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Complete Health Indicator Report of Fall Injury (Unintentional)

Definition

The number of hospitalizations due to unintentional falls per 10,000 population. ICD-10: W00-W19.

Numerator

Number of hospitalizations due to unintentional falls (ICD-10 codes: W00-W19).

Denominator

Total number of persons in the population of Utah.

Why Is This Important?

Falls are a leading cause of injury death for Utahns, especially those aged 65 and older. Additionally, in Utah, unintentional fall-related inpatient hospital charges for all ages totaled $284.5 million in 2019.

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 974 unintentional fall-related deaths in Utah from 2018-2020; 87% (843/974) of deaths were among Utahns aged 65 and older. Between 2016-2019, females aged 65 and older had a significantly higher rate of hospitalizations due to unintentional falls (136.9 per 10,000 population) than males aged 65 and older (82.7 per 10,000 population).

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 the 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 Services

Stepping On classes - Contact your local health department or senior center for information on available classes.[[br]] [https://wihealthyaging.org/stepping-on-consumer]

Health Program Information

The 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.


Related Indicators

Relevant Population Characteristics

Unintentional fall-related hospitalizations are highest among Utahns 65 years of age and older. Women are injured more often from falls than men, but men die more often from their injuries.

Related Relevant Population Characteristics Indicators:


Risk Factors

Risk factors for falls include older age, poor eyesight, lack of regular exercise, poor nutrition, substance abuse and smoking, and misuse of medications. Some medications can cause drowsiness or dizziness and some drugs can interact with other medications or alcohol and cause problems that may lead to falling. In addition, certain health conditions can increase the risk of falls including osteoporosis, arthritis, clinical depression, dementia, and neurological or musculoskeletal disorders like Parkinson's and Alzheimer's disease. In the home environmental hazards such as poor lighting, lack of grab bars and handrails, slippery or wet surfaces, uneven floors and surfaces, clutter, and loose throw rugs are factors in many falls.

Related Risk Factors Indicators:


Health Status Outcomes

Falls are the leading cause of death and injury disability among Utahns 65 years of age and older. Falls account for as many as 87% of all fractures and are the second leading cause of traumatic brain and spinal cord injuries among seniors. Among people ages 75 and older, those who fall are four to five times more likely to be admitted to a long-term care facility for a year or longer. Nearly one in four elderly Utahns will die of complications from a hip fracture within one year of the injury. Source: U.S. Centers for Disease Control and Prevention

Related Health Status Outcomes Indicators:




Graphical Data Views

Unintentional Fall Hospitalization Visits by Age Group and Sex, Utah, 2016-2019

::chart - missing::
confidence limits

Unintentional fall injury hospitalization rates are higher the older a person gets. Females had higher rates than males for the older age groups.
Males vs. FemalesAge GroupHospitalizations per 10,000 PopulationLower LimitUpper Limit
Record Count: 12
Male0-174.34.04.6
Male18-445.75.46.0
Male45-5411.410.612.3
Male55-6422.121.023.4
Male65-7441.739.743.8
Male75+148.6143.8153.5
Female0-172.42.22.6
Female18-442.92.73.1
Female45-549.08.39.8
Female55-6425.824.527.1
Female65-7461.459.063.8
Female75+242.7237.2248.3

Data Notes

ICD-9 codes include E880-E886.9 and E888.

Data Source

Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health


Unintentional Fall Injury Hospitalizations by Local Health District, Utah, 2016-2019

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Hospitalization Rate per 10,000Lower LimitUpper Limit
Record Count: 14
Bear River19.918.721.0
Central24.823.226.6
Davis County19.819.020.7
Salt Lake County22.922.423.4
San Juan9.06.811.7
Southeast24.522.326.9
Southwest18.818.119.6
Summit20.217.722.9
Tooele22.220.124.5
TriCounty20.018.122.1
Utah County21.620.822.4
Wasatch27.924.631.5
Weber-Morgan20.719.821.6
State of Utah21.521.121.9

Data Notes

Age-adjusted to the U.S. 2000 standard population. Data reported are for all years using the current boundaries.

Data Sources

  • Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Unintentional Fall Injury Hospitalizations Among Adults 65+ by Utah Small Area, 2016-2019

::chart - missing::
confidence limits

Utah Small AreasHospitalizations per 10,000 Population 65+Lower LimitUpper LimitNote
Record Count: 100
Brigham City152.6132.2175.2
Box Elder Co (Other) V2118.192.3149.0
Tremonton108.185.7134.6
Logan V2146.6129.6165.1
North Logan182.6153.7215.3
Cache (Other)/Rich (All) V2126.7106.6149.4
Hyrum146.9105.8198.5
Smithfield133.5104.7167.9
Ben Lomond127.9114.8142.2
Weber County (East)122.8108.2138.8
Morgan County119.492.5151.6
Ogden (Downtown)138.4120.0158.9
South Ogden129.5114.4146.1
Roy/Hooper109.595.6125.0
Riverdale191.0169.4214.7
Clearfield Area/Hooper140.6124.6158.1
Layton/South Weber113.1101.6125.6
Kaysville/Fruit Heights120.8103.8139.9
Syracuse129.2104.5157.9
Centerville117.597.4140.7
Farmington104.483.4129.1
North Salt Lake117.492.7146.8
Woods Cross/West Bountiful78.656.1107.0
Bountiful146.6133.8160.3
SLC (Rose Park)104.987.5124.8
SLC (Avenues)84.570.7100.2
SLC (Foothill/East Bench)125.1107.4145.0
Magna138.3113.7166.7
SLC (Glendale) V2110.588.5136.3
West Valley (Center)117.2102.8133.0
West Valley (West) V2116.093.0142.9
West Valley (East) V2132.4116.4149.9
SLC (Downtown) V2134.4116.9153.7
SLC (Southeast Liberty)122.8101.9146.8
South Salt Lake176.2152.0203.2
SLC (Sugar House)164.2146.7183.3
Millcreek (South)150.9132.8170.8
Millcreek (East)143.8126.0163.5
Holladay V2160.5144.0178.3
Cottonwood127.3115.3140.1
Kearns V2134.9113.9158.5
Taylorsville (E)/Murray (W)115.8100.7132.6
Taylorsville (West)139.2122.8157.3
Murray129.3113.9146.1
Midvale129.8111.6150.1
West Jordan (Northeast) V2119.5101.0140.4
West Jordan (Southeast)134.8114.9157.0
West Jordan (W)/Copperton100.078.7125.3
South Jordan V2136.0119.6153.9
Daybreak196.6163.1234.9
Sandy (West)153.9134.3175.5
Sandy (Center) V2114.097.3132.9
Sandy (Northeast)115.9100.0133.7
Sandy (Southeast)110.695.2127.9
Draper140.3120.5162.4
Riverton/Bluffdale130.6112.0151.4
Herriman113.790.8140.6
Tooele County (Other)148.1120.3180.2
Tooele Valley132.7116.6150.4
Eagle Mountain/Cedar Valley105.277.0140.3
Lehi136.2117.8156.8
Saratoga Springs87.063.7116.1
American Fork145.8127.9165.5
Alpine105.877.7140.7
Pleasant Grove/Lindon146.7129.6165.3
Orem (North)167.9145.9192.3
Orem (West)108.991.5128.6
Orem (East)116.998.6137.6
Provo/BYU146.6130.3164.4
Provo (West City Center)140.1115.9167.9
Provo (East City Center)147.9112.6190.8
Salem City132.0100.0171.1
Spanish Fork178.0154.7203.9
Springville139.2119.0161.9
Mapleton203.3161.9252.0
Utah County (South) V2183.3143.4230.8
Payson209.0181.4239.6
Park City126.5108.0147.2
Summit County (East)62.943.887.4
Wasatch County165.3144.5188.1
Daggett and Uintah County134.6116.9154.1
Duchesne County116.095.6139.5
Nephi/Mona245.3199.6298.3
Delta/Fillmore142.2113.9175.4
Sanpete Valley169.4145.7195.7
Central (Other)184.0163.3206.6
Richfield/Monroe/Salina149.8126.2176.6
Carbon County191.9168.9217.1
Emery County201.8167.3241.3
Grand County100.778.3127.4
Blanding/Monticello106.078.1140.5
San Juan County (Other)33.716.860.2*
St. George141.9133.2151.0
Washington Co (Other) V2111.391.5134.0
Washington City137.0119.5156.4
Hurricane/La Verkin114.899.1132.3
Ivins/Santa Clara108.991.0129.3
Cedar City117.9103.0134.3
Southwest LHD (Other)118.9104.1135.3
State of Utah134.9132.9136.9

Data Notes

*Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. Consider aggregating years to decrease the relative standard error and improve the reliability of the estimate. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication.

Data Sources

  • Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)

References and Community Resources

National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention[[br]] [http://www.cdc.gov/injury] UDOH Violence and Injury Prevention Program [[br]] [http://health.utah.gov/vipp/older-adults/falls/]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 10/27/2021, Published on 11/23/2021
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 09 August 2022 8:19:24 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 23 Nov 2021 12:07:11 MST