Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Jan;32(1):199-210.
doi: 10.3904/kjim.2016.218. Epub 2017 Jan 1.

Evidence-based Guidelines for Fall Prevention in Korea

Affiliations
Free PMC article
Review

Evidence-based Guidelines for Fall Prevention in Korea

Kwang-Il Kim et al. Korean J Intern Med. .
Free PMC article

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.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1.
Figure 1.
Flowchart of guideline selection. OTC, over-the-counter.
Figure 2.
Figure 2.
Evaluation of candidate guidelines based on Appraisal of Guidelines for Research and Evaluation II (AGREE II). RACGP, Royal Australian College of General Practitioners; US, United States Preventive Services Task Force; NICE, National Institute for Health and Care Excellence; AGS/BGS, American Geriatrics Society/British Geriatrics Society.
Figure 3.
Figure 3.
Algorithm of fall assessment for community-dwelling elderly.

Similar articles

See all similar articles

Cited by 6 articles

See all "Cited by" articles

References

    1. Kannus P, Sievanen H, Palvanen M, Jarvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;366:1885–1893. - PubMed
    1. Tinetti ME, Williams CS. The effect of falls and fall injuries on functioning in community-dwelling older persons. J Gerontol A Biol Sci Med Sci. 1998;53:M112–M119. - PubMed
    1. Kannus P, Parkkari J, Koskinen S, et al. Fall-induced injuries and deaths among older adults. JAMA. 1999;281:1895–1899. - PubMed
    1. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707. - PubMed
    1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control . Web-based Injury Statistics Query and Reporting System (WISQARS) [Internet] Atlanta (GA): Centers for Disease Control and Prevention; 2016. [cited 2016 Dec 20]. Available from: https://www.cdc.gov/injury/wisqars.
Feedback