Universidade Federal dos Vales do Jequitinhonha e Mucuri, Programa de Pós-Graduação em Saúde, Sociedade e Ambiente - Diamantina (MG), Brasil.
Universidade Federal do Amazonas, Faculdade de Medicina - Manaus (AM), Brasil.
Rev Bras Epidemiol. 2022 Oct 24;25:e220031. doi: 10.1590/1980-549720220031.2. eCollection 2022.
To analyze the trend of mortality from falls among older adults in Brazil from 2000 to 2019.
This is an epidemiological, analytical study with an ecological time-series design. A retrospective analysis was performed using secondary health data extracted from the Brazilian Mortality Information System in the specific period. Standardized rates of general and sex- and age-specific mortality were calculated. To observe the mortality trend, the Prais-Winsten model and the Annual Increase Rate (AIR) were used.
We identified 135,209 deaths resulting from falls in older adults in the period from 2000 to 2019. Mortality from falls in general, during the study period, had an upward trend (β=0.023; p<0.001; AIR=5.45%). We observed that both men (β=0.022; p<0.001; AIR=5.19%) and women (β=0.024; p<0.001; AIR=5.72%) had an upward trend. Regarding age group, the results also pointed to an upward mortality trend in all age strata, although higher in older people aged ≥80 years (β=0.027; p<0.001; AIR=6.38%).
There was an upward trend in mortality rates in Brazil during the time series studied. These findings suggest the importance of defining a line of care for this age group, focusing on promoting health in older adults and preventing the risk of falls, aiming at a reduction in the number of deaths from this cause and favoring the quality of life of this population.
分析 2000 年至 2019 年巴西老年人因跌倒导致的死亡率趋势。
这是一项具有生态学时间序列设计的流行病学分析研究。使用从巴西特定时期的国家死亡率信息系统中提取的二级健康数据进行回顾性分析。计算了一般和性别及年龄特定死亡率的标准化率。为了观察死亡率趋势,使用了普赖斯-温斯坦模型和年增长率(AIR)。
我们确定了 2000 年至 2019 年期间 135209 名老年人因跌倒而死亡。研究期间,一般跌倒死亡率呈上升趋势(β=0.023;p<0.001;AIR=5.45%)。我们观察到男性(β=0.022;p<0.001;AIR=5.19%)和女性(β=0.024;p<0.001;AIR=5.72%)均呈上升趋势。关于年龄组,结果也表明所有年龄组的死亡率呈上升趋势,尽管 80 岁及以上老年人的死亡率更高(β=0.027;p<0.001;AIR=6.38%)。
在研究的时间序列中,巴西的死亡率呈上升趋势。这些发现表明,为该年龄组定义一条护理线的重要性,重点关注促进老年人的健康和预防跌倒风险,以减少因跌倒导致的死亡人数,并促进该人群的生活质量。