Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T05:55:47.141Z Has data issue: false hasContentIssue false

Beyond Mortality and Hospitalization Data: Self-Reported Injuries Among Canadian Seniors*

Published online by Cambridge University Press:  29 November 2010

Parminder Raina
Affiliation:
McMaster University Hamilton-Wentworth Regional Public Health Department
Micheline Wong
Affiliation:
British Columbia Research Institute for Children's and Women's Health
Steven Dukeshire
Affiliation:
Hamilton-Wentworth Regional Public Health Department
Andria Scanlan
Affiliation:
British Columbia Research Institute for Children's and Women's Health
Larry Chambers
Affiliation:
McMaster University Hamilton-Wentworth Regional Public Health Department
Joan Lindsay
Affiliation:
Health Canada.

Abstract

This study describes the prevalence and characteristics of self-reported unintentional injuries among Canadians aged 55 years and older. Based on the cross-sectional data from the 1994 National Population Health Survey (NPHS), approximately 10 per cent of older adults experienced unintentional injuries serious enough to limit their normal daily activities. Consistent with hospitalization and mortality data, unintentional falls and motor vehicle crashes were reported as the major causes of injury. However, the other predominant causes of unintentional injuries were environmental incidents and being struck by an object. The most common types of injuries were sprains/strains and broken/fractured bones; the greatest number of injuries was to the lower limbs; and the majority of injuries occurred in the home and surrounding area. Unintentional injuries represent a significant health threat among older adults. Self-reported data serve as a different but complementary source of information on unintentional injuries among older adults.

Résumé

Cette étude décrit la fréquence et les caractéristiques des blessures involontaires déclarées par les canadiens de 55 ans et plus. D'après les données transversales de l'Enquête nationale sur la santé de la population, environ 10 pour 100 des aînés subissent des blessures involontaires suffisant à les empêcher d'exercer leurs activités normales. Les données d'hospitalisation et de mortalité révèlent que les chutes involontaires et les accidents de véhicules motorisés constituent la principale cause de blessure. Cependant, on signale les incidents dus à l'environnement et les heurts comme autre cause importante de blessure involontaire. Les blessures les plus communes sont les entorses et les fractures des os. Le plus grand nombre de blessures se situe aux membres inférieurs et la plupart des blessures se produisent dans la maison ou autour. Les blessures involontaires représentent une menace sérieuse pour la santé des aînés. Les données communiquées par les intéressés sont une source d'information différente mais complémentaire sur les blessures involontaires chez les aînés.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Riley, P, Paddon, PAccidents in Canada: Mortality and hospitalization. Health Reports, Statistics Canada 1989; 1(1):2350.Google ScholarPubMed
2.Raina, P, Torrance, V, Lindsay, JA review of the literature and an analysis of mortality and hospitalization data to examine patterns of injuries among Canadian seniors. IESOP Research Paper no. 12, January 1997. Program for Research on the Independence and Economic Security of the Older Population, McMaster University, Faculty of Social Sciences, Hamilton, Ontario, Canada.Google Scholar
3.Health Canada. Health Protection Branch, Bureau of Reproductive and Child Health. Canadian Injury Data. Ottawa: Health Canada, 1998 (in press).Google Scholar
4.Moore, R, Mao, Y, Zhang, J, Clark, KEconomic burden of illness in Canada, 1993. Ottawa: Minister of Public Works and Government Services Canada, 1997.Google Scholar
5.Wilkins, KDeaths due to accidents, poisoning and violence among Canada's elderly: Trends from 1926 to 1985. Chronic Dis Can 1989; 10(1):89.Google Scholar
6.Statistics Canada. Canada Year Book 1988. Ottawa: Bryant Press Ltd., 1987.Google Scholar
7.Lilley, JM, Arie, T, Chilvers, CEAccidents involving older people: A review of the literature. Age Aging 1995; 24:346–65.CrossRefGoogle ScholarPubMed
8.Wigle, DT, Mao, Y, Wong, T, Lane, REconomic burden of illness in Canada. Chronic Dis Can 1991, 12 (suppl.3):l37.Google Scholar
9.Baker, SP, O'Neill, B, Ginsburg, MJ, Li, GThe Injury Fact Book. Second ed.New York: Oxford University Press, 1992.Google Scholar
10.Riley, RAccidental falls and injuries among seniors. Health Reports, Statistics Canada 1992; 4(4):341–54.Google ScholarPubMed
11.Sattin, RWFalls among older person: A public health perspective. Ann Rev Public Health 1992; 13:489508.CrossRefGoogle Scholar
12.Kapoor, WNEvaluation of syncope in the elderly. J Am Geriatr Soc 1987; 34 (suppl.4):l24.Google Scholar
13.Macdonald, ET, Macdonald, JBDrug treatment in the elderly. New York: John Wiley & Sons, 1982.Google Scholar
14.Ray, WA, Griffin, MR, Downey, W, Melton, LJLong-term use of thiazide diuretics and risk of hip fractures. Lancet 1989; 1:687–90.CrossRefGoogle Scholar
15.Lucht, UA prospective study of accidental falls and resulting injuries in home among elderly people. Acta Socio-Med Scand 1971; 2:105–20.Google Scholar
16.Schelp, L, Svanstorm, LOne-year incidence of home accidents in a rural Swedish municipality. Scand J Soc Med 1986; 14:7582.CrossRefGoogle Scholar
17.Rubenstein, LZ, Robins, AS, Schulman, BL, Rosado, J, Osterwiel, D, Josephson, KRFalls and instability in the elderly. J Am Geriatr Soc 1988; 36:236–79.CrossRefGoogle ScholarPubMed
18.Baranick, JI, Chatterjee, BF, Greene-Cradden, YC, Michenzi, EM, Kramer, CF, et al. Motor vehicle trauma in Northeastern Ohio. I: Incidence and outcome by age, sex, and road-use category. Am J Epidemiol 1986; 123:846–61.CrossRefGoogle Scholar
19.Copper, PJ, Tallman, D, Tuokko, H, Lynn, BVehicle crash involvement and cognitive deficit in older drivers. J Safety Res 1993; 25:917.CrossRefGoogle Scholar
20.Dubinski, RM, Williamson, A, Gray, SC and Glatt, SLDriving in Alzheimer's disease. J Am Geriatr Soc 1992; 40:1112–6.CrossRefGoogle Scholar
21.McCloskey, LW, Keopsill, TD, Wolf, ME and Buchner, DMMotor vehicle collisions and sensory impairments of older drivers. Age Ageing 1994; 9:973.Google Scholar
22.Honkanen, R, Ertama, L, Linnoila, M, et al. Role of drugs in traffic accidents. Br Med J 1980; 281:1309–12.CrossRefGoogle ScholarPubMed
23.MacPherson, RD, Perl, J, Starmer, GA, Homel, RSelf-reported drug usage and crash incidence in breath analyzed drivers. Accident Anal Prev 1984; 16:139–48.CrossRefGoogle Scholar
24.Snelling, CFT, Germann, ETTrends in hospital care of burns in Canada. J Trauma 1992; 33(2):258–65.CrossRefGoogle ScholarPubMed
25.Hummings, SR, Nevitt, MC, Kidd, SForgetting falls: the limited accuracy of recall of falls in the elderly. J Am Geriatr Soc 1988; 36:613–6.CrossRefGoogle Scholar
26.Statistics Canada. National Population Health Survey. Ottawa: Statistics Canada, 1994.Google Scholar
27.Statistics Canada. Health Statistics Division. National Population Health Survey 1994–1995. Public Use Microdata Files. Ottawa: Statistics Canada, 1995.Google Scholar
28.Statistics Canada. National Population Health Survey, Derived Variables. Ottawa: Statistics Canada, 1994.Google Scholar
29.Statistics Canada. National Population Health Survey, Record Layout. Ottawa: Statistics Canada, 1994.Google Scholar
30.Nevitt, MC, Cummings, SR, Hudes, ESRisk factors for injurious falls: A prospective study. J Gerontol 1991; 46(5):M16470.CrossRefGoogle ScholarPubMed
31.Baker, S, Harvey, AFalls and injuries in the elderly. Clin Geriatr Med 1985; 1:501–5.CrossRefGoogle ScholarPubMed
32.Chen, HStepping over obstacles: Gait patterns of healthy young and old adults. J Gerontol: Medical Sciences 1991; 46(6):196203.CrossRefGoogle ScholarPubMed
33.Campbell, AJ, Reinken, J, Allan, BC, Martinez, GSFall in old age: A study of frequency and related clinical factors. Age Ageing 1981; 10:264–70.CrossRefGoogle ScholarPubMed
34.Felson, DT, Anderson, JJ, Hannan, MT, Milton, PWF, Wilson, PW, Kiel, DPImpaired vision and hip fracture: The Framingham Study. J Am Geriatr Soc 1989; 37:495500.CrossRefGoogle ScholarPubMed
35.Myers, JS, Sharpe, AC Injuries in the elderly: risks and prevention. In: Eliopoulous, C. (Ed.) Caring for the elderly in diverse care settings. Philadelphia: JB Lippincott, 1990.Google Scholar
36.Perry, BFalls among the elderly living in high-rise apartments. J Fam Pract 1982; 14(6):1069–73.Google ScholarPubMed
37.King, MB, Tinetti, MFalls in community-dwelling older persons. American Journal of Geriatric Society 1995; 43:1146–54.CrossRefGoogle ScholarPubMed
38.Herndon, JG, Heimick, CG, Sattin, RW, Stevens, JA, De Vito, C, Wingo, PAChronic medical conditions and risk of fall injury events in older adults. Journal of the American Geriatrics Society 1997; 45(6):739–43.CrossRefGoogle ScholarPubMed
39.Gallagher, EMFalls and the elderly. Community Paper Series #3. Victoria, BC: University of Victoria, 1995.Google Scholar
40.Commodore, DIFalls in elderly populations: a look at incidence, risks, health care costs, and preventive strategies. Rehabil Nurs 1995; 20(2):84–9.Google Scholar
41.Craven, R, Bruno, PTeach the elderly to prevent falls. J Gerontol Nurs 1986; 12(8):2733.CrossRefGoogle ScholarPubMed
42.Hornbrook, M, Steven, V, Wingfield, D, Hollis, J, Greenlick, M, Ory, MPreventing falls among community-dwelling older persons: Results from a randomized trial. Gerontologist 1994; 34(1):623.CrossRefGoogle ScholarPubMed
43.Reinsch, S, MacRae, P, Lachenbruch, P, Tobis, JWhat do healthy older adults fall? Behavioural and environmental risks. Phys Occup Ther Geriatr 1992; 11(1):114.Google Scholar
44.Northridge, ME, Nevitt, MC, Kelsey, JL, Link, BHome hazards and falls in the elderly: The role of health and functional status. Am J Public Health 1995; 85(4):509–15.CrossRefGoogle ScholarPubMed
45.Raina, P, Dukeshire, S, Chambers, L, Toivonen, D, Lindsay, JPrevalence, risk factors and health care utilization for injuries among Canadian seniors: An analysis of 1994 National Population Health Survey. IESOP Research Paper no. 15, June 1997. Program for Research on the Independence and Economic Security of the Older Population, McMaster University, Faculty of Social Sciences, Hamilton, Ontario, Canada.Google Scholar