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Fall-related fracture trends among elderly in Sweden – exploring transitions among hospitalized cases
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences. (Centrum för Personsäkerhet)ORCID iD: 0000-0002-6928-0683
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.ORCID iD: 0000-0001-6823-9016
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences. (Centrum för Personsäkerhet)ORCID iD: 0000-0002-0293-1795
2013 (English)In: Journal of Safety Research, ISSN 0022-4375, E-ISSN 1879-1247, no 45, p. 141-145Article in journal (Refereed) Published
Abstract [en]

Problem

Fall-related injuries have been a cause of worry during the end of the 20th century with increasing trends among the elderly.

Method

Using data from the Swedish National Patient Register (NPR) based on hospital admissions, this study explores the trends in fall-related fractures between 1998 and 2010.

Results

The data shows a decreasing trend in fall-related fractures in all age- and sex-specific groups apart from men 80 years and above. While hip fracture incidence rates decreased in all age- and sex-specific groups, both central fractures and upper extremity fractures have increased in all age- and sex-specific groups apart from women 65–79 years. Lower extremity fractures have increased in the older age groups and decreased in the younger. Discussion: The differences found between the groups of fractures and by age- and sex-specific groups indicate a possible transition where more serious fractures are decreasing while less serious fractures increase among hospitalized cases.

Summary

Perhaps due to a focus on hip fracture prevention, this study shows that while the incidence rate of hospitalized hip fractures has decreased, other fall-related hospitalized fractures have increased.

Impact on industry

Potentially, this could be indicative of a healthier younger elderly, coupled with a frailer older elderly requiring more comprehensive healthcare also for less serious injuries. Further research is needed to confirm our results.

Place, publisher, year, edition, pages
Elsevier, 2013. no 45, p. 141-145
Keywords [en]
Hip fractures, injury, trend, falls, epidemiology
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-13202DOI: 10.1016/j.jsr.2012.10.014ISI: 000320429600017PubMedID: 23708486OAI: oai:DiVA.org:kau-13202DiVA, id: diva2:524982
Available from: 2012-05-04 Created: 2012-05-04 Last updated: 2018-05-22Bibliographically approved
In thesis
1. Fall-Related Injuries Amongst Elderly in Sweden: Still an Emerging Risk?
Open this publication in new window or tab >>Fall-Related Injuries Amongst Elderly in Sweden: Still an Emerging Risk?
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In Sweden, injuries due to falls are the most common cause of injury-related hospitalization and injury-related death amongst elderly. Also, during the 20th century, increasing trends in fall-related injuries have been observed in many high-income countries. Whilst fall-related injury trends have been reported from national studies in other comparable countries, no studies from Sweden using national data have been published, despite this issue sometimes being pointed out as one of the most important emerging societal risks both in Sweden and elsewhere. With large individual and societal costs, as well as prognosticated continued increases in high-income countries, the aim of this thesis is to update the knowledge on the trends of fall-related injuries amongst elderly in Sweden and to determine whether the issue is still to be considered an emerging risk.

National injury morbidity and mortality data from Sweden can show that with regards to all hospitalized fall-related injuries as well as hip fractures, the risk is decreasing. However, diverging trends are observed in age- and sex-specific groups, with younger elderly now having considerably lower rates of fall-related injuries, whilst older elderly are increasingly hospitalized due to minor fall-related injuries. Also, amongst older elderly, increasing hip fracture mortality trends are observed. With regards to sex-specific groups, although fall-related injuries in general are more common amongst women, the injury trends for women are generally decreasing at a quicker rate than for men. Also, contradictorily to almost all fall-related injury morbidity, hip fracture mortality risk is higher amongst men.

This thesis can show a change in trend in fall-related injuries amongst elderly in Sweden since the turn of the century, apart from amongst older elderly and with regards to hip fracture mortality. The implications on prognoses needs to be studied further as do the underlying causes behind this shift in trend.

Abstract [en]

BAKSIDESTEXT

Injuries due to falls are the most common cause of injury-related hospitalization and injury-related death amongst elderly. During the 20th century, although increasing trends in fall-related injuries have been reported from other high-income countries, no studies from Sweden using national data have been published, despite this issue being pointed out as one of the most important emerging societal risks in Sweden.

National injury morbidity and mortality data from Sweden can show that in terms of hospitalized fall-related injuries as well as hip fractures, the risk is decreasing. However, diverging trends are observed in age- and sex-specific groups, with younger elderly now having considerably lower rates of fall-related injuries, whilst older elderly are increasingly hospitalized due to minor fall-related injuries. Also, amongst older elderly, increasing hip fracture mortality trends are observed.

This thesis can show a change in trend in fall-related injuries amongst elderly in Sweden since the turn of the century, apart from amongst older elderly and with regards to hip fracture mortality. The implications on future prognoses needs to be studied further as do the underlying causes behind this shift in trend.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2014. p. 79
Series
Karlstad University Studies, ISSN 1403-8099 ; 2014:20
Keywords
Elderly, Epidemiology, Falls, Injury, Trends
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-31727 (URN)978-91-7063-551-9 (ISBN)
Public defence
2014-05-08, Frödingsalen, 1B364, Karlstad, 13:00 (English)
Opponent
Supervisors
Available from: 2014-04-17 Created: 2014-03-17 Last updated: 2018-05-22Bibliographically approved

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Nilson, FinnMoniruzzaman, SyedAndersson, Ragnar

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