Declining incidence in fall-induced deaths of older adults: Finnish statistics during 1971–2015
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Fall-induced deaths of elderly people are a major problem.
Aim and methods
Using the Official Cause-of-Death Statistics of Finland, we aimed to determine the current trends in the number and age-adjusted incidence (per 100,000 persons) of fall deaths among older Finns by taking into account 50 years or older persons who died because of a fall-induced injury in 1971–2015.
Among men, the number of fall-induced deaths increased considerably between 1971 and 2003 (from 162 in 1971 to 564 in 2003), while thereafter, this number has been relatively stable (579 deaths in 2015). Men’s age-adjusted incidence of fall deaths rose from 45.6 in 1971 to 69.5 in 1998, after which it stayed relatively stable until 2005 (69.9). Since 2005, this figure has shown a steady, deep decline (only 45.1 in 2015). Among women, the number of fall-induced deaths increased considerably between 1971 and 1998 (from 279 in 1971 to 563 in 1998), while thereafter, this number has been relatively stable (532 deaths in 2015). In sharp contrast to men, women’s age-adjusted incidence of fall-induced deaths has been declining since the early 1970s, the incidence being 82.6 in 1971 while only 33.0 in 2015. A steady, deep decline started in 1998.
Among 50 years or older Finns the number of fall-induced deaths increased considerably from the early 1970s until the late 1990s but stabilized thereafter. In the new millennium, the age-adjusted incidence of these deaths has started to decline in both sexes. Despite this we have to effectively continue the falls prevention efforts, because our elderly population will grow rapidly in the near future.
KeywordsFall-induced deaths Elderly people Secular trends
This work was financially supported by the Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital, Tampere, Finland (grant 9V015). The organization had no involvement in the (1) study design; (2) collection, analysis and interpretation of data; (3) writing of the manuscript; and (4) decision to submit the manuscript for publication.
Compliance with ethical standards
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Statement of human and animal rights
All procedures performed in studies involving human subjects were in accordance with ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
As a register-based blinded analysis, the study did not have identifiable individual participants, and thus, informed consent was not obtained.
- 5.Uusi-Rasi K, Patil R, Karinkanta S et al (2017) A 2-year follow-up after a 2-year RCT with vitamin D and exercise: effects on falls, injurious falls and physical functioning among older women. J Gerontol A Biol Sci Med Sci 72:1239–1245. https://doi.org/10.1093/gerona/glx044 CrossRefPubMedPubMedCentralGoogle Scholar
- 6.Official Statistics of Finland (2016) Official cause-of death statistics, 1971–2015. Statistics Finland, HelsinkiGoogle Scholar
- 7.Kramarow E, Chen LH, Hedegaard H et al (2015) Deaths from unintentional injury among adults aged 65 and over: United States, 2000–2013. NCHS Data Brief 199:1–8Google Scholar
- 13.Official Statistics of Finland (2016) Structure of population and vital statistics: whole country and provinces, 1971–2015. Statistics Finland, HelsinkiGoogle Scholar
- 14.Official Statistics of Finland (2015) Population projection by municipalities, 2016–2030. Statistics Finland, HelsinkiGoogle Scholar
- 18.Deprey SM, Biedrzycki L, Klenz K (2017) Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005 to 2012. Inj Epidemiol 4:21. https://doi.org/10.1186/s40621-017-0117-8 CrossRefPubMedPubMedCentralGoogle Scholar
- 23.Haentjens P, Magaziner J, Colon-Emeric C et al (2010) Meta-analysis: excess mortality after hip fracture among older women and men. Ann Intern Med 152:380–390. https://doi.org/10.7326/0003-4819-152-6-201003160-00008 CrossRefPubMedPubMedCentralGoogle Scholar