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Death rate from falls among older adults has risen 31% over past decade

REUTERS/Lucy Nicholson
Deaths from unintentional injuries are currently the seventh-leading cause of death among adults aged 65 and older, and falls make up the largest percentage of those deaths.

The rate at which older Americans are dying from fall-related injuries has risen dramatically — by 31 percent — in the United States over the past decade, according to a new report from the Centers for Disease Control and Prevention (CDC).

Falls were responsible for 61.6 deaths for every 100,000 people aged 65 and older in 2016, up from 47 per 100,000 in 2007. That meant that 29,668 Americans aged 65 and older lost their lives as a result of a fall in 2016, up from 18,334 in 2007.  

The CDC researchers warn that if deaths from falls continue to rise at the current rate, more than 59,000 older adults will die from such injuries in 2030. 

As background information in the report points out, deaths from unintentional injuries are currently the seventh-leading cause of death among adults aged 65 and older, and falls make up the largest percentage of those deaths. 

In surveys, one in four older adults say they have fallen in the previous year.  Most falls cause only superficial scrapes and bruises, but about one in 10 results in a potentially serious injury — usually a fracture or head injury — that requires emergency medical treatment. 

Minnesota’s high rate

The new CDC report, which is based on state-issued death certificates, found that the fall-related death rate for Americans aged 65 and older has steadily increased over the past decade in 30 states and the District of Columbia. 

One of those states was Minnesota, which in 2016 had the third-highest death rate from falls among people aged 65 and older, behind Wisconsin and Vermont.

A total of 1,042 older Minnesotans died from fall-related injuries in 2016 — a rate of 119.4 deaths per 100,000. That’s up from 605 deaths — 83.7 deaths per 100,000 — in 2007.

Number of deaths from falls and age-adjusted rates among adults aged ≥65 years
Source: CDC
Number of deaths from falls and age-adjusted rates among adults aged ≥65 years — United States, 2007–2016

By comparison, Wisconsin had 1,365 fall-related deaths among its older residents in 2016  — a rate of 142.7 deaths per 100,000. The state with the lowest fall-related death rate was Alabama. It reported 177 fatal falls in 2016, or 24.4 deaths per 100,000 people aged 65 and older.

Demographic differences

“The higher rate in Wisconsin, compared with that in Alabama, might be partially attributable to a higher proportion of white older adults in Wisconsin than in Alabama,” the CDC researchers write.

Older whites have the highest fall-related death rate among all racial and ethnic groups. In 2016, the fall-related death rate for whites aged 65 and older was 68.7 per 100,000. That compares to 27.1 per 100,000 for older blacks. 

Gender differences emerged from the study as well. Although more older women died from fall-related deaths in 2016 (15,947) than men (13,721), the death rate from falls was higher for men (72.3 deaths per 100,000) than for women (54 deaths per 100,000). 

Age-adjusted rate of deaths from falls among persons aged ≥65 years
Source: CDC
Age-adjusted rate of deaths from falls among persons aged ≥65
years, by state and overall — United States, 2007 and 2016

The study also found, not surprisingly, that the risk of dying from a fall increases greatly with age. Among Americans aged 65 to 74, there were 15.6 deaths for every 100,000 people in 2016. That rate jumped to 61.4 deaths per 100,000 for people between the ages of 75 and 84, and it soared to 247.9 per 100,000 for people aged 85 and older. 

Possible explanations

The CDC researchers did not investigate the reasons fatal falls have increased among older Americans, but they point to several possible factors: reduced physical activity; people living longer with chronic diseases (which can make them more vulnerable to falls); increased use of prescription medications (which can slow down thinking and reaction time); and age-related changes in gait and balance.

The researchers recommend that physicians assess how much their older patients are at risk of falling, and then help patients address any risk factors that are modifiable — by changing the patient’s medications, for example, or encouraging the patient to engage in specific physical activities to improve gait, strength and balance.

Earlier this year, the United States Preventive Services Task Force reported that regular exercise was the most effective action older people could take to reduce their risk of falls.

FMI: The CDC report was published in the May 11 edition of Morbidity and Mortality Weekly Report, where it can be read in full. For information on simple actions older people (or their family caregivers) can take to lower the risk of falling, take a look at the materials available through the CDC’s STEADI (Stopping Elderly Accidents, Deaths, and Injuries) program.

Comments (2)

  1. Submitted by David Markle on 05/14/2018 - 11:58 am.

    Longer life expectancy

    may account for some of this increase, I suspect, but not 31% in 10 years.

  2. Submitted by Joyce Prudden on 05/14/2018 - 03:47 pm.

    Falls

    Seems to me that ice may have something to do with higher rates in Northern states such as MN and Wisc.

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