Division of Injury Prevention; National Center for Injury Prevention and Control; CDC.
MMWR Morb Mortal Wkly Rep. 2020 Mar 6;69(9):225-230. doi: 10.15585/mmwr.mm6909a2.
One in 10 U.S. residents aged ≥18 years reports falling each year (1). Among all age groups, falls can cause serious injury and are the second leading cause of traumatic brain injury (TBI)-related deaths (2). TBI is a head injury caused by a bump, blow, or jolt to the head or body or a penetrating head injury that results in disruption of normal brain function.* CDC estimated national and state-specific rates and trends for TBI-related deaths (TBI deaths) caused by unintentional falls (fall-related TBI deaths) among U.S. residents during 2008-2017, by selected decedent characteristics. The national age-adjusted rate of fall-related TBI deaths increased by 17% from 2008 to 2017. Rate trends at the national level increased significantly for nearly all decedent characteristics, with the most notable increases observed among persons living in noncore (i.e., most rural), nonmetropolitan counties and those aged ≥75 years. Analysis of state-specific rate trends determined that rates of fall-related TBI deaths increased significantly in 29 states over the 10-year study period. A fall can happen to anyone of any age, but falls are preventable. Health care providers and the public need to be aware of evidence-based strategies to prevent falls, given that rates of fall-related TBI deaths are increasing. Health care providers can educate patients on fall and TBI prevention, assess their risk for falls, and when needed, encourage participation in appropriate evidence-based fall prevention programs..
十分之一的美国≥18 岁居民每年报告跌倒一次(1)。在所有年龄段中,跌倒可能导致严重伤害,是创伤性脑损伤(TBI)相关死亡的第二大原因(2)。TBI 是由头部或身体受到碰撞、打击或颠簸,或穿透性头部损伤导致的正常大脑功能紊乱引起的头部损伤。* CDC 估计了 2008-2017 年期间美国居民因非故意跌倒导致的与 TBI 相关的死亡(跌倒相关 TBI 死亡)的全国和州特定率和趋势,按选定的死者特征分类。2008 年至 2017 年,全国年龄调整后的跌倒相关 TBI 死亡率增加了 17%。在全国范围内,几乎所有死者特征的趋势都显著增加,最明显的增长发生在居住在非核心(即大多数农村)、非大都市县和≥75 岁的人群中。对各州特定比率趋势的分析表明,在研究期间的 10 年中,有 29 个州的跌倒相关 TBI 死亡率显著增加。任何年龄的任何人都可能跌倒,但跌倒是可以预防的。鉴于跌倒相关 TBI 死亡率正在上升,医疗保健提供者和公众需要了解基于证据的预防跌倒策略。医疗保健提供者可以教育患者预防跌倒和 TBI,评估他们跌倒的风险,并在需要时鼓励他们参与适当的基于证据的跌倒预防计划。