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Korean J Intern Med. 2017 Jan;32(1):199-210. doi: 10.3904/kjim.2016.218. Epub 2017 Jan 1.

Evidence-based guidelines for fall prevention in Korea.

Author information

1
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
2
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
3
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
4
Division of Endocrinology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
5
Korean Physicians' Association, Seoul, Korea.
6
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
7
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
8
Department of Neurology, Hallym University College of Medicine, Chuncheon, Korea.
9
Department of Family Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
10
Department of Rehabilitation, Seoul National University Bundang Hospital, Seongnam, Korea.
11
Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
12
Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

Falls and fall-related injuries are common in older populations and have negative effects on quality of life and independence. Falling is also associated with increased morbidity, mortality, nursing home admission, and medical costs. Korea has experienced an extreme demographic shift with its population aging at the fastest pace among developed countries, so it is important to assess fall risks and develop interventions for high-risk populations. Guidelines for the prevention of falls were first developed by the Korean Association of Internal Medicine and the Korean Geriatrics Society. These guidelines were developed through an adaptation process as an evidence-based method; four guidelines were retrieved via systematic review and the Appraisal of Guidelines for Research and Evaluation II process, and seven recommendations were developed based on the Grades of Recommendation, Assessment, Development, and Evaluation framework. Because falls are the result of various factors, the guidelines include a multidimensional assessment and multimodal strategy. The guidelines were developed for primary physicians as well as patients and the general population. They provide detailed recommendations and concrete measures to assess risk and prevent falls among older people.

KEYWORDS:

Accidental falls; Aged; Guideline; Prevention

PMID:
28049285
PMCID:
PMC5214733
DOI:
10.3904/kjim.2016.218
[Indexed for MEDLINE]
Free PMC Article

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