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Mortality trend from falls in Brazilian older adults from 2000 to 2019
Ilana Carla Mendes Gonçalves1, Ronilson Ferreira Freitas2, Erika Carvalho Aquino3
1Universidade Federal dos Vales do Jequitinhonha e Mucuri, Programa de Pós-Graduação em Saúde, Sociedade e Ambiente - Diamantina (MG), Brasil.
Objective:
To analyze the trend of mortality from falls among older adults in Brazil from 2000 to 2019.
Methods:
This is an epidemiological, analytical study with an ecological time-series design. A retrospective analysis was performed using secondary health data extracted from the Brazilian Mortality Information System in the specific period. Standardized rates of general and sex- and age-specific mortality were calculated. To observe the mortality trend, the Prais-Winsten model and the Annual Increase Rate (AIR) were used.
Results:
We identified 135,209 deaths resulting from falls in older adults in the period from 2000 to 2019. Mortality from falls in general, during the study period, had an upward trend (β=0.023; p<0.001; AIR=5.45%). We observed that both men (β=0.022; p<0.001; AIR=5.19%) and women (β=0.024; p<0.001; AIR=5.72%) had an upward trend. Regarding age group, the results also pointed to an upward mortality trend in all age strata, although higher in older people aged ≥80 years (β=0.027; p<0.001; AIR=6.38%).
Conclusion:
There was an upward trend in mortality rates in Brazil during the time series studied. These findings suggest the importance of defining a line of care for this age group, focusing on promoting health in older adults and preventing the risk of falls, aiming at a reduction in the number of deaths from this cause and favoring the quality of life of this population.
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