Keywords
Falls
Fall prevention
DALY
Finland population
Submitted : 2024-04-14
Accepted : 2024-04-29
Published : 2024-05-14
Abstract
The aging of Finland’s population at an accelerating rate has brought about unprecedented challenges to its social welfare and healthcare. The proportion of people over 65 is estimated to be as high as 26% in 2030. Falls in the elderly have long been a concern, as they result in serious consequences, including suffering, disability, and even death. In Finland, the mortality and disability-adjusted life years (DALYs) due to falls in people aged 70 and above have shown a steady increase from 1990 to 2019. The disease burden of falls and DALYs remain significant in Finland. Although national systematic actions have been implemented in Finland for the prevention of falls, continuous efforts should be made. Fall prevention is the responsibility of every professional, and this work must involve the patients and their relatives.
References
Ministry of Social Affairs and Health and the Association of Municipalities of Finland, 2020, Quality Recommendation for Ageing Well and Improving Services 2020–2023, viewed on March 25, 2021. https://julkaisut.valtioneuvosto.fi/handle/10024/162455
Korpilahti U, Koivula R, Doupi P, et al., 2020, Safe for All Ages: Home and Leisure Prevention Program 2021–2030 and Report on the Costs, viewed on March 19, 2021. https://julkaisut.valtioneuvosto.fi/handle/10024/162537
Råback M, Korpilahti U, Lillsunde P, 2017, Prevention of Accidents at Home and in Leisure Time 2014–2020: Safety for All at Home, During Leisure Time and in Sport. Interim Evaluation 2017, viewed on April 3, 2021. https://www.julkari.fi/handle/10024/136108
Hopewell S, Copsey B, Nicolson P, et al., 2018, Multifactorial Interventions for Preventing Falls in Older People Living in the Community: A Systematic Review and Meta-Analysis of 41 Trials and Almost 20 000 Participants. 2018(17): CD012221. https://doi.org/10.1002/14651858.CD012221.pub2
Lönnroos E, Karinranta S, Häkkinen H, et al., 2018, Know and Act: Falls Among the Elderly Can Be Reduced, viewed on March 14, 2021. https://www.julkari.fi/handle/10024/137196
Pajala S, 2016, Prevention of Falls in the Elderly 4th Edition, Juvenes Print – Suomen Yliopistopaino Oy, Tampere. https://www.julkari.fi/handle/10024/79998.
Ellison P, Cook R, 2020, Health Economic Analysis of Pharmaceutical Inventory Levels. Journal of Humanitarian Logistics and Supply Chain Management, 10(4): 603–628. https://doi.org/10.1108/JHLSCM-01-2020-0001
Haagsma JA, Olij BF, Majdan M, et al., 2019, Falls in Older Aged Adults in 22 European Countries: Incidence, Mortality and Burden of Disease from 1990 to 2017. Injury Prevention, 26: 67–74. https://helda.helsinki.fi/handle/10138/321045
Institution of Health Metrics and Evaluation, 2019, GBD Results, viewed on March 7, 2021. http://ghdx.healthdata.org/gbd-results-tool
WHO, 2015, World Report on Ageing and Health, viewed on March 23, 2021. https://apps.who.int/iris/handle/10665/186463
Huang AR, Mallet L, Rochefort CM, et al., 2012, Medication-Related Falls in the Elderly. Causative Factors and Preventive Strategies. Drugs Aging, 29(5): 359–376. https://pubmed.ncbi.nlm.nih.gov/22550966/
Nuotio M, Hartikainen S, Nykänen I, 2019, Assessment, Prevention and Treatment of Malnutrition in the Elderly, viewed on March 14, 2021. https://research.utu.fi/converis/getfile?id=45135574&portal=true
Mills KM, Sadler S, Peterson K, et al., 2018, An Economic Evaluation of Preventing Falls Using a New Exercise Program in Institutionalized Elderly. J Phys Act Health, 15(6): 397–402. https://doi.org/10.1123/jpah.2017-022
Fonad E, Wahlin T-BR, Hedman A-MR, 2015, Associations Between Falls and General Health, Nutrition, Dental Health and Medication Use in Swedish Home-Dwelling People Aged 75 Years and Over. Health and Social Care in the Community, 23(6): 594–604. https://doi.org/10.1111/hsc.12182
ARA, 2020, Guidelines for Applicants 2021: Repair Grant for the Elderly for Renovation of Homes, viewed on April 3, 2021. https://www.ara.fi/fi-FI/Lainat_ja_avustukset/Korjausavustukset/Korjausavustus_iakkaiden_ja_vammaisten_henkiloiden_asuntoihin
What is the Social Services Reform, 2021, viewed on April 15, 2021. https://soteuudistus.fi/mika-sote-uudistus
Physiotherapy Recommendation for the Prevention of Falls and Fall Injuries, 2020, viewed on March 15, 2021. https://www.terveysportti.fi/dtk/sfs/avaa?p_artikkeli=sfs00003
The UKK Institute, 2021, Consequences of Falls, viewed on April 15, 2021. https://ukkinstituutti.fi/liikkumisen-turvallisuus/kaatumisten-ehkaisy-ammattilaisille/kaatumisten-seuraukset/