Health Indicator Report of Fall Injury (Unintentional)
Falls are a leading cause of injury death for Utahns aged 65 and older. Additionally, in Utah, unintentional fall-related inpatient hospital charges for all ages totaled more than $185 million in 2014.
Unlike fall hospitalizations, the unintentional fall mortality rates for males ages 55 and older tend to be higher than that of females ages 55 and older. The severity of fall outcome increases as the subject gets older due to increased frailty and decreased response to environmental risks that lead to falls. With each increase in 10-year age group, the rate increases 3-4 times accordingly.
Unintentional Fall Death Rates by Age Group and Sex for Older Adults, Utah, 2012-2014
NotesICD-10 codes include W00-W19.
- Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
DefinitionThe number of incidents (hospitalizations/deaths) due to unintentional falls per 10,000 population (hospitalizations) or per 100,000 (deaths). ICD-9 codes: E880-E886.9, E888; ICD-10: W00-W19.
NumeratorNumber of incidents (hospitalizations/deaths) due to unintentional falls (ICD-9 codes: E880-E886.9, E888; ICD-10: W00-W19).
DenominatorTotal number of persons in the population of Utah.
Healthy People Objective IVP-23.2:Prevent an increase in fall-related deaths among adults aged 65 years and older
U.S. Target: 47.0 deaths per 100,000 population
How Are We Doing?Unintentional falls caused 647 unintentional fall-related deaths in Utah from 2012-2014; during 2012-2014, there were 15,976 unintentional fall-related hospitalizations in the state. Utah's overall age-adjusted rate for unintentional fall injury hospitalization during 2012-2014 was 22.4 per 10,000 population. Nearly 80% (516/647) of the deaths and more than 60% (9,809/15,976) of the hospitalizations were among Utahns aged 65 and older. Females aged 65 and older had a significantly higher rate of hospitalizations due to unintentional falls (142.6 per 10,000 population) than males aged 65 and older (83.6 per 10,000 population). Between 1992-2014, urban counties had consistently higher rates of unintentional fall hospitalizations than rural and frontier counties.
What Is Being Done?The Utah Department of Health Violence and Injury Prevention Program (VIPP) receives funding from the U.S. Centers for Disease Control and Prevention to collect traumatic brain injury surveillance data, including a falls-specific data module, for the state of Utah. This is done through review of hospital discharge data, vital statistics data, and hospital records abstractions. Local health departments and other community-based agencies have implemented evidence-based falls prevention programs, such as the Stepping On program and Matter of Balance program. These programs work to increase strength and balance, reduce fall hazards in the home, and build self-efficacy among participants to reduce the fear of falling. National research shows the programs reduce falls among participants. The classes are free to the public. The Utah Falls Prevention Coalition was established by the VIPP in 2011 with the purpose of developing a strategic, statewide response to Utah's growing rate of falls among older adults in the state. Until this time, there had been no single, statewide response to address this public health problem in Utah. Many organizations were implementing falls prevention activities but resources and activities were scattered and disconjointed when looked at from a public health perspective. The Coalition has three main purposes: 1) bring together partners who have an interest in falls prevention among older adults, 2) develop goals and strategies on falls prevention among older adults to include in the Utah Violence and Injury Plan, and 3) ready the state for future funding opportunities on falls prevention.
Available ServicesStepping On classes - Contact your local health department or senior center for information on available classes[[br]] [https://wihealthyaging.org/stepping-on]
Health Program InformationThe Violence and Injury Prevention Program (VIPP) is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health. VIPP goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.
Page Content Updated On 01/03/2017, Published on 02/06/2017