Korean J Med.
2015 Dec;89(6):752-780. 10.3904/kjm.2015.89.6.752.
Evidence-based Guideline for Fall Prevention in Korea
- Affiliations
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- 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University, Seoul, Korea.
- 2Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
- 3Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 4Division of Endocrinology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- 5Korean Physicians' Association, Seoul, Korea.
- 6Department of Rehabilitation Medicine, Asan Medical Center, Univeristy of Ulsan College of Medicine, Seoul, Korea.
- 7Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
- 8Department of Neurology, Hallym University College of Medicine, Chuncheon, Korea.
- 9Department of Family Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
- 10Department of Rehabilitation, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
- 11Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
- 12Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. jgkimd@cau.ac.kr
- KMID: 2268939
- DOI: http://doi.org/10.3904/kjm.2015.89.6.752
Abstract
- Falls and fall-related injuries are common in older population and have deleterious effects to the quality of life or independence of daily living in the elderly. Falling is also associated with substantial morbidity, mortality, nursing home admission and the increase of medical costs. Because Korea has shown extreme demographic shift with its population aging at the fastest pace among developed country, assessment of fall risks and intervention to high risk population are getting more important. The guideline for prevention of falls was developed first by The Korean Association of Internal Medicine and The Korean Geriatric Society. This guideline was developed by adaptation process as evidence-based method; four guidelines were retrieved by systematic review and the Appraisal of Guidelines for Research and Evaluation II process, seven statements were made with the grading of evidence and recommendations followed the Grades of Recommendation, Assessment, Development, and Evaluation framework. Because falls result from various combinations of many factors, the guideline contains multidimensional assessment and multimodal strategy to prevent falls. This guideline was developed for not only primary physician but also patients and general population, therefore it provides detailed recommendations and concrete measures to assess the risk and prevent falls in older people.
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