FallInjHosp falls, injury, hospitalization, hip fracture, seniors, older adults FallInjHosp.Urb_Rur The 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. Number of incidents (hospitalizations/deaths) due to unintentional falls (ICD-9 codes: E880-E886.9, E888; ICD-10: W00-W19). Total number of persons in the population of Utah. 10/29/2020 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. IVP-23.2 Unintentional falls caused 799 unintentional fall-related deaths in Utah from 2017-2019; more than 88% (705/799) of deaths were among Utahns aged 65 and older. Between 2012 and 2014, females aged 65 and older had a significantly higher rate of hospitalizations due to unintentional falls (143 per 10,000 population) than males aged 65 and older (83.8 per 10,000 population). Between 1992-2014, urban counties had consistently higher rates of unintentional fall hospitalizations than rural and frontier counties. 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. 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. The goals of the VIPP 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. Stepping On classes - Contact your local health department or senior center for information on available classes.[[br]] [https://wihealthyaging.org/stepping-on-consumer] 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/] CFHS_Injury gdmower@utah.gov A 12/23/2020 Detail modified by: mbalough@utah.gov, 10/30/2020 Update on 10/30/19 by Meghan Balough 3 x 12/23/2020 Status changed by: vlund@utah.gov 12/23/2020 IVP-23.2 IVP IVP-23.2 Prevent an increase in fall-related deaths among adults aged 65 years and older 47.0 deaths per 100,000 population 808 12/30/2015 x PopChar 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. AgeDistPop AgeDistPop.Ut_US RiskFactors 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. AgeDistPop AgeDistPop.Ut_US AlcConBinDri AlcConBinDri.UT_US AlzDea AlzDea.UT_US ArthDep ArthDep.Age_Sex ArthPrev ArthPrev.UT_US CigSmokAdlt CigSmokAdlt.Ut_US CigSmokAdol CigSmokAdol.UT_US HlthStatMent HlthStatMent.Ut_US PhysAct PhysAct.UT_US PhysActAdol PhysActAdol.Sex.Year PhysActMusStr PhysActMusStr.UT_US PoiDth PoiDth.UT_US SubAbuAdol SubAbuAdol.Alc_UT_US HealthStatus 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 DthRat DthRat.UT_US LimAct LimAct.UT_US TBI TBI.Rate_Sex UniInjDth UniInjDth.Cause FallInjHosp.Urb_Rur Hospitalizations by Urban-Other Residence, Utah, 1992-2014 Hospitalizations per 10,000 Population FallInjHosp.AgeSex Hospitalization Visits by Age Group and Sex, Utah, 2012-2014 Hospitalizations per 10,000 Population FallInjHosp.DthAgeSex Death Rates by Age Group and Sex for Older Adults, Utah, 2017-2019 Deaths per 100,000 Population FallInjHosp.LHD Hospitalizations by Local Health District, Utah and U.S., 2012-2014 Age-adjusted Hospitalization Rate per 10,000 FallInjHosp.SA65 Hospitalizations Among Adults 65+ by Utah Small Area, 2012-2014 Hospitalizations per 10,000 Population 65+