
@article{ref1,
title="Changes in fall-related mortality in older adults in Quebec, 1981-2009",
journal="Chronic diseases and injuries in Canada",
year="2013",
author="Gagné, M. and Robitaille, Yvonne and Jean, S. and Perron, P-a",
volume="33",
number="4",
pages="226-235",
abstract="INTRODUCTION: Our purpose was to evaluate changes in fall-related mortality in adults aged 65 years and over in Quebec and to propose a case definition based on all the causes entered on Return of Death forms.  METHODS: The analysis covers deaths between 1981 and 2009 recorded in the Quebec vital statistics data.  RESULTS: While the number of fall-related deaths increased between 1981 and 2009, the adjusted falls-related mortality rate remained relatively stable. Since the early 2000s, this stability has masked opposing trends. The mortality rate associated with certified falls (W00-W19) has increased while the rate for presumed falls (exposure to an unspecified factor causing a fracture) has decreased.  CONCLUSION: For fall surveillance, analyses using indicators from the vital statistics data should include both certified falls and presumed falls. In addition, a possible shift in the coding of fall-related deaths toward secondary causes should be taken into account.  KEYWORDS:  Quebec, falls, fractures, injuries, mortality, older adults, reporting, seniors, trends<p /> <p>Language: fr</p>",
language="fr",
issn="1925-6515",
doi="",
url="http://dx.doi.org/"
}