| Evidence-Based Guideline for Fall Prevention in Korea |
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Kwang Il Kim, Hye Kyung Jung, Chang Oh Kim, Soo Kyung Kim, Hyun Ho Cho, Dae Yul Kim, Yong Chan Ha, Sung Hee Hwang, Chang Won Won, Jae Young Lim, Hyun Jung Kim, Jae Gyu Kim, , |
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 |
| 낙상예방 진료지침 |
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김광일1· 정혜경2· 김창오3· 김수경4· 조현호5· 김대열6· 하용찬7· 황성희8· 원장원9· 임재영10· 김현정11· 김재규12· 대한내과학회· 대한노인병학회 |
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서울대학교 의과대학 내과학교실1 , 이화여자대학교 의학전문대학원 내과학교실2 , 연세대학교 의과대학 내과학교실3 , 차의과학대학교 분당차병원 내분비내과4 , 대한개원내과의사회5 , 울산대학교 의과대학 서울아산병원 재활의학과6 , 중앙대학교 의과대학 정형외과학교실7 , 한림대학교 의과대학 신경과학교실8 , 경희대학교 의과대학 가정의학교실9 , 서울대학교 의과대학 분당서울대학교병원 재활의학과10, 고려대학교 의과대학 예방의학교실11, 중앙대학교 의과대학 내과학교실12 |
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| Abstract |
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Falls and fall-related injuries are common amongst the elderly population and have deleterious effects on the quality of life or independence in daily living in the elderly. Falling is also associated with substantial morbidity, mortality, nursing home admission, and an increase in medical costs. Given that Korea has shown an extreme demographic shift with its population aging at the fastest pace among developed countries, assessment of fall risks and implementing intervention strategies to the high-risk population are getting more important. The guidelines for the prevention of falls were developed first by The Korean Association of Internal Medicine and The Korean Geriatric Society. These guidelines were developed by an adaptation process and the use of an evidence-based method; 4 guidelines were retrieved by systematic review and by the AGREE (appraisal of guidelines for research and evaluation) II process and 7 statements were made based on the grading of evidence, and these recommendations followed the GRADE (grades of recommendation, assessment, development, and evaluation) framework. Given that falls result from a various combination of many factors, the guidelines contain multidimensional assessment measures and multimodal strategies to prevent falls. These guidelines were developed not only for use by primary physicians but also for patients and the general population. Therefore, these guidelines provide detailed recommendations and concrete measures for the assessment of the risk of a fall and to prevent falls amongst the elderly population. |
| Key Words:
Accidental falls, Guidelines, Aged, Prevention |
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