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Falls in older aged adults in 22 European countries : incidence, mortality and burden of disease from 1990 to 2017

Haagsma, Juanita A ; Olij, Branko F ; Majdan, Marek ; van Beeck, Ed F ; Vos, Theo ; Castle, Chris D ; Dingels, Zachary V ; Fox, Jack T ; Hamilton, Erin B and Liu, Zichen , et al. (2020) In Injury Prevention
Abstract

INTRODUCTION: 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.

METHODS: 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... (More)

INTRODUCTION: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

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publication status
epub
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in
Injury Prevention
publisher
BMJ Publishing Group
external identifiers
  • scopus:85081696179
  • pmid:32111726
ISSN
1353-8047
DOI
10.1136/injuryprev-2019-043347
language
English
LU publication?
yes
additional info
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
id
ebaec820-9414-4bb7-b15b-e8d584aedf4f
date added to LUP
2020-03-02 11:44:01
date last changed
2020-10-27 02:34:25
@article{ebaec820-9414-4bb7-b15b-e8d584aedf4f,
  abstract     = {<p>INTRODUCTION: 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.</p><p>METHODS: 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.</p><p>RESULTS: 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.</p><p>CONCLUSIONS: 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.</p>},
  author       = {Haagsma, Juanita A and Olij, Branko F and Majdan, Marek and van Beeck, Ed F and Vos, Theo and Castle, Chris D and Dingels, Zachary V and Fox, Jack T and Hamilton, Erin B and Liu, Zichen and Roberts, Nicholas L S and Sylte, Dillon O and Aremu, Olatunde and Bärnighausen, Till Winfried and Borzì, Antonio M and Briggs, Andrew M and Carrero, Juan J and Cooper, Cyrus and El-Khatib, Ziad and Ellingsen, Christian Lycke and Fereshtehnejad, Seyed-Mohammad and Filip, Irina and Fischer, Florian and Haro, Josep Maria and Jonas, Jost B and Kiadaliri, Aliasghar and Koyanagi, Ai and Lunevicius, Raimundas and Meretoja, Tuomo J and Mohammed, Shafiu and Pathak, Ashish and Radfar, Amir and Rawaf, Salman and Rawaf, David Laith and Riera, Lidia Sanchez and Shiue, Ivy and Vasankari, Tommi Juhani and James, Spencer L and Polinder, Suzanne},
  issn         = {1353-8047},
  language     = {eng},
  month        = {02},
  publisher    = {BMJ Publishing Group},
  series       = {Injury Prevention},
  title        = {Falls in older aged adults in 22 European countries : incidence, mortality and burden of disease from 1990 to 2017},
  url          = {http://dx.doi.org/10.1136/injuryprev-2019-043347},
  doi          = {10.1136/injuryprev-2019-043347},
  year         = {2020},
}