{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:15:09Z","timestamp":1758845709705,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2024,1,18]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Fall-related deaths have been on the rise nationwide. Our objective was to characterise the trend in unintentional fall-related adult deaths in Utah and evaluate the underlying and contributing causes associated with these deaths.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used 2010\u20132020 Utah death certificate data and included all Utah deaths aged 18 and older with a fall listed on their death records as the underlying or contributing cause of death in the analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From 2010 to 2020, the overall age-adjusted unintentional fall death rate increased 70% from 15.7 to 26.8 per 100\u2009000 person-years, while the overall age-adjusted death rate increase was 12% at the time. On average, the group with falls as one of the contributing causes had 4.9 other contributing causes, while the group with falls as an underlying cause had 3.3; the two averages were statistically different. Incidence of death increased 60% (12.1\u201319.4 per 100 000) for falls classified as the underlying cause of death and 103% (3.6\u20137.3 per 100 000) for those with fall as a contributing cause. Coding for the type of fall became more specific with a 30% decrease in unspecified fall (International Classification of Diseases, 10th revision code W19) (5.9\u20134.1 per 100 000).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>There was an increasing trend of unintentional fall-related adult deaths in Utah from 2010 to 2020. This increase is consistent with national trends. Our data supports there is more specific reporting of fall deaths, but better reporting alone cannot explain the uptrend. Furthermore, the deaths with falls as contributing causes increased the most, and these individuals have more comorbidities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/ip-2023-045063","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T13:20:19Z","timestamp":1707916819000},"page":"277-282","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Circumstances of unintentional fall-related adult deaths: Utah, 2010\u20132020"],"prefix":"10.1136","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7157-4628","authenticated-orcid":false,"given":"Yanling","family":"Shi","sequence":"first","affiliation":[{"name":"Utah Department of Health and Human Services, Office of Vital Records and Statistics, State of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Bennion","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services, Division of Family Health, State of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuck","family":"Ward","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services, Office of Vital Records and Statistics, State of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leisha D.","family":"Nolen","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services, Division of Population Health, State of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"2025092503210048000_30.4.277.1","unstructured":"Centers for Disease Control and Prevention . National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System. WISQARS,"},{"key":"2025092503210048000_30.4.277.2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0176561","article-title":"Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States","volume":"12","author":"Timsina","year":"2017","journal-title":"PLoS ONE"},{"key":"2025092503210048000_30.4.277.3","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6718a1"},{"key":"2025092503210048000_30.4.277.4","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1111\/jgs.12702","article-title":"Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States, 2010","volume":"62","author":"Stevens","year":"2014","journal-title":"J Am Geriatr Soc"},{"key":"2025092503210048000_30.4.277.5","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq092"},{"key":"2025092503210048000_30.4.277.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2010.02.009"},{"key":"2025092503210048000_30.4.277.7","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2008.80"},{"key":"2025092503210048000_30.4.277.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51404.x"},{"key":"2025092503210048000_30.4.277.9","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31823caeea"},{"key":"2025092503210048000_30.4.277.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61263-X"},{"key":"2025092503210048000_30.4.277.11","unstructured":"IBIS . Public health indicator based information system. n.d. Available: https:\/\/ibis.health.utah.gov\/ibisph-view\/ibisph-view-test\/query\/Introduction.html"},{"key":"2025092503210048000_30.4.277.12","unstructured":"Centers for Disease Control and Prevention . National center for health statistics. National vital statistics system, provisional mortality on CDC WONDER online database. data are from the final multiple cause of death files, 2018-2020, and from provisional data for years 2021-2022, as compiled from data provided by the 57 vital statistics jurisdictions through the vital statistics cooperative program; Available: http:\/\/wonder.cdc.gov\/mcd-icd10-provisional.html [Accessed 19 Nov 2022]."},{"key":"2025092503210048000_30.4.277.13","unstructured":"Utah office of vital records and Statistics. n.d. Available: https:\/\/vitalrecords.health.utah.gov\/"},{"key":"2025092503210048000_30.4.277.14","unstructured":"National Cancer Institute . Joinpoint regression program, version 4.9. n.d. Available: http:\/\/surveillance.cancer.gov\/joinpoint\/"},{"key":"2025092503210048000_30.4.277.15","unstructured":"Gardner Policy Institute . Utah population committee. Kem C. University of Utah. n.d. Available: https:\/\/gardner.utah.edu\/demographics\/population-estimates\/"},{"key":"2025092503210048000_30.4.277.16","doi-asserted-by":"crossref","unstructured":"Klein RJ , Schoenborn CA . Age adjustment using the 2000 projected U.S. population. In: Healthy People Statistical Notes. Hyattsville, Maryland: National Center for Health Statistics, 2001: 20.","DOI":"10.1037\/e583772012-001"},{"key":"2025092503210048000_30.4.277.17","unstructured":"Hollingshaus M , Harris E , Hogue MT , et al . The Utah demographic and economic model: version 2017. Gardner Policy Institute; 2018. Available: https:\/\/gardner.utah.edu\/wp-content\/uploads\/udem_2017_final.pdf"},{"key":"2025092503210048000_30.4.277.18","unstructured":"SAS Institute Inc . SAS\u00ae 9.4 Statements: Reference. Cary, NC: SAS Institute Inc, 2013."},{"key":"2025092503210048000_30.4.277.19","unstructured":"Centers for Disease Control and Prevention . Older adult falls data. n.d. Available: https:\/\/www.cdc.gov\/falls\/data\/index.html"},{"key":"2025092503210048000_30.4.277.20","unstructured":"Centers for Disease Control and Prevention . National center for injury prevention and control. n.d. Available: https:\/\/www.cdc.gov\/falls\/programs\/compendium.html"}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip-2023-045063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:21:13Z","timestamp":1758795673000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip-2023-045063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,14]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,7,19]]},"published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1136\/ip-2023-045063"],"URL":"https:\/\/doi.org\/10.1136\/ip-2023-045063","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"type":"print","value":"1353-8047"},{"type":"electronic","value":"1475-5785"}],"subject":[],"published":{"date-parts":[[2024,2,14]]}}}