Fall-related mortality in southern Sweden : a multiple cause of death analysis, 1998-2014
Ahmad Kiadaliri, Aliasghar LU
; Rosengren, Björn E
LU
and Englund, Martin
LU
(2019)
In Injury Prevention
25(2).
p.129-135
- Abstract
OBJECTIVES: To investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.
METHODS: We examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998-2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.
RESULTS: Falls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The... (More)
OBJECTIVES: To investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.
METHODS: We examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998-2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.
RESULTS: Falls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The majority (75.6%) of fall deaths were coded as unspecified fall (ICD-10 code: W19) followed by falling on or from stairs/steps (7.7%, ICD-10 code: W10) and other falls on the same level (6.3%, ICD-10 code: W18). The mean age at fall deaths increased from 77.5 years in 1998-2002 to 82.9 years in 2010-2014 while for other deaths it increased from 78.5 to 79.8 years over the same period. The overall mean age-standardised rate of fall mortality was 8.3 and 4.0 per 1 00 000 person-years in men and women, respectively, and increased by 1.7% per year in men and 0.8% per year in women during 1998-2014. Head injury and diseases of the circulatory system were recorded as contributing cause on 48.7% of fall deaths.
CONCLUSIONS: There is an increasing trend of deaths due to falls in southern Sweden. Further investigations are required to explain this observation particularly among elderly men.
(Less)
- author
- Ahmad Kiadaliri, Aliasghar
LU
; Rosengren, Björn E
LU
and Englund, Martin
LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Injury Prevention
- volume
- 25
- issue
- 2
- pages
- 129 - 135
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85049104157
- pmid:29056585
- ISSN
- 1353-8047
- DOI
- 10.1136/injuryprev-2017-042425
- project
- Temporal trends in musculoskeletal disorders burden
- language
- English
- LU publication?
- yes
- id
- 57a48ef6-096a-4c88-9826-94535cac4993
- date added to LUP
- 2017-10-25 15:20:04
- date last changed
- 2024-02-13 09:23:08
@article{57a48ef6-096a-4c88-9826-94535cac4993,
abstract = {{<p>OBJECTIVES: To investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.</p><p>METHODS: We examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998-2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.</p><p>RESULTS: Falls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The majority (75.6%) of fall deaths were coded as unspecified fall (ICD-10 code: W19) followed by falling on or from stairs/steps (7.7%, ICD-10 code: W10) and other falls on the same level (6.3%, ICD-10 code: W18). The mean age at fall deaths increased from 77.5 years in 1998-2002 to 82.9 years in 2010-2014 while for other deaths it increased from 78.5 to 79.8 years over the same period. The overall mean age-standardised rate of fall mortality was 8.3 and 4.0 per 1 00 000 person-years in men and women, respectively, and increased by 1.7% per year in men and 0.8% per year in women during 1998-2014. Head injury and diseases of the circulatory system were recorded as contributing cause on 48.7% of fall deaths.</p><p>CONCLUSIONS: There is an increasing trend of deaths due to falls in southern Sweden. Further investigations are required to explain this observation particularly among elderly men.</p>}},
author = {{Ahmad Kiadaliri, Aliasghar and Rosengren, Björn E and Englund, Martin}},
issn = {{1353-8047}},
language = {{eng}},
number = {{2}},
pages = {{129--135}},
publisher = {{BMJ Publishing Group}},
series = {{Injury Prevention}},
title = {{Fall-related mortality in southern Sweden : a multiple cause of death analysis, 1998-2014}},
url = {{http://dx.doi.org/10.1136/injuryprev-2017-042425}},
doi = {{10.1136/injuryprev-2017-042425}},
volume = {{25}},
year = {{2019}},
}