The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017

Spencer L James(University of Washington), Lydia R Lucchesi(University of Washington), Catherine Bisignano(University of Washington), Chris D Castle(University of Washington), Zachary V Dingels(University of Washington), Jack T Fox(University of Washington), Erin B Hamilton(University of Washington), Nathaniel J Henry(University of Washington), Kris J Krohn(University of Washington), Zichen Liu(University of Washington), Darrah McCracken(University of Washington), Molly R Nixon(University of Washington), Nicholas L S Roberts(University of Washington), Dillon O Sylte(University of Washington), José Carmelo Adsuar(Universidad de Extremadura), Amit Arora(Sydney Local Health District), Andrew M. Briggs(Curtin University), Daniel Collado‐Mateo(Universidad Autónoma de Chile), Cyrus Cooper(University of Oxford), Lalit Dandona(University of Washington), Rakhi Dandona(University of Washington), Christian Lycke Ellingsen(Norwegian Institute of Public Health), Seyed‐Mohammad Fereshtehnejad(University of Ottawa), Tiffany K Gill(The University of Adelaide), Juanita A. Haagsma(Erasmus MC), Delia Hendrie(Curtin University), Mikk Jürisson(University of Tartu), G Anil Kumar(Public Health Foundation of India), Alan D Lopez(The University of Melbourne), Tomasz Miazgowski(Pomeranian Medical University), Ted R. Miller(Curtin University), GK Mini(Sree Chitra Thirunal Institute for Medical Sciences and Technology), Erkin М Мirrakhimov(Kyrgyz State Medical Academy), Efat Mohamadi(Tehran University of Medical Sciences), Pedro R. Olivares(Universidad Autónoma de Chile), Fakher Rahim(Ahvaz Jundishapur University of Medical Sciences), Lídia Sànchez-Riera(The University of Sydney), Santos Villafaina(Universidad de Extremadura), Yuichiro Yano(Northwestern University), Simon I Hay(University of Washington), Stephen S Lim(University of Washington), Ali H. Mokdad(University of Washington), Mohsen Naghavi(University of Washington), Christopher J L Murray(University of Washington)
Injury Prevention
January 15, 2020
10.1136/injuryprev-2019-043286
Cited by 561Open Access
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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.

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