Evidence map›Paper›PMID 31941758›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2020

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, Lydia R Lucchesi, Catherine Bisignano, Chris D Castle, Zachary V Dingels, Jack T Fox, Erin B Hamilton, Nathaniel J Henry, Kris J Krohn, Zichen Liu and 34 more

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 317 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
317citing papers in PubMed, 13 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06345118 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluate the Results of Fall Prevention in Older Adults With Type 2 Diabetes Mellitus

TypeinterventionalSponsorNational Geriatric HospitalRan2024 to 2025Enrolled80ConditionsDiabetes Mellitus, Type 2, Fall, Elderly PatientArmsOtago exercise program
NCT07258355 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Occupation-Based Multicomponent Intervention to Reduce Fall Risk in Older Adults Living in a Community With a History of Falls: A Prospective Quasi-Experimental Study

TypeinterventionalSponsorHacettepe UniversityRan2025 to 2026Enrolled40ConditionsGeriatric, Fall, Cognition, BalanceArmsOccupation-Based Multi-Component Intervention
3 · Its place in the literature

Who cites it

317 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  11. A Meta-Analysis of Fall Risk in Older Adults With Alzheimer's Disease.Journal of the American Medical Directors Association · 2024
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  14. The Effect of Vitamin DJournal of the American Geriatrics Society · 2026
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  20. Rethinking the relationship between ambulatory activity and falls in long-term care: risk versus reward.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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257 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Spencer L JamesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA spencj@uw.edu.ORCID 0000-0003-4653-2507
Lydia R LucchesiInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Catherine BisignanoInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Chris D CastleInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Zachary V DingelsInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Jack T FoxInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Erin B HamiltonInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Nathaniel J HenryInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Kris J KrohnInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Zichen LiuInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Darrah McCrackenInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Molly R NixonInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Nicholas L S RobertsInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Dillon O SylteInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Jose C AdsuarSport Science Department, University of Extremadura, Badajoz, Spain.
Amit AroraSchool of Science and Health, Western Sydney University, Sydney, NSW, Australia.
Andrew M BriggsSchool of Physiotherapy and Exercise Science, Curtin University, Bentley, WA, Australia.
Daniel Collado-MateoSport Science Department, University of Extremadura, Cáceres, Spain.
Cyrus CooperMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.
Lalit DandonaInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Rakhi DandonaInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Christian Lycke EllingsenDepartment of Pathology, Stavanger University Hospital, Stavanger, Norway.
Seyed-Mohammad FereshtehnejadDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Tiffany K GillAdelaide Medical School, University of Adelaide, Adelaide, SA, Australia.
Juanita A HaagsmaDepartment of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Delia HendrieSchool of Public health, Curtin University, Perth, Western Australia, Australia.
Mikk JürissonInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
G Anil KumarPublic Health Foundation of India, Gurugram, India.
Alan D LopezInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Tomasz MiazgowskiDepartment of Hypertension, Pomeranian Medical University, Szczecin, Poland.
Ted R MillerSchool of Public health, Curtin University, Perth, Western Australia, Australia.
G K MiniAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Erkin M MirrakhimovFaculty of General Medicine, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan.
Efat MohamadiHealth Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Pedro R OlivaresInstitute of Physical Activity and Health, Autonomous University of Chile, Talca, Chile.
Fakher RahimThalassemia and Hemoglobinopathy Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Lidia Sanchez RieraDepartment of Rheumatology, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Santos VillafainaSport Science Department, University of Extremadura, Cáceres, Spain.
Yuichiro YanoDepartment of Preventive Medicine, Northwestern University, Chicago, IL, United States.
Simon I HayInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Stephen S LimInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Ali H MokdadInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Mohsen NaghaviInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Christopher J L MurrayInstitute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Funding

Medical Research Council G0400491Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1World Health Organization 001
6 · The paper itself

Abstract

backgroundFalls 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.

methodsEstimates 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.

resultsGlobally, 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.

conclusionsThis study shows that the burden of falls is substantial. Investing in further research, fall prevention strategies and access to care is critical.

Indexed as

Accidental FallsGlobal Burden of DiseaseGlobal HealthHumansIncidenceLife ExpectancyMorbidityPrevalenceQuality-Adjusted Life Yearsburden of diseaseepidemiologyfall

Identifiers

PMID31941758
PMCPMC7571347

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.