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The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017

The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017
The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017
Background: falls can lead to severe health loss including death. Past research has shown that falls are an important cause of death and disability worldwide. The Global Burden of Disease Study 2017 (GBD 2017) provides a comprehensive assessment of morbidity and mortality from falls.

Methods: estimates for mortality, years of life lost (YLLs), incidence, prevalence, years lived with disability (YLDs) and disability-adjusted life years (DALYs) were produced for 195 countries and territories from 1990 to 2017 for all ages using the GBD 2017 framework. Distributions of the bodily injury (eg, hip fracture) were estimated using hospital records.

Results: globally, the age-standardised incidence of falls was 2238 (1990–2532) per 100 000 in 2017, representing a decline of 3.7% (7.4 to 0.3) from 1990 to 2017. Age-standardised prevalence was 5186 (4622–5849) per 100 000 in 2017, representing a decline of 6.5% (7.6 to 5.4) from 1990 to 2017. Age-standardised mortality rate was 9.2 (8.5–9.8) per 100 000 which equated to 695 771 (644 927–741 720) deaths in 2017. Globally, falls resulted in 16 688 088 (15 101 897–17 636 830) YLLs, 19 252 699 (13 725 429–26 140 433) YLDs and 35 940 787 (30 185 695–42 903 289) DALYs across all ages. The most common injury sustained by fall victims is fracture of patella, tibia or fibula, or ankle. Globally, age-specific YLD rates increased with age.

Conclusions: this study shows that the burden of falls is substantial. Investing in further research, fall prevention strategies and access to care is critical.
burden of disease, epidemiology, fall
1475-5785
James, S.L.
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Lucchesi, L.R.
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Cooper, Cyrus
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Castle, C.D.
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Bisignano, C.
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Dingels, Z.V.
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Fox, J.T.
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Hamilton, E.B.
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Henry, N.J.
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Global Burden of Disease Study 2017
James, S.L.
0257631b-cf13-432d-b766-738f49cd7754
Lucchesi, L.R.
3b09dcb5-0c20-4db2-99d1-4b131b54f7ac
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Castle, C.D.
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Bisignano, C.
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Dingels, Z.V.
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Fox, J.T.
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Hamilton, E.B.
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Henry, N.J.
224fb533-6ad4-4db0-b23d-d61547c7ed8b

James, S.L., Lucchesi, L.R. and Cooper, Cyrus , Global Burden of Disease Study 2017 (2020) The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017. Injury Prevention. (doi:10.1136/injuryprev-2019-043286).

Record type: Article

Abstract

Background: falls can lead to severe health loss including death. Past research has shown that falls are an important cause of death and disability worldwide. The Global Burden of Disease Study 2017 (GBD 2017) provides a comprehensive assessment of morbidity and mortality from falls.

Methods: estimates for mortality, years of life lost (YLLs), incidence, prevalence, years lived with disability (YLDs) and disability-adjusted life years (DALYs) were produced for 195 countries and territories from 1990 to 2017 for all ages using the GBD 2017 framework. Distributions of the bodily injury (eg, hip fracture) were estimated using hospital records.

Results: globally, the age-standardised incidence of falls was 2238 (1990–2532) per 100 000 in 2017, representing a decline of 3.7% (7.4 to 0.3) from 1990 to 2017. Age-standardised prevalence was 5186 (4622–5849) per 100 000 in 2017, representing a decline of 6.5% (7.6 to 5.4) from 1990 to 2017. Age-standardised mortality rate was 9.2 (8.5–9.8) per 100 000 which equated to 695 771 (644 927–741 720) deaths in 2017. Globally, falls resulted in 16 688 088 (15 101 897–17 636 830) YLLs, 19 252 699 (13 725 429–26 140 433) YLDs and 35 940 787 (30 185 695–42 903 289) DALYs across all ages. The most common injury sustained by fall victims is fracture of patella, tibia or fibula, or ankle. Globally, age-specific YLD rates increased with age.

Conclusions: this study shows that the burden of falls is substantial. Investing in further research, fall prevention strategies and access to care is critical.

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Accepted/In Press date: 17 June 2019
Published date: 2020
Keywords: burden of disease, epidemiology, fall

Identifiers

Local EPrints ID: 437675
URI: http://eprints.soton.ac.uk/id/eprint/437675
ISSN: 1475-5785
PURE UUID: 311aa275-7c5c-408e-8c95-16c49d9e42d9
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 11 Feb 2020 17:30
Last modified: 26 Nov 2021 02:40

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Contributors

Author: S.L. James
Author: L.R. Lucchesi
Author: Cyrus Cooper ORCID iD
Author: C.D. Castle
Author: C. Bisignano
Author: Z.V. Dingels
Author: J.T. Fox
Author: E.B. Hamilton
Author: N.J. Henry
Corporate Author: Global Burden of Disease Study 2017

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