Er Y L, Jin Y, Ye P P, Ji C R, Wang Y, Deng X, Gao X, Duan L L, Wang L H
Division of Injury Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Oct 10;38(10):1330-1334. doi: 10.3760/cma.j.issn.0254-6450.2017.10.007.
To analyze the disease burden of falls in Chinese population aged 70 and over, in 1990 and 2013 and to provide evidence for the development of prevention strategies on falls in the elderly. Indicators including mortality rate, years of life lost due to premature mortality (YLL), years lived with disability (YLD) and disability-adjusted of life years (DALY) on falls, were gathered from the results of Global Burden of Disease 2013 and used to describe the disease burden of falls in China by calculating the changing rates on corresponding parameters in 1990 and 2013. In 2013, the number of deaths, YLLs, YLDs, DALYs caused by falls among Chinese population aged 70 and over were 48 800, 0.44 million person years, 0.30 millions person years, and 0.74 million person years, respectively. The standardized mortality rate, rates on YLLs, YLDs and DALYs of falls were 561.71 per 100 000, 55.87 per 100 000, 373.98 per 100 000 and 929.85 per 100 000, respectively. The burden of falls increased along with the increase of age. Compared with 1990, the number of deaths, YLLs, YLDs and DALYs caused by falls increased by 308.80, 161.01, 54.67 and 104.47, respectively, in 2013, more seen in males than in females. The standardized mortality rate, YLLs and DALYs caused by falls increased by 63.67, 38.54 and 73.08, respectively, during 1990 and 2013. However, the standardized YLDs rate fell by 17.90 during the same period. Falls caused heavy disease burden which increased in 1990 and 2013 among the Chinese population aged 70 and over.
分析1990年和2013年中国70岁及以上人群跌倒的疾病负担，为制定老年人跌倒预防策略提供依据。从《2013年全球疾病负担》的结果中收集了包括死亡率、过早死亡导致的生命损失年数（YLL）、带病生存年数（YLD）和跌倒的伤残调整生命年（DALY）等指标，并通过计算1990年和2013年相应参数的变化率来描述中国跌倒的疾病负担。2013年，中国70岁及以上人群中因跌倒导致的死亡人数、YLL、YLD、DALY分别为48800人、44万人年、30万人年和74万人年。跌倒的标准化死亡率、YLL率、YLD率和DALY率分别为每10万人561.71例、每10万人55.87例、每10万人373.98例和每10万人929.85例。跌倒负担随着年龄的增加而增加。与1990年相比，2013年因跌倒导致的死亡人数、YLL、YLD和DALY分别增加了308.80、161.01、54.67和104.47，男性增加幅度大于女性。1990年至2013年期间，跌倒导致的标准化死亡率、YLL和DALY分别增加了63.67、38.54和73.08。然而，同期标准化YLD率下降了17.90。跌倒在中国70岁及以上人群中造成了沉重的疾病负担，且在1990年至2013年期间有所增加。
