Rising incidence of fall-induced maxillofacial injuries among older adults
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Various fall-induced injuries in older adults are a major public health problem.
We aimed to assess the current trends in the fall-induced severe maxillofacial injuries among older adults in Finland, an EU country with a well-defined white population of 5.5 million.
The injury trends were determined by taking into account all persons 60 years of age or older who were admitted to Finnish hospitals for primary treatment of these injuries between 1999 and 2014.
The number of fall-induced maxillofacial injuries among older Finnish adults doubled during the 16-year follow-up, from 434 in 1999 to 981 in 2014. The age-adjusted incidence of injury (per 100 000 persons) also showed a clear increase from 1999 to 2014: from 47.4 to 71.3 in women, and from 39.2 to 59.6 in men. In both sexes, the increase was most prominent in the oldest age group, persons aged 80 years or older.
The number of fall-induced severe maxillofacial injuries among older Finns rose considerably between 1999 and 2014—with a rate that could not be explained merely by demographic changes. Further studies are urgently needed to better assess the reasons for the rise and possibilities for injury prevention.
KeywordsFace Fall-induced maxillofacial injury Elderly adults Epidemiology
This work was supported by the Comparative State Research Funding of the Expert Responsibility Area of Tampere University Hospital, Tampere, Finland (Grant 9S018). 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.
As a register-based blinded analysis, the study did not have identifiable individual participants and thus informed consent was not obtained.
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.
- 7.Toivari M, Helenius M, Suominen AL et al (2014) Etiology of facial fractures in elderly Finns during 2006-2007. Oral Surg 118:539–545Google Scholar
- 13.Official Statistics of Finland (2015) Structure of Population and Vital Statistics: Whole Country and Provinces, 1999-2014. Statistics Finland, HelsinkiGoogle Scholar
- 14.Official Statistics of Finland (2014) Population Projections by Municipalities 2015-2030. Statistics Finland, HelsinkiGoogle Scholar
- 21.Panel on prevention of falls in older persons, American Geriatrics Society and British Geriatrics Society (2011) Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 59:148–157CrossRefGoogle Scholar
- 22.Gillespie LD, Robertson MC, Gillespie WJ et al (2012) Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 12(9):CD007146Google Scholar