ArticleThe Lancet regional health. Western Pacific2021
Secular trends in fall-related hospitalizations in adolescents, youth and adults: a population-based study.
Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 22 citations in OpenAlex.
- The Burden of Unintentional Falls Among Adolescents in Iran During 1990-2021 Based on the Global Burden of Disease Study.International journal of pediatrics · 2026Article
- Global, regional, and national burden of falls from 1990 to 2021: a comprehensive analysis with a focus on falls attributable to reduced bone mass and projections to 2045.Frontiers in public health · 2025Article
- Hip fracture is associated with a reduced risk of type 2 diabetes: A retrospective cohort study.Osteoporosis and sarcopenia · 2024Article
- The effect of long-term alendronic acid treatment on Modic changes in the lumbar spine: a gender and age-matched study.Journal of orthopaedic surgery and research · 2024Article
- Validation of the Saga Fall Injury Risk Model.International journal of medical sciences · 2024Observational
- Balance performance of healthy young individuals in real versus matched virtual environments: a systematic scoping review.Frontiers in human neuroscience · 2024Article
- One-Legged Balance Performance and Fall Risk in Mid and Later Life: Longitudinal Evidence From a British Birth Cohort.American journal of preventive medicine · 2022Article
- Burden of falls among people aged 60 years and older in mainland China, 1990-2019: findings from the Global Burden of Disease Study 2019.The Lancet. Public health · 2021Article
- Are falls the health concern only for the older population?The Lancet regional health. Western Pacific · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls are one of the major causes of injury globally. However, there is a lack of population-based studies on falls among adolescents, young and middle-aged adults. We therefore aimed to conduct a large-scale population study on the secular trend in incidence of fall-related hospitalization.
methodsA population-wide electronic database, Hong Kong's Clinical Data Analysis and Reporting System (CDARS), was used in this retrospective cohort study. Patients aged≥10, hospitalized with diagnosis of accidental falls (ICD-9-CM E880-E888) from 2005-2018, were included. Outcome measures included the number, age- and sex-standardized incidence rate of fall-related hospital admissions, their length of stay (LOS) and 1-year all-cause mortality. Linear regression and average annual percentage change (AAPC) using joinpoint regression were computed for trend analysis.
findingsFrom 2005 to 2018, a total of 336,439 patients aged≥10 were identified with fall-related hospitalization. Among these fall patients, 33.7% occurred at age<60. The number of fall-related hospital admissions episodes increased significantly by 83.7% during the study period. The standardized incidence rate of falls per 1000 person-years increased from 3.67 (95% CI 3.62-3.72) in 2005 to 4.79 (95% CI 4.74-4.84) in 2018. Although the total hospitalized bed-days increased from 178,723 days in 2005, to 299,273 days in 2018 (+67.5%,p<.0001), the median length of stay per episode of falls decreased from 4.90 days to 3.79 days (p<.0001).
interpretationContinuous increase in the incidence of fall-related hospitalization in people aged≥10 was observed. This suggested that falls are a public health issue in all ages. Further studies on the differences in the underlying risk factors and comorbidities between younger and older fall patients are warranted.
fundingNone.
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