Mortality caused by accidental falls among the elderly: a time series analysis

Introduction : The worldwide increase in the elderly population has highlighted the importance of accidental falls and their consequences.Objective: To perform time-trend analysis of the mortality rate from accidental falls in (1) the city of Florianópolis (2) the state of Santa Catarina and (3) Brazil. Method : A time-series study of data from the Sistema de Informação sobre Mortalidade ("the Mortality Information System") was performed. The variation in mortality caused by accidental falls was estimated using the joinpoint regression method, based on the International Disease Classification (ICD-10), chapter XX, codes W00 to W15 and W17 to W19, from 1997 to 2010. Results : It was observed that in the most recent periods (2005/2008; 2002/2008; 2003/2008), there was a significant increase in mortality rates related to accidental falls in all three regions, and that these rates increased with advancing age. Conclusion : Strategies to prevent accidental falls among the elderly should be aimed, mainly, at those who are 80 and over, the age in which accidental falls result in higher death rates.

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Comparison of short-term associations with meteorological variables between COPD and pneumonia hospitalization among the elderly in Hong Kong—a time-series study

International Journal of Biometeorology ◽

10.1007/s00484-018-1542-2 ◽

2018 ◽

Vol 62 (8) ◽

pp. 1447-1460 ◽

Cited By ~ 5

Author(s):

Holly Ching-yu Lam ◽

Emily Ying-yang Chan ◽

William Bernard Goggins

Keyword(s):

Time Series ◽

Hong Kong ◽

The Elderly ◽

Meteorological Variables ◽

Short Term ◽

Time Series Study ◽

Series Study

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Analysis of health changes and the association of health indicators in the elderly using TCM pulse diagnosis assisted with ICT devices: A time series study

European Journal of Integrative Medicine ◽

10.1016/j.eujim.2019.02.010 ◽

2019 ◽

Vol 27 ◽

pp. 105-113 ◽

Cited By ~ 2

Author(s):

Siyu Zhou ◽

Atsushi Ogihara ◽

Shoji Nishimura ◽

Qun Jin

Keyword(s):

Time Series ◽

Health Indicators ◽

The Elderly ◽

Pulse Diagnosis ◽

Time Series Study ◽

Health Changes ◽

Series Study

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Atmospheric Pollution and Hospitalization for Cardiovascular and Respiratory Diseases in the City of Manaus from 2008 to 2012

The Scientific World JOURNAL ◽

10.1155/2020/8458359 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Daniel S. Sacramento ◽

Lourdes C. Martins ◽

Marcos A. Arbex ◽

Ysabely de A. P. Pamplona

Keyword(s):

Air Pollution ◽

Time Series ◽

Respiratory Diseases ◽

Hospital Admissions ◽

Additive Models ◽

Time Series Study ◽

Wide Range ◽

Temperature And Humidity ◽

The City ◽

Series Study

Introduction. Air pollution has been identified as a serious public health problem in the world’s major metropolises. Recent studies have shown that airborne particle concentrations are associated with a wide range of effects on human health, including increased hospital admissions for respiratory disease, enhanced asthma episodes, decreased lung function, and increased mortality. Objective. To relate the levels of air pollution and hospital admissions for cardiovascular and respiratory diseases in the city of Manaus in Brazil from 2008 to 2012. Method. This is an ecological time-series study among children (under 5 years of age) and elderly (above 60 years of age). Data on the daily number of hospitalizations for cardiovascular and respiratory diseases, pollutants (PM2.5), temperature, and humidity were used. Poisson generalized additive models were used to estimate the association between variables. Increases in hospitalizations for cardiovascular and respiratory diseases were estimated for the interquartile range (IQR) daily mean level of each variable studied, with a confidence interval of 95%. Results. Respiratory diseases and children: −0.40% (95% CI: −1.11, 0.30), 0.59% (95% CI: −0.35, 1.52), and 0.47% (95% CI: −3.28, 4.21) for PM2.5, temperature, and humidity, respectively. Respiratory diseases and elderly: 0.19% (95% CI: −0.93, 1.31), −0.10% (95% CI: −1.85, 1.65), and −6.17% (95% CI: −13.08, 0.74) for PM2.5, temperature, and humidity, respectively. Cardiovascular diseases and elderly: −0.18% (95% CI: −0.86, 0.50), −0.04% (95% CI: −1.10, 1.03), and −3.37% (95% CI: −7.59, 0.85) for PM2.5, temperature, and humidity, respectively. Conclusions. The time-series study found no significant association between PM2.5, temperature, humidity, and hospitalization, unlike the evidences provided by the present academic literature. Since there is no air quality monitoring network in Manaus and the option available in the present study was to reproduce some information obtained from remote sensing, there is a need for implementation of ground monitoring stations for health and environmental studies in the region.

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Air Pollution and Emergency Room Visits Due to Chronic Lower Respiratory Diseases in the Elderly: An Ecological Time-Series Study in S??o Paulo, Brazil

Journal of Occupational and Environmental Medicine ◽

10.1097/00043764-200207000-00006 ◽

2002 ◽

Vol 44 (7) ◽

pp. 622-627 ◽

Cited By ~ 49

Author(s):

Lourdes Concei????o Martins ◽

Maria Ros??rio Dias de Oliveira Latorre ◽

Paulo Hil??rio Nascimento Saldiva ◽

Alf??sio Lu??s Ferreira Braga

Keyword(s):

Air Pollution ◽

Time Series ◽

Emergency Room ◽

Respiratory Diseases ◽

The Elderly ◽

Emergency Room Visits ◽

Time Series Study ◽

Series Study

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The association between diurnal temperature range and emergency room admissions for cardiovascular, respiratory, digestive and genitourinary disease among the elderly: A time series study

The Science of The Total Environment ◽

10.1016/j.scitotenv.2013.03.023 ◽

2013 ◽

Vol 456-457 ◽

pp. 370-375 ◽

Cited By ~ 47

Author(s):

Min-zhen Wang ◽

Shan Zheng ◽

Shi-lin He ◽

Bei Li ◽

Huai-jin Teng ◽

...

Keyword(s):

Time Series ◽

Emergency Room ◽

Diurnal Temperature Range ◽

The Elderly ◽

Diurnal Temperature ◽

Time Series Study ◽

Temperature Range ◽

Series Study

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Short-term effects of cold spells on hospitalisations for acute exacerbation of chronic obstructive pulmonary disease: a time-series study in Beijing, China

BMJ Open ◽

10.1136/bmjopen-2020-039745 ◽

2021 ◽

Vol 11 (1) ◽

pp. e039745

Author(s):

Yanbo Liu ◽

Yuxiong Chen ◽

Dehui Kong ◽

Xiaole Liu ◽

Jia Fu ◽

...

Keyword(s):

Time Series ◽

The Elderly ◽

Cumulative Effects ◽

Chronic Obstructive ◽

Cold Spell ◽

Short Term ◽

Obstructive Pulmonary Disease ◽

Time Series Study ◽

Beijing China ◽

Series Study

ObjectivesOur work aimed at exploring the relationship between cold spells and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) hospitalisations in Beijing, China, and assessing the moderating effects of the intensities and the durations of cold spells, as well as identifying the vulnerable.DesignA time-series study.SettingWe obtained time-series data of AECOPD hospitalisations, meteorological variables and air quality index in Beijing, China during 2012–2016.ParticipantsAll AECOPD hospitalisations among permanent residents in Beijing, China during the cold seasons (November–March) of 2012–2016 were included (n=84 571).Primary and secondary outcome measuresA quasi-Poisson regression with a distributed lag model was fitted to investigate the short-term effects of cold spells on AECOPD hospitalisations by comparing the counts of AECOPD admissions during cold spell days with those during non-cold spell days.ResultsCold spells under different definitions were associated with increased risk of AECOPD hospitalisations, with the maximum cumulative relative risk (CRR) over 3 weeks (lag0–21). The cumulative effects at lag0–21 increased with the intensities and the durations of cold spells. Under the optimal definition, the most significant single-day relative risk (RR) was found on the days of cold spells (lag0) with an RR of 1.042 (95% CI 1.013 to 1.072), and the CRR at lag0–21 was 1.394 (95% CI 1.193 to 1.630). The elderly (aged ≥65) were more vulnerable to the effects of cold spells on AECOPD hospitalisations.ConclusionCold spells are associated with increased AECOPD hospitalisations in Beijing, with the cumulative effects increased with intensities and durations. The elderly are at particular risk of AECOPD hospitalisations triggered by cold spells.

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