美国老年病学协会对世界布指南的回应
Elizabeth Eckstrom1, Jennifer L Vincenzo2, Colleen M Casey3
1Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, Oregon, USA.
Journal of the American Geriatrics Society
|December 22, 2023
概括
新世界布指南提供了最新的预防老年人落的策略. 这些指南强调了新的干预措施,如听力评估和针对认知障碍的个性化练习,补充了现有的建议.
科学领域:
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 跌倒是老年人患病和死亡的一个重要原因.
- 美国老年病学学会/英国老年病学学会 (AGS/BGS) 之前的指南于2001年制定,并于2011年修订.
- 世界布指南 (WFG) 工作组在2022年制定了更新的全球建议.
研究的目的:
- 总结一下新的世界布指南 (WFG).
- 将WFG的建议与现有的AGS/BGS指南进行比较.
- 为美国的WFG提出实施策略.
主要方法:
- 对11个WFG主题的审查,这些主题与社区生活的老年人有关.
- 与AGS/BGS指南相比,WFG建议的比较.
- 确定关键差异和融合领域.
主要成果:
- 与WFG补充的协议:对听力障碍的评估,对跌倒的担忧,针对认知障碍的个性化练习和标准化药物审查 (例如,STOPPFall).
- 观察到的关键差异是:所有65岁以上的AGS年度跌倒查与针对性查,步行时间和步行速度 (TUG) 步行评估与步行速度,以及在跌倒风险中对心电图的临床判断与标准化方法.
- 该WFG提供了一个面向全球的,更新的框架,用于降落风险分层,评估,管理和干预.
结论:
- 该WFG为老年人提供了有价值的更新和补充,用于现有的防摔策略.
- 在美国实施WFG建议可以加强防摔工作.
- 医疗保健提供者和团队可以利用这些指南来降低老年人群中跌倒风险.
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