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Trends in hip fracture incidence rates among elderly in Sweden 1987-2009
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences. (Centrum för Personsäkerhet)
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences. (Centrum för Personsäkerhet)ORCID iD: 0000-0003-4840-6424
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.ORCID iD: 0000-0002-0293-1795
2013 (English)In: Journal of Public Health, ISSN 1741-3842, E-ISSN 1741-3850, Vol. 35, no 1, 125-131 p.Article in journal (Refereed) Published
Abstract [en]

Background Previous trend studies have shown large increases in hip fracture incidence rates among the elderly. International research, however, suggests a levelling off, or decline, of hip fracture incidence rates, although for Sweden this remains to be studied.

Methods Data were obtained regarding hip fractures among individuals 65 years and above from 1987 to 2009. Analysis was performed in three steps. First, age- and sex-specific trends in hip fracture rates per 100 000 and the mean age when sustaining a hip fracture were analysed. Secondly, the annual percentage change was used to compare time periods that helped to quantify changes in secular trends. Finally, linear and Poisson regression models were used to examine the trend data and observed rates.

Results The absolute number of hip fractures among the elderly in Sweden has largely remained constant between 1987 and 2009, while incidence rates have decreased for all age- and sex-specific groups, with the largest changes in the younger age groups and among women. The mean age of sustaining a hip fracture has increased for both men and women.

Conclusions This study supports other international studies in showing a decrease in hip fracture incidence rates among the elderly, especially since the mid-1990s.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2013. Vol. 35, no 1, 125-131 p.
Keyword [en]
epidemiology, falls, hip fractures, injury, trend
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
URN: urn:nbn:se:kau:diva-13205DOI: 10.1093/pubmed/fds053ISI: 000315645600020PubMedID: 22753444OAI: oai:DiVA.org:kau-13205DiVA: diva2:524983
Available from: 2012-05-04 Created: 2012-05-04 Last updated: 2015-12-15Bibliographically 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. 79 p.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2014:20
Keyword
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: 2014-04-17Bibliographically approved

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