Rates of morbidity and mortality from falls are higher amongthe elderly than among younger persons. Approximately 60 percentof persons who die from falls are 65 years old or older, andfalls account for 87 percent of all fractures in older adults.The most important risk factors for falls and fall-related injuriesamong the elderly are a history of one or more prior falls,71cognitive impairment,71 chronic illness,71 balance and gaitimpairment,71 a low body-mass index,71 female sex,71 generalfrailty,72 use of diuretics,73 use of psychotropic drugs,74and hazards in the home.71
From the Harborview Injury Prevention and Research Center (F.P.R., D.C.G., P.C.) and the Departments of Pediatrics (F.P.R., D.C.G.), Epidemiology (F.P.R., P.C.), and Health Services (D.C.G.), University of Washington, Seattle.
Address reprint requests to Dr. Rivara at the Harborview Injury Prevention and Research Center, Box 359960, 325 Ninth Ave., Seattle, WA 98104-2499.
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