TY - JOUR PY - 2013// TI - Changes in fall-related mortality in older adults in Quebec, 1981-2009 JO - Chronic diseases and injuries in Canada A1 - Gagné, M. A1 - Robitaille, Yvonne A1 - Jean, S. A1 - Perron, P-a SP - 226 EP - 235 VL - 33 IS - 4 N2 - 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
Language: fr
LA - fr SN - 1925-6515 UR - http://dx.doi.org/ ID - ref1 ER -