Falls often have severe financial and environmental consequences, not only for those who fall, but also for their families and society at large. Identifying fall risk in older adults can be of great use in preventing or reducing falls and fall risk, and preventative measures that are then introduced can help reduce the incidence and severity of falls in older adults. The overall aim of our systematic review was to provide an analysis of existing mechanisms and measures for evaluating fall risk in older adults. The 43 included FRATs produced a total of 493 FRAT items which, when linked to the ICF, resulted in a total of 952 ICF codes. The ICF domain with the most used codes was body function, with 381 of the 952 codes used (40%), followed by activities and participation with 273 codes (28%), body structure with 238 codes (25%) and, lastly, environmental and personal factors with only 60 codes (7%). This review highlights the fact that current FRATs focus on the body, neglecting environmental and personal factors and, to a lesser extent, activities and participation. This over-reliance on the body as the point of failure in fall risk assessment clearly highlights the need for gathering qualitative data, such as from focus group discussions with older adults, to capture the perspectives and views of the older adults themselves about the factors that increase their risk of falling and comparing these perspectives to the data gathered from published FRATs as described in this review.

跌倒不仅给跌倒的人而且对他们的家庭和整个社会都造成严重的财务和环境后果。识别老年人的跌倒风险对于预防或减少跌倒和跌倒风险非常有用，然后采用预防措施可以帮助降低老年人跌倒的发生率和严重程度。我们系统评价的总体目标是对评估老年人跌倒风险的现有机制和措施进行分析。包括在内的43个FRAT总共产生了493个FRAT项，这些项与ICF链接后，总共产生了952个ICF代码。使用代码最多的ICF域是身体功能，使用952个代码中的381个（占40％），其次是参与活动和参与的273个代码（占28％），身体结构使用238个代码（占25％），最后，环境和个人因素，仅有60条代码（7​​％）。这篇评论强调了一个事实，即当前的FRAT专注于身体，忽略了环境和个人因素，而在较小程度上则忽略了活动和参与。对身体的过度依赖是跌倒风险评估失败的重点，这清楚地凸显了收集定性数据的必要性，例如从与老年人进行的焦点小组讨论中，以收集老年人自身对影响因素的观点和看法。增加他们跌倒的风险，并将这些观点与从本篇评论中描述的已发布FRAT收集的数据进行比较。活动和参与。对身体的过度依赖是跌倒风险评估失败的重点，这清楚地凸显了收集定性数据的必要性，例如从与老年人进行的焦点小组讨论中，以收集老年人自身对影响因素的观点和看法。增加他们跌倒的风险，并将这些观点与从本篇评论中描述的已发布FRAT收集的数据进行比较。活动和参与。这种对身体的过度依赖是跌倒风险评估失败的重点，这清楚地凸显了需要收集定性数据（例如从与老年人进行的焦点小组讨论中）以获取老年人本身对因素的看法和看法。增加他们跌倒的风险，并将这些观点与从本篇评论中描述的已发布FRAT收集的数据进行比较。