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Hospitalized fall-related injury trends in Sweden between 2001 and 2010
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.ORCID iD: 0000-0002-0293-1795
2016 (English)In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 23, no 3, 277-283 p.Article in journal (Refereed) Published
Abstract [en]

Previous studies have indicated increasing trends of hospitalized fall-related injuries amongst elderly. Whether this is true also in Sweden is unknown though it is important to study considering the potential societal impact. Data were obtained regarding hospitalized injuries with falls as external cause among those aged 65 years and above with information on injury type, gender and age, on a yearly basis, from 2001 to 2010. Age- and sex-specific incidence rates were calculated (per 100,000 population) for all fall-related injuries, and for each injury type and trend lines were drawn. Linear regression analyses and percentage change were calculated for the types of fall-related injuries. A decreasing incidence was observed in the younger age groups (65-79 years) with greater decreases amongst women (women: -14.6%, men 65-79 years: -10.5%). However, increasing rates were observed in the older age group (80 years and above), with greater increases amongst men (women: 4.3%, men: 11.4%). Superficial injuries showed greater increases than fractures amongst those aged 80 years and above. This study indicates that older elderly in Sweden are increasingly being hospitalized for less serious injuries. This changing injury panorama is important to include in the future planning of both health care and fall-related prevention.

Place, publisher, year, edition, pages
2016. Vol. 23, no 3, 277-283 p.
Keyword [en]
elderly; epidemiology; falls; injury
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science; Risk and Environmental Studies
Identifiers
URN: urn:nbn:se:kau:diva-13206DOI: 10.1080/17457300.2015.1032980ISI: 000379757400007PubMedID: 25952682OAI: oai:DiVA.org:kau-13206DiVA: diva2:524984
Note

Titel i avhandlingen: Hospitalized fall-related injury trends among elderly in Sweden between 2001 and 2010

Available from: 2012-05-04 Created: 2012-05-04 Last updated: 2016-08-12Bibliographically 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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