Fall-related mortality trends in older Japanese adults aged ≥65 years: a nationwide observational study
| Autor: | Yoshito Zamami, Yasuhisa Tatebe, Shiro Hinotsu, Kazuaki Shinomiya, Tomoko Funahashi, Hideharu Hagiya, Hiromi Rakugi, Yoshihisa Kitamura, Toshiaki Sendo, Mitsunobu R. Kano, Toshihiro Koyama |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Population Geriatric Medicine Poison control Occupational safety and health health & safety 03 medical and health sciences 0302 clinical medicine Japan Epidemiology Injury prevention Medicine Humans 030212 general & internal medicine Mortality education adult intensive & critical care Original Research Aged Geriatrics Aged 80 and over education.field_of_study Health Services Needs and Demand business.industry Public health Mortality rate Health Policy public health General Medicine epidemiology Accidental Falls Female business 030217 neurology & neurosurgery Demography |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesFall-related mortality among older adults is a major public health issue, especially for ageing societies. This study aimed to investigate current trends in fall-related mortality in Japan using nationwide population-based data covering 1997–2016.DesignWe analysed fall-related deaths among older persons aged ≥65 years using the data provided by the Japanese Ministry of Health, Labour and Welfare.ResultsThe crude and age-standardised mortality rates were calculated per 100 000 persons by stratifying by age (65–74, 75–84 and ≥85 years) and sex. To identify trend changes, a joinpoint regression model was applied by estimating change points and annual percentage change (APC). The total number of fall-related deaths in Japan increased from 5872 in 1997 to 8030 in 2016, of which 78.8% involved persons aged ≥65 years. The younger population (65–74 years) showed continuous and faster-decreasing trends for both men and women. Average APC among men aged ≥75 years did not decrease. Among middle-aged and older women (75–84 and ≥85 years) decreasing trends were observed. Furthermore, the age-adjusted mortality rate of men was approximately twice that of women, and it showed a faster decrease for women.ConclusionsAlthough Japanese healthcare has shown improvement in preventing fall-related deaths over the last two decades, the crude mortality for those aged over 85 years remains high, indicating difficulty in reducing fall-related deaths in the super-aged population. Further investigations to uncover causal factors for falls in older populations are required. |
| Databáze: | OpenAIRE |
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