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Fall-related fracture trends among elderly in Sweden--exoring transitions among hospitalized cases
Finn Nilson1, Syed Moniruzzaman, Ragnar Andersson
1Division of Risk Management, Department of Health and Environmental Sciences, Karlstad University, Karlstad, Sweden. finn.nilson@kau.se
Problem:
Fall-related injuries have been a cause of worry during the end of the 20th century with increasing trends among the elderly.
Method:
Using data from the Swedish National Patient Register (NPR) based on hospital admissions, this study explores the trends in fall-related fractures between 1998 and 2010.
Results:
The data shows a decreasing trend in fall-related fractures in all age- and sex-specific groups apart from men 80 years and above. While hip fracture incidence rates decreased in all age- and sex-specific groups, both central fractures and upper extremity fractures have increased in all age- and sex-specific groups apart from women 65-79 years. Lower extremity fractures have increased in the older age groups and decreased in the younger.
Discussion:
The differences found between the groups of fractures and by age- and sex-specific groups indicate a possible transition where more serious fractures are decreasing while less serious fractures increase among hospitalized cases.
Summary:
Perhaps due to a focus on hip fracture prevention, this study shows that while the incidence rate of hospitalized hip fractures has decreased, other fall-related hospitalized fractures have increased.
Impact On Industry:
Potentially, this could be indicative of a healthier younger elderly, coupled with a frailer older elderly requiring more comprehensive healthcare also for less serious injuries. Further research is needed to confirm our results.
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