Fall-related fracture trends among elderly in Sweden – exploring transitions among hospitalized cases |
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| Institution: | 1. Cardiovascular Nutrition Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington Street, Boston, MA 02111, USA;2. Boston Heart Diagnostics, Framingham, MA 01702, USA;3. Metabolic Research Center, School of Medicine & Pharmacology and Faculty of Engineering, Computing and Mathematics, University of Western Australia, Perth, Australia;4. Department of Medicine, Division of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA;5. Department of Medicine, Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA;1. Department of Orthopedic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri;2. Center for Hip and Knee Surgery, St. Francis Hospital, Mooresville, Indiana;3. Joint Implant Surgeons, New Albany, Ohio;1. Department of Pediatrics, Division of Pediatric Pulmonology and Cardiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;2. Department of Pharmacology, Graduate Institute of Medicine, College of Medicine, Lipid Science and Aging Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan;3. Department of Pharmacy, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;1. Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia;2. Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia;3. Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, Slovenia;1. Division of Geriatrics, Geriatric Fracture Center, Highland Hospital, University of Rochester School of Medicine and Dentistry, 1000 South Avenue, Box 58, Rochester, NY 14620, USA;2. Monroe Community Hospital, 435 East Henrietta Road, Rochester, NY 14620, USA;1. R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA;2. Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada;3. The Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai, China;4. Department of Traumatic Orthopedics, The Second Hospital of Shanxi Medical University, Shanxi, China;5. Department of Traumatic Orthopedics, Tianjin Hospital, Tianjin, China |
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| Abstract: | ProblemFall-related injuries have been a cause of worry during the end of the 20th century with increasing trends among the elderly.MethodUsing 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.ResultsThe 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.SummaryPerhaps 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 industryPotentially, 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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