Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2015 Sep;35(7):99-108. doi: 10.24095/hpcdp.35.7.01.
INTRODUCTION: We describe the epidemiology and trends of fall-related injuries among Canadian seniors aged 65 years and older by sex and age, as well as the circumstances and consequences of their injuries. METHODS: We analyzed nationally representative data from the 2005, 2009/2010 and 2013 samples of the Canadian Community Health Survey to calculate the number and rates of fall-related injuries for each survey year. Where possible, we combined data from two or more samples to estimate the proportion of fall-related injuries by type of injury, part of body injured, type of activity and type of treatment. RESULTS: The rate of fall-related injuries among seniors increased from 49.4 to 58.8 per 1000 population between 2005 and 2013, during which the number of fall-related injuries increased by 54% overall. Women had consistently higher rates than men across all survey years, while rates increased with advancing age. The upward trend in fall-related injury rates was more prominent among women and younger age groups. The most common type of injury was broken or fractured bones (37%), and the shoulder or upper arm (16%) was the most commonly injured body part. Many fall-related injuries occurred while walking on a surface other than snow or ice (45%). Over 70% of seniors seeking treatment for their injuries visited a hospital emergency department. CONCLUSION: Given the increase in both the number and rates of fall-related injuries over time, there is a need to continue monitoring trends and injury patterns associated with falls.
简介:我们描述了加拿大 65 岁及以上老年人中与跌倒相关的伤害的流行病学和趋势,按性别和年龄分类,以及伤害的情况和后果。
方法:我们分析了全国代表性的加拿大社区健康调查 2005 年、2009/2010 年和 2013 年样本的数据,以计算每个调查年份与跌倒相关的伤害数量和发生率。在可能的情况下,我们将两个或更多样本的数据结合起来,以估计不同类型伤害、受伤身体部位、活动类型和治疗类型的跌倒相关伤害比例。
结果:2005 年至 2013 年期间,老年人与跌倒相关的伤害率从每 1000 人 49.4 例上升到 58.8 例,期间与跌倒相关的伤害总数增加了 54%。所有调查年份中,女性的发生率始终高于男性,而随着年龄的增长,发生率也在上升。女性和年轻年龄组的跌倒相关伤害率上升趋势更为明显。最常见的伤害类型是骨折(37%),肩部或上臂(16%)是最常见的受伤部位。许多跌倒相关的伤害是在走在雪地或冰面以外的表面上时发生的(45%)。超过 70%的因跌倒受伤而寻求治疗的老年人会去医院急诊部。
结论:鉴于与跌倒相关的伤害数量和发生率都在增加,因此需要继续监测与跌倒相关的趋势和伤害模式。
Health Promot Chronic Dis Prev Can. 2015-9
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