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The Global Burden of Falls: Global, Regional and National Estimates of Morbidity and Mortality From the Global Burden of Disease Study 2017 Publisher Pubmed



James SL1 ; Lucchesi LR1 ; Bisignano C1 ; Castle CD1 ; Dingels ZV1 ; Fox JT1 ; Hamilton EB1 ; Henry NJ1 ; Krohn KJ1 ; Liu Z1 ; Mccracken D1 ; Nixon MR1 ; Roberts NLS1 ; Sylte DO1 Show All Authors
Authors
  1. James SL1
  2. Lucchesi LR1
  3. Bisignano C1
  4. Castle CD1
  5. Dingels ZV1
  6. Fox JT1
  7. Hamilton EB1
  8. Henry NJ1
  9. Krohn KJ1
  10. Liu Z1
  11. Mccracken D1
  12. Nixon MR1
  13. Roberts NLS1
  14. Sylte DO1
  15. Adsuar JC2
  16. Arora A3, 4
  17. Briggs AM5, 6
  18. Colladomateo D7, 8
  19. Cooper C9, 10
  20. Dandona L1, 11
  21. Dandona R1, 11
  22. Ellingsen CL12, 13
  23. Fereshtehnejad SM14, 15
  24. Gill TK16
  25. Haagsma JA17
  26. Hendrie D18
  27. Jurisson M19
  28. Kumar GA11
  29. Lopez AD1, 20
  30. Miazgowski T21
  31. Miller TR18, 22
  32. Mini GK23, 24
  33. Mirrakhimov EM25, 26
  34. Mohamadi E27
  35. Olivares PR28
  36. Rahim F29, 30
  37. Riera LS31, 32
  38. Villafaina S7
  39. Yano Y33
  40. Hay SI1, 34
  41. Lim SS1, 34
  42. Mokdad AH1, 34
  43. Naghavi M1, 34
  44. Murray CJL1, 34

Source: Injury Prevention Published:2020


Abstract

Background Falls can lead to severe health loss including death. Past research has shown that falls are an important cause of death and disability worldwide. The Global Burden of Disease Study 2017 (GBD 2017) provides a comprehensive assessment of morbidity and mortality from falls. Methods Estimates for mortality, years of life lost (YLLs), incidence, prevalence, years lived with disability (YLDs) and disability-adjusted life years (DALYs) were produced for 195 countries and territories from 1990 to 2017 for all ages using the GBD 2017 framework. Distributions of the bodily injury (eg, hip fracture) were estimated using hospital records. results Globally, the age-standardised incidence of falls was 2238 (1990-2532) per 100 000 in 2017, representing a decline of 3.7% (7.4 to 0.3) from 1990 to 2017. Age-standardised prevalence was 5186 (4622-5849) per 100 000 in 2017, representing a decline of 6.5% (7.6 to 5.4) from 1990 to 2017. Age-standardised mortality rate was 9.2 (8.5-9.8) per 100 000 which equated to 695 771 (644 927-741 720) deaths in 2017. Globally, falls resulted in 16 688 088 (15 101 897-17 636 830) YLLs, 19 252 699 (13 725 429-26 140 433) YLDs and 35 940 787 (30 185 695-42 903 289) DALYs across all ages. The most common injury sustained by fall victims is fracture of patella, tibia or fibula, or ankle. Globally, age-specific YLD rates increased with age. Conclusions This study shows that the burden of falls is substantial. Investing in further research, fall prevention strategies and access to care is critical. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
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