2006—2018年杭州市老年人跌倒死亡趋势分析

Trend of fall mortality among the elderly in Hangzhou from 2006 to 2018

目的了解2006—2018年杭州市老年人跌倒死亡情况及变化趋势,为制定老年人跌倒死亡防控策略提供依据。方法通过杭州市县级及以上医疗机构和社区卫生服务中心的《死亡医学证明书》收集2006—2018年杭州市≥60岁老年人跌倒死亡病例资料,计算跌倒粗死亡率和标化死亡率,采用年度变化百分比(APC)分析不同性别、年龄和地区老年人跌倒死亡变化趋势。结果2006—2018年杭州市老年人跌倒粗死亡率为85.60/10万,标化死亡率为71.42/10万,粗死亡率和标化死亡率均呈逐年上升趋势(P<0.05),APC分别为3.46%和2.33%。女性跌倒粗死亡率为93.01/10万,高于男性的77.82/10万(P<0.05),男性和女性跌倒粗死亡率均呈逐年上升趋势,APC分别为3.77%和3.25%(P<0.05)。农村老年人跌倒粗死亡率为129.03/10万,高于城市老年人的60.73/10万(P<0.05),农村和城市老年人跌倒粗死亡率均呈逐年上升趋势(P<0.05),APC分别为2.43%和5.02%。2006—2018年杭州市老年人跌倒粗死亡率随年龄增加呈上升趋势(P<0.05)。结论2006—2018年杭州市老年人跌倒死亡率呈上升趋势,应重点关注女性和农村老年人群。

Objective To analyze the status and trend of fall mortality among the elderly from 2006 to 2018 in Hangzhou,and to provide basis for fall prevention and control.Methods Through the medical certificate of death in hospitals at the county level and above and community health service centers,the monitoring data of the deaths from fall among the elderly aged 60 years and above in Hangzhou from 2006 to 2018 were collected.The crude motality rate,standardized mortality rate of fall and the annual percentage change(APC)were calculated to examine the status and trend of fall mortality in different gender,age and areas.Results The crude mortality rate of fall among the elderly in Hangzhou was 85.60/100000 and the standardized mortality rate was 71.42/100000 from 2006 to 2018.The crude and standardized mortality rate from 2006 to 2018 showed increasing trends and the APCs were 3.46%and 2.33%,respectively(P<0.05).The crude mortality rate was 93.01/100000 in females,which was higher than 77.82/100000 in males(P<0.05),the APCs were 3.25%and 3.77%,respectively.The crude mortality rate of rural areas was 129.03/100000,which was significantly higher than 60.73/100000 of urban areas(P<0.05).The mortality rate of urban and rural areas showed increasing trends,the APCs were 5.02%and 2.43%,respectively.The crude mortality rate of fall among the elderly in Hangzhou increased gradually with age(P<0.05).Conclusion The fall mortality among the elderly in Hangzhou increased from 2006 to 2018.More efforts are needed to reduce fall mortality in females and rural population.