Falls in older aged adults in 22 European countries: incidence, mortality and burden of disease from 1990 to 2017.
Journal: Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
Volume: 26
Issue: Supp 1
Year of Publication: 2021
Affiliated Institutions:
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands j.haagsma@erasmusmc.nl.
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Department of Public Health, Trnava University, Trnava, Slovakia.
Department of Public Health, Erasmus University, Rotterdam, The Netherlands.
Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
School of Health Sciences, Birmingham City University, Birmingham, UK.
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
School of Physiotherapy and Exercise Science, Curtin University, Bentley, Western Australia, Australia.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Department of Pathology, Stavanger University Hospital, Stavanger, Norway.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Psychiatry Department, Kaiser Permanente, Fontana, California, USA.
School of Public Health Medicine, Bielefeld University, Bielefeld, Germany.
Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain.
Department of Ophthalmology, Heidelberg University, Mannheim, Germany.
Clinical Epidemiology Unit, Lund University, Lund, Sweden.
CIBERSAM, San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain.
Department of General Surgery, Aintree University Hospital National Health Service (NHS) Foundation Trust, Liverpool, UK.
Breast Surgery Unit, Helsinki University Hospital, Helsinki, Finland.
Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria.
College of Graduate Health Sciences, A.T. Still University, Mesa, Arizona, USA.
Department of Primary Care and Public Health, Imperial College London, London, UK.
WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK.
Department of Rheumatology, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Institute of Medical Epidemiology, Martin Luther University Halle-Wittenberg, Halle, Germany.
UKK Institute, Tampere, Finland.
Abstract summary
Falls in older aged adults are an important public health problem. Insight into differences in fall-related injury rates between countries can serve as important input for identifying and evaluating prevention strategies. The objectives of this study were to compare Global Burden of Disease (GBD) 2017 estimates on incidence, mortality and disability-adjusted life years (DALYs) due to fall-related injury in older adults across 22 countries in the Western European region and to examine changes over a 28-year period.We performed a secondary database descriptive study using the GBD 2017 results on age-standardised fall-related injury in older adults aged 70 years and older in 22 countries from 1990 to 2017.In 2017, in the Western European region, 13 840 per 100 000 (uncertainty interval (UI) 11 837-16 113) older adults sought medical treatment for fall-related injury, ranging from 7594 per 100 000 (UI 6326-9032) in Greece to 19 796 per 100 000 (UI 15 536-24 233) in Norway. Since 1990, fall-related injury DALY rates showed little change for the whole region, but patterns varied widely between countries. Some countries (eg, Belgium and Netherlands) have lost their favourable positions due to an increasing fall-related injury burden of disease since 1990.From 1990 to 2017, there was considerable variation in fall-related injury incidence, mortality, DALY rates and its composites in the 22 countries in the Western European region. It may be useful to assess which fall prevention measures have been taken in countries that showed continuous low or decreasing incidence, death and DALY rates despite ageing of the population.
Authors & Co-authors:
Haagsma Juanita A JA
Olij Branko F BF
Majdan Marek M
van Beeck Ed F EF
Vos Theo T
Castle Chris D CD
Dingels Zachary V ZV
Fox Jack T JT
Hamilton Erin B EB
Liu Zichen Z
Roberts Nicholas L S NLS
Sylte Dillon O DO
Aremu Olatunde O
Bärnighausen Till Winfried TW
Borzì Antonio M AM
Briggs Andrew M AM
Carrero Juan J JJ
Cooper Cyrus C
El-Khatib Ziad Z
Ellingsen Christian Lycke CL
Fereshtehnejad Seyed-Mohammad SM
Filip Irina I
Fischer Florian F
Haro Josep Maria JM
Jonas Jost B JB
Kiadaliri Aliasghar A AA
Koyanagi Ai A
Lunevicius Raimundas R
Meretoja Tuomo J TJ
Mohammed Shafiu S
Pathak Ashish A
Radfar Amir A
Rawaf Salman S
Rawaf David Laith DL
Riera Lidia Sanchez LS
Shiue Ivy I
Vasankari Tommi Juhani TJ
James Spencer L SL
Polinder Suzanne S
Study Outcome
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