Injury and Osteoporosis Research Center, UKK Institute for Health Promotion Research, P.O. Box 30, 33501, Tampere, Finland.
Medical School, University of Tampere, Tampere, Finland.
Aging Clin Exp Res. 2018 Sep;30(9):1111-1115. doi: 10.1007/s40520-018-0898-9. Epub 2018 Feb 6.
Fall-induced deaths of elderly people are a major problem.
Using the Official Cause-of-Death Statistics of Finland, we aimed to determine the current trends in the number and age-adjusted incidence (per 100,000 persons) of fall deaths among older Finns by taking into account 50 years or older persons who died because of a fall-induced injury in 1971-2015.
Among men, the number of fall-induced deaths increased considerably between 1971 and 2003 (from 162 in 1971 to 564 in 2003), while thereafter, this number has been relatively stable (579 deaths in 2015). Men's age-adjusted incidence of fall deaths rose from 45.6 in 1971 to 69.5 in 1998, after which it stayed relatively stable until 2005 (69.9). Since 2005, this figure has shown a steady, deep decline (only 45.1 in 2015). Among women, the number of fall-induced deaths increased considerably between 1971 and 1998 (from 279 in 1971 to 563 in 1998), while thereafter, this number has been relatively stable (532 deaths in 2015). In sharp contrast to men, women's age-adjusted incidence of fall-induced deaths has been declining since the early 1970s, the incidence being 82.6 in 1971 while only 33.0 in 2015. A steady, deep decline started in 1998.
Among 50 years or older Finns the number of fall-induced deaths increased considerably from the early 1970s until the late 1990s but stabilized thereafter. In the new millennium, the age-adjusted incidence of these deaths has started to decline in both sexes. Despite this we have to effectively continue the falls prevention efforts, because our elderly population will grow rapidly in the near future.
老年人跌倒致死是一个重大问题。
利用芬兰官方死因统计数据，我们旨在通过考虑 1971 年至 2015 年间因跌倒受伤而死亡的 50 岁及以上人群，确定当前芬兰老年人因跌倒致死的人数和年龄调整发病率（每 10 万人）的变化趋势，人数为 100,000。
在男性中，跌倒致死的人数在 1971 年至 2003 年之间大幅增加（从 1971 年的 162 人增加到 2003 年的 564 人），此后，这一数字相对稳定（2015 年为 579 人）。男性跌倒致死的年龄调整发病率从 1971 年的 45.6 上升到 1998 年的 69.5，此后在 2005 年之前一直保持相对稳定（69.9）。自 2005 年以来，这一数字呈稳步下降趋势（仅为 2015 年的 45.1）。在女性中，跌倒致死的人数在 1971 年至 1998 年之间大幅增加（从 1971 年的 279 人增加到 1998 年的 563 人），此后这一数字相对稳定（2015 年为 532 人）。与男性形成鲜明对比的是，女性跌倒致死的年龄调整发病率自 20 世纪 70 年代初以来一直在下降，发病率从 1971 年的 82.6 下降到 2015 年的 33.0。这种稳定的、大幅的下降始于 1998 年。
在 50 岁及以上的芬兰人中，从 20 世纪 70 年代初到 90 年代末，因跌倒致死的人数大幅增加，但此后趋于稳定。在新千年，这两种性别的这些死亡的年龄调整发病率开始下降。尽管如此，我们必须有效地继续进行跌倒预防工作，因为我们的老年人口将在不久的将来迅速增长。
