End of the Spectacular Decrease in Fall-Related Mortality Rate

Men Are Catching Up

Bibliographic Data

ID11030290
AuthorsKlaas A Hartholt (0000-0001-5019-9239, Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...), Suzanne Polinder (0000-0002-4331-3141, Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...), Ed F van Beeck (Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...), Nathalie van der Velde (0000-0002-6477-6209, Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...), Esther M M van Lieshout (0000-0002-2597-7948, Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...), P Patka (0000-0003-4381-7187, Erasmus MC), Tischa J M van der Cammen (0000-0002-0383-3767, Klaas A. Hartholt, Nathalie van der Velde, and Tischa J. M. van der Cammen are with the Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Klaas A. Hartholt, Esther M. M. van Lieshout, and Peter Patka are with the Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam. Suzanne Polinder and Ed F. van Beeck are with the Department of Public Health, Erasmus MC, University Medical Center...)
Year2012
Volume102
IssueS2
PagesS207-S211
Publication date2012-05-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300288
PMID22401528
PMCIDPMC3477905
OpenAlexW2049558520
LanguageEN
Citations received1
References cited27

Objectives. We determined time trends in numbers and rates of fall-related mortality in an aging population, for men and women. Methods. We performed secular trend analysis of fall-related deaths in the older Dutch population (persons aged 65 years or older) from 1969 to 2008, using the national Official-Cause-of-Death-Statistics. Results. Between 1969 and 2008, the age-adjusted fall-related mortality rate decreased from 202.1 to 66.7 per 100 000 older persons (decrease of 67%). However, the annual percentage change (change per year) in mortality rates was not constant, and could be divided into 3 phases: (1) a rapid decrease until the mid-1980s (men −4.1%; 95% confidence interval [CI] = −4.9, −3.2; women −6.5%; 95% CI, −7.1, −5.9), (2) flattening of the decrease until the mid-1990s (men −1.4%; 95% CI = −2.4, −0.4; women −2.0%; 95% CI = −3.4, −0.6), and (3) stable mortality rates for women (0.0%; 95% CI = −1.2, 1.3) and rising rates for men (1.9%; 95% CI = 0.6, 3.2) over the last decade. Conclusions. The spectacular decrease in fall-related mortality ended in the mid-1990s and is currently increasing in older men at similar rates to those seen in women. Because of the aging society, absolute numbers in fall-related deaths are increasing rapidly

Confidence interval · Excess mortality · Mortality rate · Population · Secular variation · Balance, Gait, and Falls Prevention · Demography · Health disparities and outcomes · Injury Epidemiology and Prevention · Internal Medicine · Medicine · Surgery · Gerontology

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