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany.

Pierre-Louis Bernard (PL)

Euromov, University of Montpellier, France.

Jean Bousquet (J)

Institute of Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany, Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Allergology and Immunology, Berlin, Germany, MASK-air, Montpellier, France.

Patricia Dargent-Molina (P)

Université de Paris, Centre for Research in Epidemiology and Statistics (CRESS), Inserm, Inrae, Paris, France.

Patrick Friocourt (P)

Pôle autonomie, neurologie et prise en charge du vieillissement, centre hospitalier, Blois, France.

Finbarr C Martin (FC)

Department of Geriatric Medicine, The British Geriatrics Society, Nottingham University Hospitals NHS Trust, Nottingham, England, United Kingdom.

Tahir Masud (T)

Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.

Mirko Petrovic (M)

Department of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

François Puisieux (F)

Pôle de gérontologie, hôpital gériatrique Les Bateliers, CHU de Lille, université de Lille, Lille, France.

Jean-Baptiste Robiaud (JB)

Department of Internal Medicine and Geriatrics, MUSE University, Montpellier, France.

Jesper Ryg (J)

Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark, Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Nathalie Van der Velde (N)

Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands, Amsterdam Public Health, Aging and Later Life, Amsterdam, The Netherlands.

Manuel Montero-Odasso (M)

Schulich School of Medicine and Dentistry, Division of Geriatric Medicine, Department of Medicine, The University of Western Ontario, London, Ontario, Canada, Gait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, Ontario, Canada, Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada.

Yves Rolland (Y)

Gerontopôle of Toulouse, Institute on Aging, Toulouse University Hospital, CHU Toulouse, Cité de la Santé, CHU de Toulouse, Toulouse, France, Cerpop Centre d'épidémiologie et de recherche en santé des populations UPS/Inserm UMR 1295, Toulouse, France.

Classifications MeSH