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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.
World guidelines for falls prevention and management for older adults: a global initiative / Montero-Odasso, Manuel; van der Velde, Nathalie; Martin, Finbarr C; Petrovic, Mirko; Tan, Maw Pin; Ryg, Jesper; Aguilar-Navarro, Sara; Alexander, Neil B; Becker, Clemens; Blain, Hubert; Bourke, Robbie; Cameron, Ian D; Camicioli, Richard; Clemson, Lindy; Close, Jacqueline; Delbaere, Kim; Duan, Leilei; Duque, Gustavo; Dyer, Suzanne M; Freiberger, Ellen; Ganz, David A; Gómez, Fernando; Hausdorff, Jeffrey M; Hogan, David B; Hunter, Susan M W; Jauregui, Jose R; Kamkar, Nellie; Kenny, Rose-Anne; Lamb, Sarah E; Latham, Nancy K; Lipsitz, Lewis A; Liu-Ambrose, Teresa; Logan, Pip; Lord, Stephen R; Mallet, Louise; Marsh, David; Milisen, Koen; Moctezuma-Gallegos, Rogelio; Morris, Meg E; Nieuwboer, Alice; Perracini, Monica R; Pieruccini-Faria, Frederico; Pighills, Alison; Said, Catherine; Sejdic, Ervin; Sherrington, Catherine; Skelton, Dawn A; Dsouza, Sabestina; Speechley, Mark; Stark, Susan; Todd, Chris; Troen, Bruce R; van der Cammen, Tischa; Verghese, Joe; Vlaeyen, Ellen; Watt, Jennifer A; Masud, Tahir; Kaur Ajit Singh, Devinder; Aguilar-Navarro, Sara G.; Aguilera Caona, Edgar; Alexander, Neil B.; Allen, Natalie; Anweiller, Cedric; Avila-Funes, Alberto; Barbosa Santos, Renato; Batchelor, Francis; Becker, Clemens; Beauchamp, Marla; Birimoglu, Canan; Bohlke, Kayla; Bourke, Robert; Alonzo Bouzòn, Christina; Bridenbaugh, Stephanie; Gabriel Buendia, Patricio; Cameron, Ian; Canning, Colleen; Alberto Cano-Gutierrez, Carlos;
Carlos Carbajal, Juan; Cristina Carvalho De Abreu, Daniela; Casas-Herrero, Alvaro; Ceriani, Alejandro;
Cesari, Matteo; Chiari, Lorenzo; Manuel Cornejo Alemn, Luis; Dawson, Rik; Doody, Paul; Dsouza, Sabestina; Duan, Leilei; Duque, Gustavo; Dyer, Suzanne; Ellmers, Toby; Fairhall, Nicola; Ferrucci, Luigi;
Frith, James; Gac Espinola, Homero; Ganz, David A; Giber, Fabiana; Fernando Gómez, Jos; Miguel Gutirrez-Robledo, Luis; Hartikainen, Sirpa; Hausdorff, Jeffrey; Hooi Wong, Chek; Howe, Simon; Hunter, Susan; Perez Jara, Javier; Jauregui, Ricardo; Jellema, Anton; Jenni, Suen; Jepson, Ditte; Kalula, Sebastiana; Anne Kenny, Rose; Kerse, Ngaire; Kobusingye, Olive; Kressig, Reto; Kwok, Wing; Lamb, Sallie; Latham, Nancy; Ling Lim, Mei; Lipsitz, Lewis; Lord, Stephen; Alves Lourenço, Roberto; Madden, Kenneth; Marín-Larraín, Pedro; Marsh, David R; Martin, Finbarr C; Martínez Padilla, Diego; Mat, Sumaiyah; Mcgarrigle, Lisa; Mcilroy, Bill; Melgar-Cuellar, Felipe; Menant, Jasmine; Mimenza, Alberto; Muneeb, Irfan; Negahban, Hossein; Norris, Mireille; Ogliari, Giulia; Oliveira, Juliana; Parodi, Jos F; Perez, Sergio; Petrovic, Mirko; Ernesto Picado Ovares, Jos; Pieruccini-Faria, Frederico; Pinheiro, Marina; Poelgeest, Eveline; Ramirez Ulate, Xinia; Robinson, Katie; Said, Cathy; Sakurai, Ryota; Schapira, Marcelo; Sejdic, Ervin; Seppala, Lotta J; Sgaravatti, Aldo; Sherrington, Cathie; Song, Yu; Stark, Susan; Sultana, Munira; Suri, Anisha; Pin Tan, Maw; Taylor, Morag; Thomsen, Katja; Tiedemann, Anne; Lucia Tito, Susana; Todd, Chris; Troen, Bruce;
Verghese, Joe; Watt, Jennifer; Welmer, Ana-Karim; Won Won, Chang; Rixt Zijlstra G.A.. - In: AGE AND AGEING. - ISSN 0002-0729. - STAMPA. - 51:9(2022), pp. afac205.1-afac205.36. [10.1093/ageing/afac205]
World guidelines for falls prevention and management for older adults: a global initiative
Montero-Odasso, Manuel
;van der Velde, Nathalie;Martin, Finbarr C;Petrovic, Mirko;Tan, Maw Pin;Ryg, Jesper;Aguilar-Navarro, Sara;Alexander, Neil B;Becker, Clemens;Blain, Hubert;Bourke, Robbie;Cameron, Ian D;Camicioli, Richard;Clemson, Lindy;Close, Jacqueline;Delbaere, Kim;Duan, Leilei;Duque, Gustavo;Dyer, Suzanne M;Freiberger, Ellen;Ganz, David A;Gómez, Fernando;Hausdorff, Jeffrey M;Hogan, David B;Hunter, Susan M W;Jauregui, Jose R;Kamkar, Nellie;Kenny, Rose-Anne;Lamb, Sarah E;Latham, Nancy K;Lipsitz, Lewis A;Liu-Ambrose, Teresa;Logan, Pip;Lord, Stephen R;Mallet, Louise;Marsh, David;Milisen, Koen;Moctezuma-Gallegos, Rogelio;Morris, Meg E;Nieuwboer, Alice;Perracini, Monica R;Pieruccini-Faria, Frederico;Pighills, Alison;Said, Catherine;Sejdic, Ervin;Sherrington, Catherine;Skelton, Dawn A;Dsouza, Sabestina;Speechley, Mark;Stark, Susan;Todd, Chris;Troen, Bruce R;van der Cammen, Tischa;Verghese, Joe;Vlaeyen, Ellen;Watt, Jennifer A;Masud, Tahir;Kaur Ajit Singh, Devinder;Aguilar-Navarro, Sara G.;Aguilera Caona, Edgar;Alexander, Neil B.;Allen, Natalie;Anweiller, Cedric;Avila-Funes, Alberto;Barbosa Santos, Renato;Batchelor, Francis;Becker, Clemens;Beauchamp, Marla;Birimoglu, Canan;Bohlke, Kayla;Bourke, Robert;Alonzo Bouzòn, Christina;Bridenbaugh, Stephanie;Gabriel Buendia, Patricio;Cameron, Ian;Canning, Colleen;Alberto Cano-Gutierrez, Carlos;Carlos Carbajal, Juan;Cristina Carvalho De Abreu, Daniela;Casas-Herrero, Alvaro;Ceriani, Alejandro;Cesari, Matteo;Chiari, Lorenzo;Manuel Cornejo Alemn, Luis;Dawson, Rik;Doody, Paul;Dsouza, Sabestina;Duan, Leilei;Duque, Gustavo;Dyer, Suzanne;Ellmers, Toby;Fairhall, Nicola;Ferrucci, Luigi;Frith, James;Gac Espinola, Homero;Ganz, David A;Giber, Fabiana;Fernando Gómez, Jos;Miguel Gutirrez-Robledo, Luis;Hartikainen, Sirpa;Hausdorff, Jeffrey;Hooi Wong, Chek;Howe, Simon;Hunter, Susan;Perez Jara, Javier;Jauregui, Ricardo;Jellema, Anton;Jenni, Suen;Jepson, Ditte;Kalula, Sebastiana;Anne Kenny, Rose;Kerse, Ngaire;Kobusingye, Olive;Kressig, Reto;Kwok, Wing;Lamb, Sallie;Latham, Nancy;Ling Lim, Mei;Lipsitz, Lewis;Lord, Stephen;Alves Lourenço, Roberto;Madden, Kenneth;Marín-Larraín, Pedro;Marsh, David R;Martin, Finbarr C;Martínez Padilla, Diego;Mat, Sumaiyah;Mcgarrigle, Lisa;Mcilroy, Bill;Melgar-Cuellar, Felipe;Menant, Jasmine;Mimenza, Alberto;Muneeb, Irfan;Negahban, Hossein;Norris, Mireille;Ogliari, Giulia;Oliveira, Juliana;Parodi, Jos F;Perez, Sergio;Petrovic, Mirko;Ernesto Picado Ovares, Jos;Pieruccini-Faria, Frederico;Pinheiro, Marina;Poelgeest, Eveline;Ramirez Ulate, Xinia;Robinson, Katie;Said, Cathy;Sakurai, Ryota;Schapira, Marcelo;Sejdic, Ervin;Seppala, Lotta J;Sgaravatti, Aldo;Sherrington, Cathie;Song, Yu;Stark, Susan;Sultana, Munira;Suri, Anisha;Pin Tan, Maw;Taylor, Morag;Thomsen, Katja;Tiedemann, Anne;Lucia Tito, Susana;Todd, Chris;Troen, Bruce;Verghese, Joe;Watt, Jennifer;Welmer, Ana-Karim;Won Won, Chang;Rixt Zijlstra G. A.
2022
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.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/964832
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.