[2022年管理和预防老年人跌倒全球建议的法语综合]。

IF 0.4 4区 医学 Q4 PSYCHIATRY Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2023-06-01 DOI:10.1684/pnv.2023.1108
Hubert Blain, Cédric Annweiler, Gilles Berrut, Clemens Becker, Pierre-Louis Bernard, Jean Bousquet, Patricia Dargent-Molina, Patrick Friocourt, Finbarr C Martin, Tahir Masud, Mirko Petrovic, François Puisieux, Jean-Baptiste Robiaud, Jesper Ryg, Nathalie Van der Velde, Manuel Montero-Odasso, Yves Rolland
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引用次数: 0

摘要

背景:跌倒和跌倒相关损伤在老年人中很常见,对功能独立性和生活质量有负面影响,并与发病率、死亡率和健康相关费用增加有关。目的:综合基于证据和专家共识的2022年世界老年人跌倒管理和预防指南。这些建议考虑了以人为本的方法,其中包括患者、护理人员和其他利益攸关方的偏好、以前指南中的差距、电子卫生的最新发展以及当地情况和资源。建议:应建议所有老年人预防跌倒和进行体育活动。建议对居住在社区的老年人进行跌倒风险的机会性病例发现。提出了一种算法对低、中、高风险人群的跌倒风险和干预措施进行分层。对于那些被认为有高风险的患者,应提供全面的多因素跌倒风险评估,以共同设计和实施个性化的多领域干预措施。其他建议包括评估和干预组成部分及组合的细节,以及针对特定环境和人群的建议。结论:所提供的一套核心建议将需要灵活的实施战略,考虑到当地情况和资源。
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[Synthesis in French of the 2022 global recommendations for the management and prevention of falls in the elderly].

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.

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来源期刊
CiteScore
0.70
自引率
16.70%
发文量
0
审稿时长
6-12 weeks
期刊介绍: D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.
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