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Canadian Journal of Public Health

, Volume 90, Issue 5, pp 343–347 | Cite as

Mortality and Morbidity Related to Injuries from Falls in British Columbia

  • Victoria J. ScottEmail author
  • Elaine M. Gallagher
Article

Abstract

Falls are a major health problem for persons aged 65 years and over. This study examined differences in patterns of fall-related injuries and deaths between age groups, sexes, and among Health Regions of BC. For those under the age of 65 years, fall-related injuries are highest among males, whereas for those 65 and over, falls among females exceed those among males by 2:1. For persons aged 65 and over, 84% of hospital days for unintentional injuries involve falls, with transportation and “other” unintentional injuries contributing 16%. While older women are hospitalized more often for fall-related injuries, more older men die from fall-related injuries. Hospitalization rates due to injuries from falls are highest in the Northern Regions of BC. Policy implications of the findings are discussed.

Résumé

Les chutes constituent un problème de santé important chez les personnes de 65 ans et plus. L’étude examine les différences dans les types de blessures et de décès à la suite d’une chute par groupes d’âge, par sexes et par régions sanitaires de la Colombie-Britannique. Chez les personnes de moins de 65 ans, le pourcentage des blessures à la suite d’une chute est le plus élevé chez les hommes alors que parmi les personnes de 65 ans et plus, les chutes chez les femmes sont le double de celles des hommes. Pour les personnes âgées de 65 ans et plus, 84 % des journées d’hospitalisation pour une blessure involontaire sont associées à des chutes, les “autres” blessures involontaires et celles associées aux déplacements constituant les 16 % qui restent. Alors que les femmes âgées sont plus souvent hospitalisées pour des blessures liées à une chute, un plus grand nombre d’hommes âgés décèdent des suites de blessures liées à une chute. Le taux d’hospitalisation à la suite d’une chute est le plus élevé dans les régions du nord de la Colombie-Britannique. On discute également les conséquences de ces résultats sur la politique.

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References

  1. 1.
    O’Loughlin JL, Robitaille Y, Boivin J, et al. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 1993;137(3):342–54.CrossRefGoogle Scholar
  2. 2.
    Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall-related injuries in older adults. Am J Public Health 1992;82(7):1020–23.CrossRefGoogle Scholar
  3. 3.
    Lipsitz LA, Jonsson PV, Kelley MM, Koestner JS. Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol 1991;46(4):M114–122.CrossRefGoogle Scholar
  4. 4.
    Asche CV, Gallagher EM, Coyte PC. Economic impact of falls among Canadian seniors. Toronto: Department of Health Administration, Faculty of Medicine, University of Toronto, (in press).Google Scholar
  5. 5.
    Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. J Am Geriatr Soc 1991;39(1):46–52.CrossRefGoogle Scholar
  6. 6.
    Gallagher E, Scott V. Taking Steps: Modifying Pedestrian Environments to Reduce the Risk of Missteps and Falls. (Monograph). Victoria: University of Victoria School of Nursing, 1996.Google Scholar
  7. 7.
    Tibbitts GM. Patients who fall: How to predict and prevent injuries. Geriatrics 1996;51(9):24–31.PubMedGoogle Scholar
  8. 8.
    Tideiksaar R. Preventing falls: How to identify risk factors, reduce complications. Geriatrics 1996;51(2):43–55.PubMedGoogle Scholar
  9. 9.
    Commission of Professional and Hospital Activities. International Classification of Diseases: 9th Revision, Clinical Modification: ICD-9-CM. Annotated Volume 1. Diseases Tabular List. (Fifth Edition). Michigan: Author, 1989.Google Scholar
  10. 10.
    British Columbia Ministry of Finance. Revenue and Expenditure Issues, Standard Ward Rates. Victoria, BC: Author, 1997.Google Scholar
  11. 11.
    British Columbia Ministry of Health and Ministry Responsible for Seniors. Acute Care/Provincial Programs 1996/97 Standard Ward Rates, Effective April 1, 1996. Victoria, BC: Author, 1997.Google Scholar
  12. 12.
    Canadian Institute of Health Information. National Trauma Registry Report — Hospital Injury Admissions 1995/96. Ottawa: Author, 1998.Google Scholar
  13. 13.
    Moore R, Mao Y, Zhang J, Clarke K. Economic Burden of Illness in Canada, 1993. Ottawa: Health Canada, Economic Risk Assessment and Case Surveillance Division Cancer Bureau, Laboratory Centre for Disease Control, Health Protection Branch. 1993.Google Scholar
  14. 14.
    British Columbia, Provincial Health Officer. A Report on the Health of British Columbians: Provincial Health Officer’s Annual Report. Victoria, BC: Ministry of Health and Ministry Responsible for Seniors. 1994.Google Scholar
  15. 15.
    Canadian Institute for Health Information. Achieving Standardization in Diagnosis and Intervention Classification: Future Directions for Canada. (Monograph). Ottawa: Authors, 1995.Google Scholar
  16. 16.
    World Health Organization. International Statistical Classification of Diseases and Related Health Problems. Tenth Revision. Volume 1. Geneva: Author, 1992.Google Scholar
  17. 17.
    Smith GS, Langlois JA, Buechner JS. Methodological issues in using hospital discharge data to determine the incidence of hospitalized injuries. Am J Epidemiol 1991;134(10):1146–58.CrossRefGoogle Scholar
  18. 18.
    Runyan CW, Bowling JM, Bangdiwala SI. Emergency department record keeping and the potential for injury surveillance. J Trauma 1992;32(2):187–89.CrossRefGoogle Scholar
  19. 19.
    Guyer B, Berenhol G, Gallagher SS. Injury surveillance using hospital discharge abstracts coded by external cause of injury (E Code). J Trauma 1990;30(4):470–73.CrossRefGoogle Scholar
  20. 20.
    Hartke RJ, Prohask TR, Furner SE. Older adults and assistive devises. J Aging Health 1998;10(1):99–116.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 1999

Authors and Affiliations

  1. 1.Faculty of Human and Social DevelopmentUniversity of VictoriaCanada
  2. 2.School of NursingUniversity of VictoriaVictoriaCanada

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