Behaviour, Environment, and Lifespan Division, Centre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2024 Nov;44(11-12):482-487. doi: 10.24095/hpcdp.44.11/12.04.
Falls among older adults (aged 65 years and older) are a public health concern in Canada. Fall-related injuries can cause a reduction in quality of life among older adults, and death. They also entail substantial health care costs. It is essential to monitor fallrelated injuries and deaths among older adults to better understand temporal trends and characteristics and to evaluate fall prevention strategies. We used the most up-to-date data from the Canadian Vital Statistics-Death database, Discharge Abstract Database and National Ambulatory Care Reporting System to analyze the temporal trends of fallrelated mortality, hospitalizations and emergency department (ED) visits among older adults in Canada over more than a decade. Age and sex characteristics were also examined. In 2022, 7189 older adults died due to a fall in Canada (excluding Yukon). From 2010 to 2022, deaths due to falls generally increased in both number and rates. In fiscal year 2023/24, there were 81 599 fall-related hospitalizations in Canada (excluding Quebec) and 212 570 fall-related ED visits in Ontario and Alberta. From fiscal year 2010/11 to 2023/24, even though the overall trend of the rates of fall-related hospitalizations and ED visits did not increase, the numbers generally rose year by year except in 2020/21, the early stage of the COVID-19 pandemic. As for the age and sex characteristics, the rates for deaths, hospitalizations and ED visits rose with advancing age for both men and women. With the aging population, continuous monitoring of the trends is crucial for fall prevention.
老年人（65 岁及以上）跌倒问题是加拿大的一个公共卫生关注点。与跌倒相关的伤害可能会降低老年人的生活质量，并导致其死亡。此外，这些伤害还会带来巨大的医疗保健成本。因此，有必要对老年人的跌倒相关伤害和死亡情况进行监测，以便更好地了解其时间趋势和特征，并评估预防跌倒的策略。
我们使用加拿大生命统计-死亡数据库、出院摘要数据库和国家门诊护理报告系统中最新的数据，分析了加拿大十多年来老年人与跌倒相关的死亡率、住院率和急诊部（ED）就诊率的时间趋势。同时还研究了年龄和性别特征。2022 年，加拿大（不包括育空地区）有 7189 名老年人因跌倒而死亡。从 2010 年到 2022 年，跌倒导致的死亡人数和死亡率普遍呈上升趋势。2023/24 财年，加拿大（不包括魁北克省）有 81599 例与跌倒相关的住院治疗，安大略省和艾伯塔省有 212570 例与跌倒相关的 ED 就诊。从 2010/11 财年到 2023/24 财年，尽管与跌倒相关的住院和 ED 就诊率的总体趋势没有增加，但除了 2020/21 年（COVID-19 大流行的早期阶段）外，数字普遍呈逐年上升趋势。在年龄和性别特征方面，男性和女性的死亡率、住院率和 ED 就诊率均随年龄增长而上升。随着人口老龄化，持续监测这些趋势对于预防跌倒至关重要。
