1981年至2009年魁北克省老年人与跌倒相关的死亡率变化
Changes in fall-related mortality in older adults in Quebec, 1981-2009.
作者信息
Gagné M, Robitaille Y, Jean S, Perron P-A
机构信息
Institut national de santé publique du Québec, Québec, Quebec, Canada.
出版信息
Chronic Dis Inj Can. 2013 Sep;33(4):226-35.
INTRODUCTION
Our purpose was to evaluate changes in fall-related mortality in adults aged 65 years and over in Quebec and to propose a case definition based on all the causes entered on Return of Death forms.
METHODS
The analysis covers deaths between 1981 and 2009 recorded in the Quebec vital statistics data.
RESULTS
While the number of fall-related deaths increased between 1981 and 2009, the adjusted falls-related mortality rate remained relatively stable. Since the early 2000s, this stability has masked opposing trends. The mortality rate associated with certified falls (W00-W19) has increased while the rate for presumed falls (exposure to an unspecified factor causing a fracture) has decreased.
CONCLUSION
For fall surveillance, analyses using indicators from the vital statistics data should include both certified falls and presumed falls. In addition, a possible shift in the coding of fall-related deaths toward secondary causes should be taken into account.
引言
我们的目的是评估魁北克65岁及以上成年人中与跌倒相关的死亡率变化，并根据死亡申报表上登记的所有死因提出病例定义。
方法
分析涵盖1981年至2009年魁北克生命统计数据中记录的死亡情况。
结果
虽然1981年至2009年间与跌倒相关的死亡人数有所增加，但经调整的跌倒相关死亡率保持相对稳定。自21世纪初以来，这种稳定性掩盖了相反的趋势。经认证的跌倒（W00-W19）相关死亡率上升，而推定跌倒（暴露于导致骨折的未指明因素）相关死亡率下降。
结论
对于跌倒监测，使用生命统计数据指标进行的分析应包括经认证的跌倒和推定跌倒。此外，应考虑到与跌倒相关的死亡编码可能向次要原因转变。
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