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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
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  2. 2. Sport Science Department, University of Extremadura, Badajoz, Spain
  3. 3. School of Science and Health, Western Sydney University, Sydney, NSW, Australia
  4. 4. Oral Health Services, Sydney Local Health District, Sydney, NSW, Australia
  5. 5. School of Physiotherapy and Exercise Science, Curtin University, Bentley, WA, Australia
  6. 6. Ageing and Life Course, World Health Organization (WHO), Geneva, Switzerland
  7. 7. Sport Science Department, University of Extremadura, Caceres, Spain
  8. 8. Faculty of Education, Autonomous University of Chile, Talca, Chile
  9. 9. Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom
  10. 10. Department of Rheumatology, University of Oxford, Oxford, United Kingdom
  11. 11. Public Health Foundation of India, Gurugram, India
  12. 12. Department of Pathology, Stavanger University Hospital, Stavanger, Norway
  13. 13. Norwegian Institute of Public Health, Oslo, Norway
  14. 14. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
  15. 15. Division of Neurology, University of Ottawa, Ottawa, ON, Canada
  16. 16. Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia
  17. 17. Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands
  18. 18. School of Public health, Curtin University, Perth, WA, Australia
  19. 19. Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
  20. 20. University of Melbourne, Melbourne, QLD, Australia
  21. 21. Department of Hypertension, Pomeranian Medical University, Szczecin, Poland
  22. 22. Pacific Institute for Research and Evaluation, Calverton, MD, United States
  23. 23. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
  24. 24. Global Institute of Public Health (GIPH), Ananthapuri Hospitals and Research Centre, Trivandrum, India
  25. 25. Faculty of General Medicine, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
  26. 26. Department of Atherosclerosis and Coronary Heart Disease, National Center of Cardiology and Internal Disease, Bishkek, Kyrgyzstan
  27. 27. Health Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran
  28. 28. Institute of Physical Activity and Health, Autonomous University of Chile, Talca, Chile
  29. 29. Thalassemia and Hemoglobinopathy Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  30. 30. Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  31. 31. Department of Rheumatology, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
  32. 32. Institute of Bone and Joint Research, University of Sydney, Syndey, NSW, Australia
  33. 33. Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
  34. 34. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States

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.