Please use this identifier to cite or link to this item:
PIRA download icon_1.1View/Download Full Text
Title: Secular trends in fall-related hospitalizations in adolescents, youth and adults : a population-based study
Authors: Tang, CTL
Sing, CW
Kwok, TCY
Li, GHY 
Cheung, CL
Issue Date: Jul-2021
Source: The lancet regional health - Western Pacific, July 2021, v. 12, 100183
Abstract: Background: Falls are one of the major causes of injury globally. However, there is a lack of population-based studies on falls among adolescents, young and middle-aged adults. We therefore aimed to conduct a large-scale population study on the secular trend in incidence of fall-related hospitalization.
Methods: A population-wide electronic database, Hong Kong's Clinical Data Analysis and Reporting System (CDARS), was used in this retrospective cohort study. Patients aged≥10, hospitalized with diagnosis of accidental falls (ICD-9-CM E880-E888) from 2005-2018, were included. Outcome measures included the number, age- and sex-standardized incidence rate of fall-related hospital admissions, their length of stay (LOS) and 1-year all-cause mortality. Linear regression and average annual percentage change (AAPC) using joinpoint regression were computed for trend analysis.
Findings: From 2005 to 2018, a total of 336,439 patients aged≥10 were identified with fall-related hospitalization. Among these fall patients, 33.7% occurred at age<60. The number of fall-related hospital admissions episodes increased significantly by 83.7% during the study period. The standardized incidence rate of falls per 1000 person-years increased from 3.67 (95% CI 3.62-3.72) in 2005 to 4.79 (95% CI 4.74-4.84) in 2018. Although the total hospitalized bed-days increased from 178,723 days in 2005, to 299,273 days in 2018 (+67.5%,p<.0001), the median length of stay per episode of falls decreased from 4.90 days to 3.79 days (p<.0001).
Interpretation: Continuous increase in the incidence of fall-related hospitalization in people aged≥10 was observed. This suggested that falls are a public health issue in all ages. Further studies on the differences in the underlying risk factors and comorbidities between younger and older fall patients are warranted.
Funding: None.
Publisher: The Lancet Publishing Group
Journal: The lancet regional health - Western Pacific 
EISSN: 2666-6065
DOI: 10.1016/j.lanwpc.2021.100183
Rights: © 2021 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (
The following publication Tang, C. T., Sing, C. W., Kwok, T. C., Li, G. H., & Cheung, C. L. (2021). Secular trends in fall-related hospitalizations in adolescents, youth and adults: a population-based study. The Lancet Regional Health-Western Pacific, 12, 100183 is available at
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
1-s2.0-S2666606521000924-main.pdf784.48 kBAdobe PDFView/Open
Open Access Information
Status open access
File Version Version of Record
View full-text via PolyU eLinks SFX Query
Show full item record

Page views

Last Week
Last month
Citations as of Jun 4, 2023


Citations as of Jun 4, 2023


Citations as of Jun 8, 2023


Citations as of Jun 8, 2023

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.