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

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

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.

Accidental Falls/mortality, Aged, Aged, 80 and over, Cost of Illness, Europe, Global Burden of Disease, Global Health, Greece, Humans, Incidence, Middle Aged, Netherlands, Norway, Quality-Adjusted Life Years
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Liu, Zichen
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Jonas, Jost B.
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Majdan, Marek
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van Beeck, Ed F.
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Dingels, Zachary V.
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Cooper, Cyrus
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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., Liu, Zichen, Roberts, Nicholas L.S., Sylte, Dillon O., Aremu, Olatunde, Bärnighausen, Till Winfried, Borzì, Antonio M., Briggs, Andrew M., Carrero, Juan J., Cooper, Cyrus, El-Khatib, Ziad, Ellingsen, Christian Lycke, Fereshtehnejad, Seyed-Mohammad, Filip, Irina, Fischer, Florian, Haro, Josep Maria, Jonas, Jost B., Kiadaliri, Aliasghar A, Koyanagi, Ai, Lunevicius, Raimundas, Meretoja, Tuomo J, Mohammed, Shafiu, Pathak, Ashish, Radfar, Amir, Rawaf, Salman, Rawaf, David Laith, Riera, Lidia Sanchez, Shiue, Ivy, Vasankari, Tommi Juhani, 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, 26 (Supp. 1), i67-i74. (doi:10.1136/injuryprev-2019-043347).

Record type: Article

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 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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Accepted/In Press date: 18 August 2019
e-pub ahead of print date: 28 February 2020
Keywords: Accidental Falls/mortality, Aged, Aged, 80 and over, Cost of Illness, Europe, Global Burden of Disease, Global Health, Greece, Humans, Incidence, Middle Aged, Netherlands, Norway, Quality-Adjusted Life Years
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Identifiers

Local EPrints ID: 489337
URI: http://eprints.soton.ac.uk/id/eprint/489337
DOI: doi:10.1136/injuryprev-2019-043347
ISSN: 1475-5785
PURE UUID: 6f4d6229-aebc-4959-92b8-e314bfb320fa
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 22 Apr 2024 16:31
Last modified: 23 Apr 2024 01:35

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Contributors

Author: Juanita A. Haagsma
Author: Branko F. Olij
Author: Marek Majdan
Author: Ed F. van Beeck
Author: Theo Vos
Author: Chris D. Castle
Author: Zachary V. Dingels
Author: Jack T. Fox
Author: Erin B. Hamilton
Author: Zichen Liu
Author: Nicholas L.S. Roberts
Author: Dillon O. Sylte
Author: Olatunde Aremu
Author: Till Winfried Bärnighausen
Author: Antonio M. Borzì
Author: Andrew M. Briggs
Author: Juan J. Carrero
Author: Cyrus Cooper ORCID iD
Author: Ziad El-Khatib
Author: Christian Lycke Ellingsen
Author: Seyed-Mohammad Fereshtehnejad
Author: Irina Filip
Author: Florian Fischer
Author: Josep Maria Haro
Author: Jost B. Jonas
Author: Aliasghar A Kiadaliri
Author: Ai Koyanagi
Author: Raimundas Lunevicius
Author: Tuomo J Meretoja
Author: Shafiu Mohammed
Author: Ashish Pathak
Author: Amir Radfar
Author: Salman Rawaf
Author: David Laith Rawaf
Author: Lidia Sanchez Riera
Author: Ivy Shiue
Author: Tommi Juhani Vasankari
Author: Spencer L. James
Author: Suzanne Polinder

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