Rural older people had lower mortality after accidental falls than non-rural older people

Huang, Jen Wu; Lin, Yi; Wu, Nai Yuan; Chen, Yi Chun

doi:10.2147/cia.s119186

Cited by 12 publications

(11 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings were broadly consistent in sex-specific and age group-specific comparisons. The sex-specific incidence of fall-related injury among older American people (23.4% in females and 15.0% in males aged 65+),113 has been reported as nearly twice as high as that among older Chinese people calculated in this review (11.6% for females and 6.6% for males aged 60+ and 65+). That said, direct comparison is difficult because some Chinese studies reported incidence in people aged 60+ years and others 65+ years.…”

Section: Discussionmentioning

confidence: 45%

Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Peng¹,

Tian²,

Andersen³

et al. 2019

Inj Prev

View full text Add to dashboard Cite

ObjectiveChina’s population is ageing and fall-related injury in older Chinese people is a growing public health concern. This review aims to synthesise existing evidence on the incidence, risk factors and economic burden of fall-related injury among older Chinese people to inform health service planning.MethodsA systematic search of literature on falls and injury among older people living in China was performed in six electronic databases including both English and Chinese databases. Results were combined using narrative synthesis due to the heterogeneity of included studies.ResultsA total of 93 studies from Mainland China, Taiwan and Hong Kong were included in this review. Most of these studies were descriptive; 82 reported the incidence of fall-related injury among older Chinese people, 7 studies examined the risk factors for fall-related injury and 22 studies described the economic burden of fall-related injury. The incidence of fall-related injury reported among older Chinese people ranged from 0.6% to 19.5%. Risk factors significantly associated with fall-related injury among older Chinese included older age, female sex, walking aid use, living environments, chronic disease, medication usage, visual impairment and a fall direction other than forward. The cost of fall-related injury among older Chinese people ranged from US$16 to US$3812 per person per fall.ConclusionFalls-related injuries are a significant public health issue for older Chinese people. Further studies using prospective design to identify risk factors and the economic burden of fall-related injuries are needed.

show abstract

Section: Discussionmentioning

confidence: 45%

Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Peng¹,

Tian²,

Andersen³

et al. 2019

Inj Prev

View full text Add to dashboard Cite

show abstract

“…Among the countries with highest incidence in 2017 were Slovenia, Czech Republic and Slovakia—countries with high percentages of rural populations 30. In Slovenia, nearly half of the population lives in a rural area, and there is evidence that falls are less fatal and more frequent in rural older people 31 32. Age-standardised DALY rates were particularly high in specific regions, including Central Europe, Eastern Europe and Australasia.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

BackgroundFalls 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.MethodsEstimates 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.ResultsGlobally, 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.ConclusionsThis study shows that the burden of falls is substantial. Investing in further research, fall prevention strategies and access to care is critical.

show abstract

“…According to one recent study, rural people had a higher rate of hospitalization but a lower mortality rate after falls than did non-rural people [ 23 ]. The same aforementioned Switzerland study also showed the effect of the area-level income.…”

Section: Discussionmentioning

confidence: 99%

The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study

et al. 2018

View full text Add to dashboard Cite

Hip fractures are a major problem to elder population, but subsequent morbidity is unclear about environmental factors and socioeconomic conditions. The study aims to investigate the incidence of hip fractures treated by the surgery; to compare the sequelae and temporal trends of hip fractures; to evaluate the seasonal effects in the subsequent short-term and long-term morbidities after hip fractures. A cohort study design is conducted using national health research datasets between 2000 and 2010. The ICD-9-CM diagnostic codes were utilized to investigate the incidence of hip fractures and the corresponding treatments. Hierarchical modeling was used to analyze the factors associated with various types of hip fractures. The results indicated that females had a lower incidence in the 30–44 age group, but a significantly higher incidence than males among those aged 60 years or older (adjusted rates 232.1 vs. 100.3 per 100,000 persons, p<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.

show abstract

Rural older people had lower mortality after accidental falls than non-rural older people

Cited by 12 publications

References 35 publications

Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review

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

The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study

Contact Info

Product

Resources

About