Division of Injury Prevention, National Center for Injury Prevention and Control, CDC.
MMWR Morb Mortal Wkly Rep. 2023 Sep 1;72(35):938-943. doi: 10.15585/mmwr.mm7235a1.
In the United States, unintentional falls are the leading cause of injury and injury death among adults aged ≥65 years (older adults). Patterns of nonfatal and fatal falls differ by sex and state. To describe this variation, data from the 2020 Behavioral Risk Factor Surveillance System and 2021 National Vital Statistics System were used to ascertain the percentage of older adults who reported falling during the previous year and unintentional fall-related death rates among older adults. Measures were stratified by demographic characteristics, U.S. Census Bureau region, and state. In 2020, 14 million (27.6%) older adults reported falling during the previous year. The percentage of women who reported falling (28.9%) was higher than that among men (26.1%). The percentage of older adults who reported falling ranged from 19.9% (Illinois) to 38.0% (Alaska). In 2021, 38,742 (78.0 per 100,000 population) older adults died as the result of unintentional falls. The unintentional fall-related death rate was higher among men (91.4 per 100,000) than among women (68.3). The fall-related death rate among older adults ranged from 30.7 per 100,000 (Alabama) to 176.5 (Wisconsin). CDC's Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative recommends that health care providers screen and assess older adults for fall risk and intervene using effective preventive strategies.
在美国,65 岁及以上(老年人)人群中,非故意摔倒导致受伤和因伤致死是首要原因。非致命性和致命性摔倒的模式因性别和州而异。为了描述这种差异,本研究使用了 2020 年行为风险因素监测系统和 2021 年国家生命统计系统的数据,以确定报告在过去一年中摔倒的老年人的百分比,以及老年人的非故意摔倒相关死亡率。这些指标按人口统计学特征、美国人口普查局区域和州进行分层。2020 年,有 1400 万(27.6%)老年人报告在过去一年中摔倒过。报告摔倒的女性比例(28.9%)高于男性(26.1%)。报告摔倒的老年人比例从 19.9%(伊利诺伊州)到 38.0%(阿拉斯加州)不等。2021 年,有 38742 名(每 10 万人中有 78.0 人)老年人因非故意摔倒而死亡。男性(每 10 万人中有 91.4 人)的非故意摔倒相关死亡率高于女性(每 10 万人中有 68.3 人)。老年人的摔倒相关死亡率从每 10 万人 30.7 人(阿拉巴马州)到每 10 万人 176.5 人(威斯康星州)不等。疾病预防控制中心的防止老年人意外伤害、死亡和伤害(STEADI)倡议建议医疗保健提供者对老年人进行摔倒风险筛查和评估,并使用有效的预防策略进行干预。