Abstract：Objective To analyze the status and trend of fall mortality among the elderly from 2006 to 2018 in Hangzhou, and to provide basis for fall prevention and control. Methods Through the medical certificate of death in hospitals at the county level and above and community health service centers, the monitoring data of the deaths from fall among the elderly aged 60 years and above in Hangzhou from 2006 to 2018 were collected. The crude motality rate, standardized mortality rate of fall and the annual percentage change ( APC ) were calculated to examine the status and trend of fall mortality in different gender, age and areas. Results The crude mortality rate of fall among the elderly in Hangzhou was 85.60/100 000 and the standardized mortality rate was 71.42/100 000 from 2006 to 2018. The crude and standardized mortality rate from 2006 to 2018 showed increasing trends and the APCs were 3.46% and 2.33%, respectively ( P<0.05) . The crude mortality rate was 93.01/100 000 in females, which was higher than 77.82/100 000 in males ( P<0.05 ) , the APCs were 3.25% and 3.77%, respectively. The crude mortality rate of rural areas was 129.03/100 000, which was significantly higher than 60.73/100 000 of urban areas ( P<0.05 ) . The mortality rate of urban and rural areas showed increasing trends, the APCs were 5.02% and 2.43%, respectively. The crude mortality rate of fall among the elderly in Hangzhou increased gradually with age ( P<0.05 ) . Conclusion The fall mortality among the elderly in Hangzhou increased from 2006 to 2018. More efforts are needed to reduce fall mortality in females and rural population.
张艳, 付文, 徐珏, 刘冰. 2006—2018年杭州市老年人跌倒死亡趋势分析[J]. 预防医学, 2020, 32(9): 878-881.
ZHANG Yan, FU Wen, XU Jue, LIU Bing. Trend of fall mortality among the elderly in Hangzhou from 2006 to 2018. Preventive Medicine, 2020, 32(9): 878-881.
HAAGSMA J A, GRAETZ N, BOLLIGER I, et al.The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013[J].Injury Prev,2016,22(1):3-18.
[2]
World Health Organization. Falls fact sheet[EB/OL].(2017-08-29)[2020-06-22]. http://www.who.int/mediacentre/factsheets/fs344/en/.
[1]
HAAGSMA J A, GRAETZ N, BOLLIGER I, et al.The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013[J].Injury Prev,2016,22(1):3-18.
[2]
World Health Organization. Falls fact sheet[EB/OL].(2017-08-29)[2020-06-22]. http://www.who.int/mediacentre/factsheets/fs344/en/.
[3]
World Health Organization. Who global report on falls prevention in older age[EB/OL].(2018-12-13)[2020-06-22]. https://www.who.int/ageing/publications/Falls_prevention7March.pdf?ua=1. World Health Organization. Who global report on falls prevention in older age[EB/OL].(2018-12-13)[2020-06-22]. https://www.who.int/ageing/publications/Falls_prevention7March.pdf?ua=1.
[4]
BURNS E,KAKARA R.Deaths from falls among persons aged ≥65 years - United States,2007—2016[J].MMWR,2018,67(18):509-514.
STEVENS J A, RUDD R A.Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States,2010[J].J Am Geriatr Soc,2014,62(3):470-475. STEVENS J A, RUDD R A.Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States,2010[J].J Am Geriatr Soc,2014,62(3):470-475.
