Fall-induced injuries and deaths among older adults

被引:395
作者
Kannus, P
Parkkari, J
Koskinen, S
Niemi, S
Palvanen, M
Järvinen, M
Vuori, I
机构
[1] Tampere Univ, Sch Med, Tampere, Finland
[2] Tampere Univ, Dept Surg, Tampere, Finland
[3] Tampere Univ Hosp, Tampere, Finland
[4] Natl Publ Hlth Inst, Helsinki, Finland
[5] Urho Kaleva Kekkonen Inst Hlth Promot Res, Accident & Trauma Res Ctr, Tampere, Finland
[6] Urho Kaleva Kekkonen Inst Hlth Promot Res, Tampere Res Ctr Sports Med, Tampere, Finland
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 1999年 / 281卷 / 20期
关键词
D O I
10.1001/jama.281.20.1895
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Context Although various fall-induced injuries and deaths among older adults are increasing, little is known about the epidemiology of these events. Objective To determine the trends in the number and incidence of fall-induced injuries and deaths of older adults in a well-defined white population. Design and Setting Secular trend analysis of the population of Finland, using the Finnish National Hospital Discharge Register and the Official Cause-of-Death Statistics of Finland. Participants All persons aged 50 years or older who were admitted to hospitals in Finland for primary treatment of a first fall-induced injury from the years of 1970 to 1995, and for com parison, all fall-induced deaths in the same age group from the years 1971 to 1995. Main Outcome Measure The number and the age-specific and age-adjusted incidence rate (per 100 000 persons) of fall-induced injuries and deaths in each year of the study. Results For the study period, both the total and population-adjusted number (per 100 000 persons) of Finns aged 50 years or older with fall-induced injury increased substantially. Total fall-induced injuries increased from 5622 in 1970 to 21 574 in 1995, a 284% increase, and the rate increased from 494 to 1398 per 100 000 persons, a 183% increase. The age-adjusted incidence also increased in both women (from 648 in 1970 to 1469 in 1995, a 127% increase) and men (from 434 in 1970 to 972 in 1995, a 124% increase), Moreover, the number of deaths due to falls in the overall population increased from 441 in 1971 to 793 in 1995, an 80% increase, and the rate increased from 38 in 1971 to 51 in 1995, a 34% increase. However, after age adjustment the incidence of fall-induced death did not show a clear upward trend, Conclusions In a well-defined white population, the number of older persons with fall-induced injuries is increasing at a rate that cannot be explained simply by demographic changes. Preventive measures should be adopted to control the increasing burden of these injuries. Fortunately, the age-adjusted incidence of the fall-induced deaths shows no increasing trend over time.
引用
收藏
页码:1895 / 1899
页数:5
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