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Falls in older adults: a practical approach.

Cristiana Borges Pereira1, Aline Mizuta Kozoroski Kanashiro2

  • 1Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Neurologia, São Paulo SP, Brazil.

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Falls are a significant public health issue for older adults. A systematic approach to identifying fall risk factors and implementing targeted interventions, including physical activity and technology, can effectively prevent falls.

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Area of Science:

  • Gerontology
  • Public Health
  • Clinical Medicine

Background:

  • Falls pose a significant public health challenge, contributing to morbidity and mortality in the elderly.
  • Evaluating fall risk and implementing preventive interventions can be complex.

Purpose of the Study:

  • To consolidate key information on falls in the elderly.
  • To provide a critical review and practical clinical guidance for fall prevention.

Main Methods:

  • Systematic literature search of the PubMed database in March 2022.
  • Keywords included 'fall elderly', 'fall prevention', and 'fall risk'.
  • Focused on reviews, systematic reviews, meta-analyses, and practice guidelines published within the last five years.

Main Results:

  • Identified multiple risk factors for falls across psychosocial, demographic, medical, medication, behavioral, and environmental domains.
  • Clinical evaluation should include risk factor assessment and validated tools like gait velocity, Timed Up and Go, and Berg Balance Test.
  • Physical activity is a primary fall prevention strategy, with technology also playing a role in detection and prevention.

Conclusions:

  • A structured approach to assessing older adults at risk of falls is achievable.
  • Systematic evaluation and intervention can positively impact fall prevention outcomes.