The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017.
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James Spencer L, Lucchesi Lydia R, Bisignano Catherine, Castle Chris D, Dingels Zachary V, Fox Jack T, Hamilton Erin B, Henry Nathaniel J, Krohn Kris J, Liu Zichen, McCracken Darrah, Nixon Molly R, Roberts Nicholas L S, Sylte Dillon O, Adsuar Jose C, Arora Amit, Briggs Andrew M, Collado-Mateo Daniel, Cooper Cyrus, Dandona Lalit, Dandona Rakhi, Ellingsen Christian Lycke, Fereshtehnejad Seyed-Mohammad, Gill Tiffany K, Haagsma Juanita A, Hendrie Delia, Jürisson Mikk, Kumar G Anil, Lopez Alan D, Miazgowski Tomasz, Miller Ted R, Mini G K, Mirrakhimov Erkin M, Mohamadi Efat, Olivares Pedro R, Rahim Fakher, Riera Lidia Sanchez, Villafaina Santos, Yano Yuichiro, Hay Simon I, Lim Stephen S, Mokdad Ali H, Naghavi Mohsen, Murray Christopher J L
Аннотация
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.