Cited 54 times since 2014 (4.7 per year) source: EuropePMC Injury, Volume 45, Issue 8, 4 1 2014, Pages 1224-1230 Circumstances leading to injurious falls in older men and women in the Netherlands. Boyé ND, Mattace-Raso FU, Van der Velde N, Van Lieshout EM, De Vries OJ, Hartholt KA, Kerver AJ, Bruijninckx MM, Van der Cammen TJ, Patka P, Van Beeck EF, IMPROveFALL trial collaborators
Background
Fall-induced injuries in persons aged 65 years and older are a major public health problem. Data regarding circumstances leading to specific injuries, such as traumatic brain injury (TBI) and hip fractures in older adults are scarce.
Objective
To investigate the activity distributions leading to indoor and outdoor falls requiring an emergency department (ED) visit, and those resulting in TBIs and hip fractures.
Participants
5880 older adults who visited the ED due to a fall.
Methods
Data is descriptive and stratified by age and gender.
Results
Two-thirds of all falls occurred indoors. However, there were higher proportions of outdoor falls at ages 65-79 years (48%). Walking up or down stairs (51%) and housekeeping (17%) were the most common indoor activities leading to a TBIs. Walking (42%) and sitting or standing (16%) was the most common indoor activities leading to a hip fracture. The most common outdoor activities were walking (61% for TBIs and 57% for hip fractures) and cycling (10% for TBIs and 24% for hip fractures).
Conclusion
In the present study we found that the indoor activities distribution leading to TBIs and hip fractures differed. Notably, about half of the traumatic brain injuries and hip fractures in men and women aged 65-79 years occurred outdoors. This study provides new insights into patterns leading to injurious falls by age, gender and injury type, and may guide the targeting of falls prevention at specific activities and risk groups, including highly functional older men and women.
