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

被引：100

作者：

Haagsma, Juanita A. ^{[1
]}

Olij, Branko F. ^{[1
,2
]}

Majdan, Marek ^{[3
]}

van Beeck, Ed F. ^{[4
]}

Vos, Theo ^{[5
,6
]}

Castle, Chris D. ^{[5
]}

Dingels, Zachary, V ^{[5
]}

Fox, Jack T. ^{[5
]}

Hamilton, Erin B. ^{[5
]}

Liu, Zichen ^{[5
]}

Roberts, Nicholas L. S. ^{[5
]}

Sylte, Dillon O. ^{[5
]}

Aremu, Olatunde ^{[7
]}

Baernighausen, Till Winfried ^{[8
,9
]}

Borzi, Antonio M. ^{[10
]}

Briggs, Andrew M. ^{[11
,12
]}

Carrero, Juan J. ^{[13
]}

Cooper, Cyrus ^{[14
,15
]}

El-Khatib, Ziad ^{[16
]}

Ellingsen, Christian Lycke ^{[17
,18
]}

Fereshtehnejad, Seyed-Mohammad ^{[19
,20
]}

Filip, Irina ^{[21
,22
]}

Fischer, Florian ^{[23
]}

Haro, Josep Maria ^{[24
,25
]}

Jonas, Jost B. ^{[26
,27
]}

Kiadaliri, Aliasghar A. ^{[28
]}

Koyanagi, Ai ^{[29
,30
]}

Lunevicius, Raimundas ^{[31
,32
]}

Meretoja, Tuomo J. ^{[33
,34
]}

Mohammed, Shafiu ^{[35
,36
]}

Pathak, Ashish ^{[16
,37
]}

Radfar, Amir ^{[38
,39
]}

Rawaf, Salman ^{[40
,41
]}

Rawaf, David Laith ^{[42
,43
]}

Riera, Lidia Sanchez ^{[44
,45
]}

Shiue, Ivy ^{[46
]}

Vasankari, Tommi Juhani ^{[47
]}

James, Spencer L. ^{[5
]}

Polinder, Suzanne ^{[1
]}

机构：

[1] Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands

[2] Consumer Safety Inst, Amsterdam, Netherlands

[3] Trnava Univ, Dept Publ Hlth, Trnava, Slovakia

[4] Erasmus Univ, Dept Publ Hlth, Rotterdam, Netherlands

[5] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[6] Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA

[7] Birmingham City Univ, Sch Hlth Sci, Birmingham, W Midlands, England

[8] Heidelberg Univ, Heidelberg Inst Global Hlth High, Heidelberg, Germany

[9] Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA 02115 USA

[10] Univ Catania, Gen Surg & Med Surg Specialties, Catania, Italy

[11] Curtin Univ, Sch Physiotherapy & Exercise Sci, Bentley, WA, Australia

[12] World Hlth Org WHO, Ageing & Life Course, Geneva, Switzerland

[13] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden

[14] Univ Southampton, Lifecourse Epidemiol Unit, MRC, Southampton, Hants, England

[15] Univ Oxford, Dept Rheumatol, Oxford, England

[16] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden

[17] Stavanger Univ Hosp, Dept Pathol, Stavanger, Norway

[18] Norwegian Inst Publ Hlth, Oslo, Norway

[19] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

[20] Univ Ottawa, Div Neurol, Ottawa, ON, Canada

[21] Kaiser Permanente, Psychiat Dept, Fontana, CA USA

[22] AT Still Univ, Sch Hlth Sci, Mesa, AZ 85206 USA

[23] Bielefeld Univ, Sch Publ Hlth Med, Bielefeld, Germany

[24] Biomed Res Networking Ctr Mental Hlth Network Cib, Madrid, Spain

[25] San Juan de Dios Sanitary Pk, Res & Dev Unit, St Boi De Llobregat, Spain

[26] Heidelberg Univ, Dept Ophthalmol, Mannheim, Germany

[27] Beijing Tongren Hosp, Beijing Inst Ophthalmol, Beijing, Peoples R China

[28] Lund Univ, Clin Epidemiol Unit, Lund, Sweden

[29] San Juan de Dios Sanitary Pk, CIBERSAM, St Boi De Llobregat, Spain

[30] Catalan Inst Res & Adv Studies ICREA, Barcelona, Spain

[31] Aintree Univ Hosp Natl Hlth Serv NHS Fdn Trust, Dept Gen Surg, Liverpool, Merseyside, England

[32] Univ Liverpool, Dept Surg, Liverpool, Merseyside, England

[33] Helsinki Univ Hosp, Breast Surg Unit, Helsinki, Finland

[34] Univ Helsinki, Helsinki, Finland

[35] Ahmadu Bello Univ, Hlth Syst & Policy Res Unit, Zaria, Nigeria

[36] Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany

[37] RD Gardi Med Coll, Dept Pediatircs, Ujjain, Madhya Pradesh, India

[38] AT Still Univ, Coll Grad Hlth Sci, Mesa, AZ 85206 USA

[39] Medichem, Barcelona, Spain

[40] Imperial Coll London, Dept Primary Care & Publ Hlth, London, England

[41] Publ Hlth England, Acad Publ Hlth, London, England

[42] Imperial Coll London, WHO Collaborating Ctr Publ Hlth Educ & Training, London, England

[43] Univ Coll London Hosp, London, England

[44] Univ Hosp Bristol NHS Fdn Trust, Dept Rheumatol, Bristol, Avon, England

[45] Univ Sydney, Inst Bone & Joint Res, Sydney, NSW, Australia

[46] Martin Luther Univ Halle Wittenberg, Inst Med Epidemiol, Halle, Germany

[47] UKK Inst, Tampere, Finland

来源：

INJURY PREVENTION | 2020年 / 26卷 / SUPP_1期

基金：

英国医学研究理事会;

关键词：

disability; burden of disease; time series; metanalysis; GLOBAL BURDEN; TRENDS; COSTS;

D O I：

10.1136/injuryprev-2019-043347

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：67 / 74

页数：8

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