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

Haagsma, Juanita A. and Olij, Branko F. and Majdan, Marek and van Beeck, Ed F. and Vos, Theo and Castle, Chris D. and Dingels, Zachery V. and Fox, Jack T. and Hamilton, Erin B. and Liu, Zichen and Roberts, Nicolas L.S. and Sylte, Dillon O and Aremu, Olatunde and Barnighausen, Till Winfried and Borzi, Antonio 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 A. and Koyanaggi, 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 (2020) Falls in older aged adults in 22 European countries: incidence, mortality and burden of disease from 1990 to 2017. Injury Prevention. ISSN 1353-8047

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Abstract

Introduction: Falls in older age adults are an important public health problem in the Western European region. Insight into differences in fall rates between countries can serve as important input for identifying and evaluating prevention strategies. The objectives of this study were to provide an overview of the Global Burden of Disease (GBD) 2017 figures on mortality, incidence, and DALYs due to falls in older adults of 22 countries of the Western European region, and to examine changes over a 27 year-period.

Methods: We performed a secondary database descriptive study using the GBD 2017 results on falls in older adults aged 70 years and older in 22 countries from 1990 to 2017.

Results: In 2017 in the Western European region 1380 per 100,000 (uncertainty interval (UI) 11,837- 16,113) older adults sought medical treatment for fall-related injury, ranging from 7,594 per 100,000 (UI 6,326-9,032) in Greece to 19,796 per 100,000 (UI 15,536-24,233) in Norway. Since 1990, falls DALY showed little change for the whole region, but patterns varied widely between countries. Some countries (e.g. Belgium and Netherlands) have lost their favorable positions due to an increasing fall-related burden of disease since 1990.

Conclusions: From 1990 to 2017 there was considerable variation in falls incidence, mortality, DALY rates and its composites in the 22 countries of the Western European region. It may be useful to assess which falls prevention measures have been taken in countries that showed continuous low or decreasing incidence, death and DALY rates despite ageing of the population.

Keywords: Aging, Accidental falls, Global burden of disease, Population Health, Disability-adjusted Life Years (DALYs)

Item Type: Article
Identification Number: https://doi.org/10.1136/injuryprev-2019-043347
Date: 28 February 2020
Uncontrolled Keywords: Aging, Accidental falls, Global burden of disease, Population Health, Disability-adjusted Life Years (DALYs)
Subjects: A300 Clinical Medicine
B900 Others in Subjects allied to Medicine
Divisions: REF UoA Output Collections > REF2021 UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
Faculty of Health, Education and Life Sciences > School of Health Sciences
Depositing User: Olatunde Aremu
Date Deposited: 05 Nov 2019 16:13
Last Modified: 29 Jun 2020 13:29
URI: http://www.open-access.bcu.ac.uk/id/eprint/8337

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