不列颠哥伦比亚省老年人与跌倒相关的死亡：政策变化的因果关系。
Fall-related deaths among older adults in British Columbia: cause and effect of policy change.
机构信息
BC Injury Research and Prevention Unit, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
BC Injury Research and Prevention Unit, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada
出版信息
Inj Prev. 2020 Oct;26(5):412-416. doi: 10.1136/injuryprev-2019-043280. Epub 2019 Aug 30.
BACKGROUND
The British Columbia Coroners Service implemented a policy in 2010 advising the reclassification of underlying causes of deaths due to falls from 'natural' to 'accidental'. This study investigates whether observed data trends reflect this change in practice, are artefacts of inconsistent reporting, or indicate a true increase in fall-related deaths.
METHODS
Mortality data were analysed from 2004 to 2017 for cases with International Statistical Classification of Diseases and Related Health Problems, 10th Revision fall codes W00-W19, occurring among adults aged 60 years and older.
RESULTS
From 2010 to 2012, accidental fall-related deaths increased among those aged 80 years and older, followed by an increase in natural deaths with fall as the contributing cause.
CONCLUSIONS
Changes in reporting resulting from the 2010 policy change were observed; however, post-2012 data indicate a reversion to previous reporting practices.
背景
不列颠哥伦比亚省验尸官服务于 2010 年实施了一项政策，建议将因跌倒导致的死亡的根本原因从“自然”重新分类为“意外”。本研究旨在调查观察到的数据趋势是否反映了这种实践上的变化，是否是报告不一致的人为产物，或者是否表明与跌倒相关的死亡人数确实有所增加。
方法
对 2004 年至 2017 年期间发生在 60 岁及以上成年人中的国际疾病分类和相关健康问题第十次修订版跌倒代码 W00-W19 的病例进行了死亡率数据分析。
结果
2010 年至 2012 年，80 岁及以上人群中意外跌倒相关死亡人数增加，随后因跌倒导致的自然死亡人数增加。
结论
观察到 2010 年政策变化导致的报告变化；然而，2012 年后的数据表明报告做法已恢复到以前的模式。
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