Korean J Intern Med.
2017 Jan;32(1):199-210. 10.3904/kjim.2016.218.
Evidence-based guidelines for fall prevention in Korea
- Affiliations
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- 1Department of Internal Medicine, Seoul National University College of Medicine, 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, University 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, 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: 2365999
- DOI: http://doi.org/10.3904/kjim.2016.218
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.
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