낙상 위험 요인 평가

Abstract

Falls are a leading cause of injury and injury-related death among the elderly worldwide. With the aging population, the increase in medical costs related to falls imposes a significant burden on healthcare systems, underscoring the importance of developing effective fall prevention strategies. Effective fall prevention interventions depend on selecting appropriate candidates and assessing their level of risk. Fall risk assessment includes both fall risk screening tests and a multifactorial risk evaluation. Through conducting interviews regarding fall history and assessing gait and balance, healthcare professionals can identify elderly individuals at risk of falling. A multifactorial fall risk assessment includes gait and balance, muscle strength, medications, use, neurocognitive disorders, fear of falling, risk of fractures, cardiovascular disorders, urinary dysfunction, pain, nutritional status, and environmental factors. The multifactorial approach to fall risk assessment allows for the identification of multiple risk factors and facilitates integrated interventions, effectively reducing the risk of falls compared to individual risk factor assessments and interventions. Fall risk assessment in the elderly necessitates interdisciplinary collaboration to accurately identify and address risk factors. However, practical limitations in clinical settings may impede this process. Nevertheless, given the public health, health, and socioeconomic significance of falls in the aging population, fall prevention management is critical for promoting public health and improving healthcare accessibility. Therefore, efforts to identify at-risk individuals, select feasible assessment tools, evaluate fall risk factors, and deliver collaborative care are essential. These efforts can inform effective prevention strategies, decrease healthcare expenditures, and diminish the incidence of falls and related injuries.