Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Faculty of Medicine, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Int J Inj Contr Saf Promot. 2020 Dec;27(4):403-411. doi: 10.1080/17457300.2020.1790614. Epub 2020 Jul 10.
Falls are one of the major causes of unintentional injuries. Understanding the epidemiology of fall-related mortality helps to identify the root causes of this event and planning preventive strategies to inhibit falls. The aim of this study was to assess the trend of fall-related mortality rate and its epidemiological patterns based on sex and age-groups at national and subnational levels in Iran during the years 1990 to 2015. All data were gathered from Death Registration Systems, cemetery databases of Tehran and Isfahan, the Demographic and Health Survey of 2000 and three rounds of national population and housing censuses. The age-standardized death rate (ASDR) due to falls per 100,000 people decreased from 2.61 (95% Uncertainty Interval (UI): 1.94-3.51) in 1990 to 2.13 (1.62-2.80) in 2015 at national level. Males were at higher risk of death due to falls than females. Our data showed that the elderly population was at higher risk of death due to falls and individuals less than 4-year old had the highest fall-related mortality rate among children and adolescents. Our data should be used to accelerate interventions to reduce fall-related mortality.
跌倒 是导致非故意伤害的主要原因之一。了解与跌倒相关的死亡率的流行病学有助于确定该事件的根本原因，并规划预防策略以抑制跌倒。本研究旨在评估 1990 年至 2015 年期间，伊朗全国和次国家级水平按性别和年龄组划分的与跌倒相关的死亡率趋势及其流行病学模式。所有数据均来自死亡登记系统、德黑兰和伊斯法罕的墓地数据库、2000 年人口与健康调查以及三轮全国人口和住房普查。全国范围内，每 10 万人因跌倒导致的标准化死亡率（ASDR）从 1990 年的 2.61（95%置信区间：1.94-3.51）下降到 2015 年的 2.13（1.62-2.80）。男性因跌倒而死亡的风险高于女性。我们的数据表明，老年人因跌倒而死亡的风险更高，而 4 岁以下的儿童和青少年中跌倒相关死亡率最高。我们的数据应该被用来加速干预措施以降低与跌倒相关的死亡率。
