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Falls

Injury due to falls is a serious and preventable public health concern amongst all age groups and demographics, but especially amongst older populations.  There are many critical factors that put seniors at greater risk of falls including: chronic and acute health conditions, balance or gait deficits, inadequate nutrition, social isolation and factors related to the build and social environment. Preventing falls within this age group calls for interventions that target more than one of these risk factors[1].
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Hospitalizations

Hospitalization rates from falls in the NWHU area were statistically higher than provincial rates between 2010 and 2014. During this time the NWHU average hospitalization rate was 299.9 per 100,000 per year, compared to Ontario’s average of 259.6 per 100,000 per year. However, NWHU rates decreased over this time-span; from 327.8 cases per 100,000 people in 2010 to 270.2 cases per 100,000 people in 2014, although the decrease was not statistically significant.  This indicator will continue to be monitored in the future to determine if this trend remains.

Hospitalization rates from falls in the NWHU have been higher amongst females (an average of 343.9 per 100,000 per year), than in males (an average of 270.2 per 100,000 per year), although the difference is not statistically significant. As expected, older populations have the highest rates of hospitalization from falls.

​​Source:  Public Health Ontario. Snapshots: Hospitalization for falls 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx

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Hospitalization from falls in the NWHU by sex, rates per 100,000, 2010-2014

Age-standardized rate per 100,000​ ​ ​ ​ ​ ​ ​​
Sex ​2010 ​2011 ​2012 ​2013 ​2014 ​Average
Males​ ​310.3 ​317.2 ​282.0 ​214.6 ​227.0 ​270.2
Females ​337.9 ​313.3 ​303.6 ​360.8 ​303.9 ​323.9
Source:  Public Health Ontario. Snapshots: Hospitalization for falls 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx

Hospitalization from falls in the NWHU by age group, rates per 100,000, 2010-2014
Age-specific rate per 100,000​ ​ ​ ​ ​ ​ ​
Age  ​2010 ​2011 ​​2012 ​2013 ​2014 ​Average
0-19 102.1 93.5 121.6 ​109.6 ​91.9 103.7
20-44 186.5 ​​159.6 ​106.8 116.0 131.8 140.1
45-64 301.4 269.7 279.0 237.6 281.3 273.8
65-74​​ 823.9 ​703.0 824.5 ​786.6 ​402.8 ​708.2
75+​ 2,547.6 2,816.6 ​2,486.9​ ​2,618.4 2,433.9 ​2,580.7
Source:  Public Health Ontario. Snapshots: Hospitalization for falls 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 5]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Hospitalization.aspx

​Mortality

Mortality rates from falls in the NWHU have been slightly lower than provincial rates (although not statistically lower) in recent years.  Between 2007 and 2011, the rate in the NWHU was 8.7 deaths per 100,000 per year while in Ontario as a whole it was 9.6 per 100,000 per year.

Males in the NWHU have had slightly higher but not statistically different mortality rates from falls than females (10.1 per 100,000 per year vs 7.8 deaths per 100,000 per year). Those aged 75 and older had by far the highest mortality rates of any age group, which is to be expected.


Source:  Public Health Ontario. Snapshots: Mortality from falls 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 7]. Available from http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Mortality.aspx

Mortality from falls in the NWHU by sex, rates per 100,000, 

2007-2011

​​​​Age-standardized rate per 100,000​​​​ ​ ​ ​ ​ ​ ​
Sex ​200​7 20​08 2009 2010 2011 Average
Males ​8.2 ​7.3 ​15.3 ​13.6 ​6.1 ​10.1
​Females ​6.4 ​8.3 ​4.3 ​9.5 ​10.5 ​7.8
 
Mortality from falls in the NWHU by age group, rates per 100,000
2007-2011

​​Age-specific rate per 100,000​​​​​​​ ​ ​ ​ ​ ​ ​
Age 2007 2008​ 2009 2010 2011 Average
0-19 0.0​ 4.3​ 0.0​ 0.0​ 0.0​ 0.9​
20-44 0.0​ 3.9​ 0.0​ 4.1​ 0.0​ 1.6​
45-64 0.0​ 0.0​ 0.0​ 4.3​ 0.0​ 0.9​
65-74 0.0​ 17.6​ 17.3​ 0.0​ 0.0​ 7.0​
75+ 0.0​ 144.6​ 101.9​ 203.0 240.7​ 181.4​​
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Source:  Public Health Ontario. Snapshots: Mortality from falls 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 July 7]. Available from http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Injury-Mortality.aspx​


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