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Location and Types of Falls Among Older Adults Location of Falls among Older Adults1,2 Other locations 25% In or Around Home 75% 1among those with known location 2Source: Ohio Hospital Association No. of fall-related inpatient hospitalizations with TBI* of Ohio residents, by sex, age group, 2002-2005 3000 50% of the fallrelated hospitalizations with TBI diagnosis were among those 65 and older (4,543 total) No. of fall-related ID w/TBI Male 2663 2500 2587 Female 2000 1880 1500 1000 1080 500 0 65+ years 3 1Source: Ohio Hospital Association <65 years Age group *traumatic brain injury Proportion of fall-related inpatient hospitalizations who suffered a TBI*, by gender, year, 2002-05 25% For persons 65+ hospitalized after a fall, 16% (n=1,880) of males and 8% (n=2,663) of females suffered TBIs, which are on the rise among older adults 20% 15% 10% 5% 0% male 2002 4 1Source: Ohio Hospital Association female 2003 2004 2005 * traumatic brain injury Proportion of discharged fallers1 who suffered a hip fracture, by age group, sex, Ohio, 2002-05 Proportion with hip fracture 60% 50% 40% male female 30% 20% 10% 0% 1Source: Ohio Hospital Association Age group Falls and Hip Fractures* • Older adults account for more than 90 percent of all fall• • • • related hip fractures. Hips were the bones most frequently fractured during a fall. In Ohio, more than 25,000 fall-related hip fractures occurred from 2002 to 2005. Overall, 63.5 percent of all hip fractures among those 65 and older were associated with a fall. Nearly half (48.7 percent) of fall-related discharges among those 65 and older had a hip fracture. Women are disproportionately susceptible to hip fractures: from 2002-2005, 75 percent of hip fracture hospitalizations were among women (n=26,793). Biological factors such as osteoporosis that increase the risk of injury after a fall may play a role. *Source: Ohio Hospital Association Fall-related inpatient hospitalizations and hospitalization1 rates2, by age group, sex, Ohio, 2008 Rate Per 100,000 4000 ~Two women treated for every man among 65-74-year-olds and ~4:1 female/male ratio for those aged 85 years and older No. Hospitalizations 6000 5000 3000 Male Hospitalizations Female Hospitalizations Male Hospitalization Rate Female Hospitalization rate 2000 4000 3000 2000 1000 1000 0 0 <1yr 1-4yr 5-14yr 15-24yr 25-34 35-44 45-54 55-64 65-74 75-84 Age Group 1Source: Ohio Hospital Association 2per 100,000 85+ Falls and Hip Fractures* • As many as 20 percent of hip fracture patients die within a year of their injury.41 • Most patients with hip fractures are hospitalized for about one week. • Up to 25 percent of adults who lived independently before their hip fracture have to stay in a nursing home for at least a year after their injury.42 There were 6,711 (29 percent) male fallers discharged during 2002-05 who fractured their hip and nearly three times as many females: 18,605 (42 percent). *Source: CDC Summary of Key Points Older adults accounted for more than 90% of all fall-related hip fractures. Fall-related emergency room-visit and inpatient hospitalization rates are higher for falls than all other injuries combined among older adults. Older adults accounted for $4.2 billion, 68% of the total annual costs of nonfatal, hospital-admitted falls…and $4.7 billion for fatal and hospital-admitted. In 2009, older adults accounted for 82% of fall-related deaths and represented only 14 percent of the population. The 367 deaths in 2002 increased to 827 in 2009, representing a 125% increase.