Department of Epidemiology and Biostatistics, Medical University of Lodz, Żeligowskiego 7/9, 90-752 Lodz, Poland.
Health Systems Development Department, Medical University of Lodz, Muszyńskiego 2, 90-752 Lodz, Poland.
Int J Environ Res Public Health. 2023 Mar 14;20(6):5073. doi: 10.3390/ijerph20065073.
The aim of the study was to assess mortality trends due to falls in early (65-74 years) and late (75+) old age groups in Poland in 2000-2020. The study used a database of all deaths due to falls in two age groups. Per 100,000 men in early old age, the crude death rate (CDR) increased from 25.3 in 2000 to 25.9 in 2020. After 2012, a statistically significant decrease was observed (annual percentage change (APC) = -2.3%). Similar trends were noted for standardized death rates (SDR). Among men 75 years and older, the CDR values between the years 2000 and 2005 decreased (APC = -5.9%; < 0.05), while after 2005, they increased (1.3%; < 0.05). The SDR value decreased from 160.6 in 2000 to 118.1 in 2020. Among women aged 65-74, the CDRs values between 2000-2020 decreased from 13.9 and 8.2 per 100,000 women. The SDR value decreased from 14.0 to 8.3, respectively (2000-2007: APC = -7.2%; < 0.05). Among women aged 75+, the CDR value decreased from 151.5 to 111.6 per 100,000 but after 2008, they began to increase (APC = 1.9%; < 0.05). SDR decreased from 188.9 to 98.0 per 100,000 women. Further research on the mortality in falls is needed in order to implement preventive programs.
这项研究的目的是评估 2000 年至 2020 年波兰 65-74 岁(早期)和 75 岁以上(晚期)老年人因跌倒导致的死亡率趋势。该研究使用了两个年龄组所有因跌倒导致的死亡的数据库。在早期老年男性中,每 10 万人的粗死亡率(CDR)从 2000 年的 25.3 上升到 2020 年的 25.9。2012 年后,观察到死亡率呈统计学显著下降(年百分比变化(APC)=-2.3%)。标准化死亡率(SDR)也呈现出类似的趋势。在 75 岁及以上的男性中,2000 年至 2005 年期间的 CDR 值下降(APC=-5.9%;<0.05),而 2005 年后,CDR 值上升(1.3%;<0.05)。SDR 值从 2000 年的 160.6 下降到 2020 年的 118.1。在 65-74 岁的女性中,2000-2020 年期间,每 10 万女性的 CDR 值从 13.9 和 8.2 下降。SDR 值从 14.0 下降到 8.3(2000-2007 年:APC=-7.2%;<0.05)。在 75 岁以上的女性中,CDR 值从每 10 万女性 151.5 下降到 111.6,但 2008 年后开始上升(APC=1.9%;<0.05)。SDR 值从每 10 万女性 188.9 下降到 98.0。为了实施预防计划,需要进一步研究跌倒导致的死亡率。