{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:51:21Z","timestamp":1777881081164,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100018623","name":"Quanzhou City Science and Technology Program","doi-asserted-by":"publisher","award":["2025QZNY114"],"award-info":[{"award-number":["2025QZNY114"]}],"id":[{"id":"10.13039\/501100018623","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Objective:<\/jats:title>\n To investigate the demographic and clinical characteristics of fall-related deaths in Chinese communities and provide clinical insights for fall prevention strategies.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A retrospective study was conducted on decedents (\n n<\/jats:italic>\n \u2009=\u20091455) from a deeply aging urban community (Kaiyuan, Quanzhou, China) between 2020 and 2024. Fall-related deaths were identified by screening death certificates for specific keywords, with confirmation documented in the cause of death. Demographic, clinical, and temporal trend analyses were conducted. Kaplan-Meier and multivariate Cox proportional hazards regression were used to identify factors associated with survival time from fall to death.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Fall-related deaths constituted 5.5% of community deaths, predominantly affecting individuals aged \u2a7e60\u2009years (93.8%). Significant gender differences were observed in marital status, occupation, and education level (all\n p<\/jats:italic>\n \u2009<\u20090.05). Age-standardized mortality rates fluctuated from 9.17 to 16.29 per 100,000 population (2020\u20132024) with no significant temporal trend (\n Z<\/jats:italic>\n \u2009=\u20090.490,\n p<\/jats:italic>\n \u2009=\u20090.624). Univariate survival analysis revealed a notably shorter median survival in patients with comorbidities (1.0 vs. 6.0\u2009months,\n p<\/jats:italic>\n \u2009=\u20090.116). Multivariate analysis identified age of fall (Hazard ratio (HR)\u2009=\u20091.023, 95% Confidence interval (CI): 1.001\u20131.046,\n p<\/jats:italic>\n \u2009=\u20090.044) and comorbidities (HR\u2009=\u20091.793, 95% CI: 1.022\u20133.147,\n p<\/jats:italic>\n \u2009=\u20090.042) as independent predictors of shorter survival.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Fall-related mortality is a major public health issue among older adults in the community. Advanced age of fall and comorbidities are key factors independently associated with shorter post-fall survival. Evidence-based multidimensional prevention and management interventions are essential to alleviate the fatal burden of falls.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/20503121261419211","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:53:47Z","timestamp":1769687627000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of fall-related deaths in community settings: A 5-year study"],"prefix":"10.1177","volume":"14","author":[{"given":"Huijuan","family":"Zhuang","sequence":"first","affiliation":[{"name":"Kaiyuan Community Health Service Center, Licheng District, Quanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhibin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, Shishi Municipal Hospital, Shishi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenkun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Kaiyuan Community Health Service Center, Licheng District, Quanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingfen","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of General Practice, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenhua","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4369-729X","authenticated-orcid":false,"given":"Yuxia","family":"Du","sequence":"additional","affiliation":[{"name":"Department of General Practice, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. Falls[EB\/OL] https:\/\/wwwwhoint\/news-room\/fact-sheets\/detail\/falls (accessed 26 April 2021)."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1695026"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanhl.2024.100672"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01639.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws554"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04056-0"},{"issue":"6","key":"e_1_3_2_8_2","first-page":"871","article-title":"Levels and trends of significant injury-caused deaths in the Chinese population, 2010\u20132019","volume":"43","author":"Zhang MG","year":"2022","unstructured":"Zhang MG, Zhou YB, Li CC, et al. Levels and trends of significant injury-caused deaths in the Chinese population, 2010\u20132019. Chin J Epidemiol 2022; 43(6): 871\u2013877.","journal-title":"Chin J Epidemiol"},{"key":"e_1_3_2_9_2","unstructured":"World Health Organization. International statistical classification of diseases and related health problems 10th Revision (ICD-10) https:\/\/icd.who.int\/browse10\/Content\/statichtml\/ICD10Volume2_en_2019.pdf (2019 accessed 7 January 2025)."},{"key":"e_1_3_2_10_2","unstructured":"Ahmad OB Lopez AD Murray CJL et al. Age standardization of rates: a new WHO standard. World Health Organization https:\/\/cdn.who.int\/media\/docs\/default-source\/gho-documents\/global-health-estimates\/gpe_discussion_paper_series_paper31_2001_age_standardization_rates.pdf (2001 accessed 9 December 2025)."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2011.06.008"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-025-01174-3"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2021.100336"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/jbmr\/zjad019"},{"issue":"2","key":"e_1_3_2_15_2","first-page":"181","article-title":"Impact of frailty and anticoagulation status on readmission and mortality rates following falls in patients over 80","volume":"32","author":"Hall C","year":"2019","unstructured":"Hall C, Essler S, Dandashi J, et al. Impact of frailty and anticoagulation status on readmission and mortality rates following falls in patients over 80. Proceedings 2019; 32(2): 181\u2013186.","journal-title":"Proceedings"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-017-3926-2"},{"issue":"1","key":"e_1_3_2_17_2","first-page":"149","article-title":"Exercise interventions and prevention of fall-related fractures in older people: a meta-analysis of randomized controlled trials","volume":"46","author":"Zhao R","year":"2017","unstructured":"Zhao R, Feng F, Wang X. Exercise interventions and prevention of fall-related fractures in older people: a meta-analysis of randomized controlled trials. Int J Epidemiol 2017; 46(1): 149\u2013161.","journal-title":"Int J Epidemiol"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2025.2459818"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.8481"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1391-9"}],"container-title":["Sage Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121261419211","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20503121261419211","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121261419211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:31:44Z","timestamp":1777595504000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20503121261419211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"alternative-id":["10.1177\/20503121261419211"],"URL":"https:\/\/doi.org\/10.1177\/20503121261419211","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"20503121261419211"}}