1990—2019年中国老年人群跌倒疾病负担分析

目的 分析我国1990—2019年老年人群跌倒疾病负担的时间趋势，为制定老年人群跌倒预防控制策略提供依据。 方法 利用全球疾病负担（GBD）2019数据库的研究结果，选取老年人群因跌倒死亡例数、死亡率、伤残调整生命年（DALY）、DALY率、伤残损失寿命年（YLD）、YLD率、损失寿命年（YLL）、YLL率等指标，对跌倒造成的疾病负担进行分析，并描述1990—2019年疾病负担变化趋势。 结果 2019年，我国60岁及以上老年人因跌倒造成的死亡人数、DALY、YLD、YLL分别是10.07万人、318.29万人年、181.00万人年、137.29万人年；死亡率、DALY率、YLD率、YLL率分别是39.19/10万、1238.95/10万、704.35/10万、534.42/10万。1990—2019年，跌倒造成的老年人死亡人数、DALY、YLD、YLL增长率分别为294.90%、220.70%、213.80%和230.26%，死亡率、DALY率、YLD率、YLL率上升趋势显著。 结论 跌倒给我国老年人造成了沉重的疾病负担，死亡率和疾病负担仍在增长，应当以80岁及以上的高龄老人为重点人群，通过多种途径加强老年人跌倒的预防，降低其疾病负担。

Disease burden on falls among older adults in China, 1990-2019

Abstract: Objective To analyze the disease burden of falls in Chinese older adults，between 1990 and 2019. MethodsThe data were collected from the GBD2019，the main indicators were the deaths，mortality rates，disability adjusted life year( DALY) ，DALY rates，years lived with disability ( YLD) ，YLD rates，years of life lost ( YLL) and YLL rates. The burden ofdisease caused by falls in different sexes and age groups was analyzed and trends in the burden of disease were described by comparing changes in the corresponding indicators from 1990 to 2019. Results In 2019，number of death，DALY，YLD，YLL caused by falls were 100. 7 thousands，3. 18 million person years，1. 81 million person years，1. 37 million person years，respectively; the mortality rates，DALY rates，YLD rates and YLL rates were 39. 19 /105，1238. 95 /105，704. 35 /105 and534. 42 /105，respectively. From 1990 to 2019，the growth rates of deaths，DALY，YLD，and YLL caused by falls in the elderly were 294. 90% ，220. 70% ，213. 80% ，and 230. 26% ，respectively and with significant upward trends in mortality，DALY rate，YLD rate，and YLL rate. Conclusion Falls have caused a heavy disease burden for the older adults in China，and the mortality rate and disease burden are still increasing. The elderly aged 80 and above should be the focus group，and the prevention of falls in the elderly should be strengthened through various ways to reduce their disease burden.