Clinical Practice Guidelines Systematic Review

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What is the main objective of creating falls prevention and management recommendations for older adults?

To increase healthcare costs for older adults

To address the perspectives of older adults, caregivers, and stakeholders (correct)

To ignore recent developments in e-health

To exclude low- and middle-income countries from the recommendations

What is recommended for all older adults according to the final recommendations?

Isolation from community activities

High-risk medication prescriptions

Falls prevention and physical activity advice (correct)

Regular visits to healthcare professionals

What is suggested for community-dwelling older adults in terms of falls risk assessment?

Only self-assessment is recommended

Opportunistic case finding for falls risk (correct)

No falls risk assessment is needed

Regular assessments are not necessary

What type of process was used to review and refine the recommendations?

Modified Delphi process Signup and view all the answers

In addition to older adults and caregivers, which other stakeholders' perspectives were considered in creating the recommendations?

Other stakeholders as well Signup and view all the answers

What should the recommendations consider regarding implementation?

Implementation across locations with limited access to resources Signup and view all the answers

What is a significant effect of falls-related injuries in older adults?

Negative effects on functional independence and quality of life Signup and view all the answers

What is common in older adults according to the text?

Inconsistent guidelines for falls prevention Signup and view all the answers

What is the purpose of offering a comprehensive multifactorial falls risk assessment to those considered at high risk?

To identify and address individual risk factors for falls Signup and view all the answers

What is the significance of opportunistic case-finding in preventing falls?

It helps identify individuals who may not present following a fall Signup and view all the answers

Why is the application of some recommendations mentioned in the text likely to need modification in low resource settings?

To meet the specific needs and resource constraints of low resource settings Signup and view all the answers

What did the Global Burden of Disease study report about years of life lost from falls in 2017?

Nearly 17 million years of life lost Signup and view all the answers

What are some consequences of falls and fall-related injuries aside from personal distress?

Association with subsequent morbidity, disability, and mortality Signup and view all the answers

What is the relevance of differences in falls prevalence between regions of the world mentioned in the text?

It indicates that cultural and lifestyle differences affect falls prevalence Signup and view all the answers

Why does the text suggest that risk factors may differ across locations and settings?

To emphasize the importance of personalized interventions for fall prevention Signup and view all the answers

Why was the World Falls Guidelines (WFG) Task Force created?

To reflect new evidence and clinical service challenges for falls prevention Signup and view all the answers

What is the primary focus of these guidelines?

Preventing injuries from falls in older adults Signup and view all the answers

Who were the intended beneficiaries of these guidelines?

Older adults living in the community Signup and view all the answers

What factors were considered when developing separate recommendations for specific conditions like Parkinson’s disease and post-stroke?

Medical conditions associated with higher falls risk Signup and view all the answers

What is beyond the scope of these guidelines?

Management of fall-related injuries Signup and view all the answers

Who are the healthcare clinicians for whom these guidelines were developed?

Physicians, nurses, and physiotherapists Signup and view all the answers

What does the text imply about the challenges of implementing falls prevention guidelines in LMIC?

They may involve barriers to accessing resources Signup and view all the answers

What does the text state about the development of individualized fall prevention plans?

They are developed using identified fall risk factors and other relevant clinical information Signup and view all the answers

What is the main reason for creating new clinical practice guidelines, according to the text?

To address gaps and inconsistencies in existing guidelines at an international level Signup and view all the answers

What aspect of falls in older adults does the text mention mechanistic and epidemiological studies have improved our understanding of?

Falls in older adults with cognitive impairment Signup and view all the answers

What is the overarching aim of the United Nations Decade of Healthy Ageing (2021–2030)?

To improve the health and well-being of older adults globally Signup and view all the answers

What is the specific objective of the WFG mentioned in the text?

To provide guidelines for identifying and assessing the risk of falls in older adults Signup and view all the answers

What does the World Health Organization's definition of a fall include, as mentioned in the text?

Events resulting in a person coming to rest inadvertently on the ground or floor Signup and view all the answers

What are the main challenges of implementing the guidelines across settings with limited resources?

Challenges in low- and middle-income countries and locations with limited resources Signup and view all the answers

What evidence has not been systematically evaluated despite a substantial volume being available?

Recent developments in e-health including wearables, virtual reality applications, and environmental monitoring devices Signup and view all the answers

Why is there inconsistency in defining older participants' ages in research evidence underpinning these guidelines?

"Older adults" are regarded as those aged 65 years or over in most countries Signup and view all the answers

What was the role of the international Experts Group in the review process?

Providing external review and feedback on the recommendations Signup and view all the answers

What was the responsibility of each working group in the review process?

Developing search strategies and PICO questions Signup and view all the answers

What did the gaps identified in the systematic review lead to?

Formation of topic specific working groups Signup and view all the answers

Who performed additional rapid reviews of clinical areas not covered by the working groups?

The ad hoc expert groups Signup and view all the answers

What informed the creation of specific working groups addressing relevant or controversial topics?

The gaps identified in the systematic review Signup and view all the answers

Who was responsible for developing preliminary graded recommendations based on systematic reviews?

The topic specific working groups Signup and view all the answers

What was the role of the older adults’ panel in the review process?

Informing the final vote on the recommendations Signup and view all the answers

Who provided external review and feedback on the preliminary and revised recommendations?

The international Experts Group Signup and view all the answers