Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
New South Wales Public Health Bulletin New South Wales Public Health Bulletin Society
Supporting public health practice in New South Wales
RESEARCH ARTICLE

Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey

Andrew J. Milat A E , Wendy L. Watson B , Claire Monger C , Margo Barr D , Michael Giffin D and Michael Reid C
+ Author Affiliations
- Author Affiliations

A The Sax Institute (formerlyC)

B NSW Injury Risk Management Centre, The University of New South Wales

C Centre for Health Advancement, NSW Department of Health

D Centre for Epidemiology and Research, NSW Department of Health

E Corresponding author. Email: andrew.milat@saxinstitute.org.au

NSW Public Health Bulletin 22(4) 43-48 https://doi.org/10.1071/NB10065
Published: 2 June 2011

Abstract

Aim: To describe the prevalence, circumstances and consequences of falls among community-dwelling older people in NSW using data from the 2009 NSW Falls Prevention Baseline Survey. Methods: Telephone interviews with a random sample of 5681 NSW residents aged 65 years and over were conducted in 2009. Results: Of those surveyed, 25.6% reported falling in the last year. Of those who fell, 61.2% fell once, 21.4% fell twice, 7.8% fell three times, and 9.5% fell four or more times in the last year. Sixty-six percent of those who fell in the last year were injured and 20.0% visited a hospital as a result of a fall. The most common injuries were cuts, grazes or bruises (71.0%) and sprains or strains (9.9%). Conclusion: The findings of this survey are consistent with previous findings in the published fall injury prevention literature. The results from the survey will assist in the design of community oriented fall injury prevention strategies and will form the baseline measure for the evaluation of the impact of these strategies in NSW.


References

[1]  National Ageing Research Institute. An analysis of research on preventing falls and falls injuries in older people: Community, residential care and hospital settings. Canberra: Commonwealth of Australia; 2004.

[2]  NSW Department of Health. Management Policy to Reduce Fall Injury Among Older People – Detailed strategies and performance requirements 2003–2007. North Sydney: NSW Department of Health; 2003.

[3]  Tinetti ME, Williams CS. The effect of falls and fall injury on functioning in community-dwelling older persons. J Gerontol A Biol Sci Med Sci 1998; 53 M112–9.
| 1:STN:280:DyaK1c7otFGgtg%3D%3D&md5=ba8371a2b650572b4565d8ae9d978f8eCAS | 9520917PubMed |

[4]  American Geriatrics Society British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls Prevention Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001; 49 664–72.
| 11380764PubMed |

[5]  Treasury of the Commonwealth of Australia. Intergenerational Report 2010: Australia to 2050, Future Challenges. Canberra: Commonwealth of Australia; 2010. Available from: www.treasury.gov.au/igr/igr2010 (Cited 9 July 2010.)

[6]  Campbell AJ, Reinken J, Allan BC, Martinez GS. Falls in old age: a study of frequency and related clinical factors. Age Ageing 1981; 10 264–70.
Falls in old age: a study of frequency and related clinical factors.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL387ls1Kisg%3D%3D&md5=5f3b9ce767b3edd5f64ec38054f564b9CAS | 7337066PubMed |

[7]  Prudham D, Grimley-Evans J. Factors associated with falls in the elderly: a community study. Age Ageing 1981; 10 141–6.
| 1:STN:280:DyaL3M3nvVyksA%3D%3D&md5=4ca261d8d1a4f2a98075131623e226c1CAS | 7270321PubMed |

[8]  Blake A, Morgan K, Bendall MJ, Dallosso H, Ebrahim SB, Arie TH, et al. Falls by elderly people at home: prevalence and associated factors. Age Ageing 1988; 17 365–72.
Falls by elderly people at home: prevalence and associated factors.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL1M7ptVaitQ%3D%3D&md5=8b209098c8fd07bab2b9eb1d64840165CAS | 3266440PubMed |

[9]  Steven JA, Ryan G, Kresnow M. Fatalities and injuries from falls among older adults – United States, 1993–2003 and 2001–2005. MMWR 2006; 55 1221–4.
| 17108890PubMed |

[10]  NSW Department of Health. The epidemiology of falls in older people in NSW. North Sydney: NSW Department of Health; 1994.

[11]  Gill T, Taylor AW, Pengelly A. A population-based survey of factors relating to the prevalence of falls in older people. Gerontology 2005; 51 340–5.
A population-based survey of factors relating to the prevalence of falls in older people.Crossref | GoogleScholarGoogle Scholar | 16110237PubMed |

[12]  Lord S, Sherrington C, Menz H, Close J. Falls in older people: risk factors and strategies for prevention. Cambridge: Cambridge University Press; 2008.

[13]  Luukinen H, Koski K, Laippala P, Kivelä SL. Predictors for recurrent falls among the home-dwelling elderly. Scand J Prim Health Care 1995; 13 294–9.
Predictors for recurrent falls among the home-dwelling elderly.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK283oslOgsA%3D%3D&md5=aa249b1cb0c9a9f9e39c982e082123a9CAS | 8693215PubMed |

[14]  Campbell AJ, Borrie MJ, Spears GF, Jackson SL, Brown JS, Fitzgerald JL. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing 1990; 19 136–41.
Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3c3kslWruw%3D%3D&md5=909fd8a16b7d254d5a4a543284abae0dCAS | 2337010PubMed |

[15]  Gibson MJ, Andres RO, Isaacs B, Radebaugh T, Worm-Petersen J. The prevention of falls in later life. A report of the Kellogg International Work Group on the Prevention of Falls by the Elderly. Dan Med Bull 1987; 34 1–24.

[16]  Centers for Disease Control and Prevention. Falls among older Americans: CDC prevention efforts. CDC: Atlanta; 2002.

[17]  Resnick B, Junlapeeya P. Falls in a community of older adults: findings and implications for practice. Appl Nurs Res 2004; 17 81–91.
| 15154120PubMed |

[18]  Cripps R, Carman J. Falls by the elderly in Australia: trends and data for 1998. Injury Research and Statistics Series (AIHW cat. No. INJCAT 35). Adelaide: Australian Institute of Health and Welfare; 2001.

[19]  NSW Department of Health. NSW Health Plan for Prevention of Falls and Harm from Falls Among Older People: 2011–2015. North Sydney: NSW Department of Health; 2011.

[20]  Centre for Health Advancement and Centre for Epidemiology and Research. New South Wales Falls Prevention Baseline Survey: 2009 Report. North Sydney: NSW Department of Health; 2010. Available from: www.health.nsw.gov.au (Cited 10 March 2011.)

[21]  Australia on Disk [software]. Sydney: Australia on Disk; 2004.

[22]  MapInfo [software]. Troy, NY: MapInfo Corporation; 1997.

[23]  Steel D. New South Wales Population Health Survey: Review of weighting procedures. North Sydney: NSW Department of Health; 2006. Available from: www.health.nsw.gov.au/pubs/2006/review_weighting.html (Cited 6 July 2010.)

[24]  Ganz D, Higashi T, Rubenstein LZ. Monitoring falls in cohort ctudies of community-dwelling older people: effect of the recall interval. J Am Geriatr Soc 2005; 53 2190–4.
Monitoring falls in cohort ctudies of community-dwelling older people: effect of the recall interval.Crossref | GoogleScholarGoogle Scholar | 16398908PubMed |

[25]  Peel N. Validating recall of falls by older people. Accid Anal Prev 2000; 32 371–2.
Validating recall of falls by older people.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c3js1Kisg%3D%3D&md5=d13b655856e458e99c820bdc5ba7b254CAS | 10776852PubMed |