Gériatrie et Psychologie Neuropsychiatrie du Vieillissement


Synthesis in French of the 2022 global recommendations for the management and prevention of falls in the elderly Volume 21, issue 2, Juin 2023


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1 Department of Internal Medicine and Geriatrics, MUSE University, Montpellier, France.
2 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
3 Nantes Université, CHU Nantes, pôle hospitalo-universitaire de gérontologie clinique, Nantes, France
4 Department of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany
5 Euromov, University of Montpellier, France
6 Institute of Allergology, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
7 Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Allergology and Immunology, Berlin, Germany
8 MASK-air, Montpellier, France
9 Université de Paris, Centre for Research in Epidemiology and Statistics (CRESS), Inserm, Inrae, Paris, France
10 Pôle autonomie, neurologie et prise en charge du vieillissement, centre hospitalier, Blois, France
11 Department of Geriatric Medicine, The British Geriatrics Society, Nottingham University Hospitals NHS Trust, Nottingham, England, United Kingdom
12 Population Health Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom
13 Department of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
14 Pôle de gérontologie, hôpital gériatrique Les Bateliers, CHU de Lille, université de Lille, Lille, France
15 Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark
16 Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
17 Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands
18 Amsterdam Public Health, Aging and Later Life, Amsterdam, The Netherlands
19 Schulich School of Medicine and Dentistry, Division of Geriatric Medicine, Department of Medicine, The University of Western Ontario, London, Ontario, Canada
20 Gait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, Ontario, Canada
21 Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada
22 Gerontopôle of Toulouse, Institute on Aging, Toulouse University Hospital, CHU Toulouse, Cité de la Santé, CHU de Toulouse, Toulouse, France
23 Cerpop Centre d’épidémiologie et de recherche en santé des populations UPS/Inserm UMR 1295, Toulouse, France

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: 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: 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: The core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.