Riley R
Canadian Centre for Health Information.
Health Rep. 1992;4(4):341-54.
This study analyzes data on accidental falls for those aged 65 and older. The data are based on mortality statistics from 1980 to 1989 and morbidity statistics from 1985 to 1989. These statistics are provided to the Canadian Centre for Health Information by the provincial governments. Mortality rates and hospital separation rates for accidental falls are highest for those aged 65 and older. Accidents are one of the leading causes of death and hospitalization among seniors. In 1989, for those aged 65 and older, accidental falls accounted for 56% of accidental deaths and 65% of accident-related hospital separations. Mortality and hospital separation rates for accidental falls increased with age. For those aged 65 and older, the mortality rates for accidental falls were higher for men than women. However, the accident-related hospital separation rate was higher for women than men. The reason for this difference is not fully understood, but it has been suggested that while more women fall than men, more men seriously injure themselves. For men requiring hospitalization due to accidental falls, the most common injuries, in descending order, were fractures of the hip, ribs, vertebral column, humerus, and pelvis. For women, the most common injuries were fractures of the hip, humerus, radius and ulna, pelvis, and ankle. Of fall-related injuries resulting in hospitalization, hip fractures were the leading cause of death and proportionately more men than women died of hip fractures.
本研究分析了65岁及以上人群意外跌倒的数据。这些数据基于1980年至1989年的死亡率统计以及1985年至1989年的发病率统计。这些统计数据由省政府提供给加拿大卫生信息中心。65岁及以上人群意外跌倒的死亡率和出院率最高。意外事故是老年人死亡和住院的主要原因之一。1989年，65岁及以上人群中，意外跌倒占意外死亡的56%，占与意外事故相关出院人数的65%。意外跌倒的死亡率和出院率随年龄增长而上升。对于65岁及以上人群，意外跌倒的死亡率男性高于女性。然而，与意外事故相关的出院率女性高于男性。这种差异的原因尚未完全明了，但有人认为，虽然跌倒的女性比男性多，但男性受伤更严重。因意外跌倒需要住院治疗的男性，最常见的受伤情况按降序排列为髋部、肋骨、脊柱、肱骨和骨盆骨折。对于女性来说，最常见的受伤情况是髋部、肱骨、桡骨和尺骨、骨盆和脚踝骨折。在因跌倒导致住院的损伤中，髋部骨折是主要死因，死于髋部骨折的男性比例高于女性。
