{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T06:06:07Z","timestamp":1772604367657,"version":"3.50.1"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["Project 01\/SAICT\/2016 No. 022153"],"award-info":[{"award-number":["Project 01\/SAICT\/2016 No. 022153"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Falls are a common cause of injury and pose an increased risk of morbidity, mortality, and lifelong disability. Falls encompass a troublesome definition and can pose challenges in epidemiological studies. Data on fall-related hospital admissions in Portugal remain unpublished. This study aimed to examine the epidemiology of fall-related hospital admissions in the Portuguese population between 2010 and 2018. It also aimed to examine annual rates of fall-related hospital admissions using three methodological approaches.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The Portuguese Hospital Morbidity Database was used to identify all cases resulting in one or more inpatient admission in public hospitals related to falls from 2010 to 2018. Fall-related hospital admissions were described by age groups, sex, geographical area of residence, and type of fall. Annual rates were computed using three approaches: i) based on the number of inpatient admissions with an ICD code of fall, ii) based on the number of patients admitted to inpatient care with an ICD code of fall, and iii) based on the number of inpatient admissions with a principal diagnosis of injury.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Between 2010 and 2018, 383,016 fall-related admissions occurred in 344,728 patients, corresponding to 2.1% of the total number of hospitalizations during the same period. Higher rates were seen among the younger (20\u201325) and the oldest age groups (+85), males until the age of 60, females from the age of 60, and areas of residence with a higher aging index. An overall rate of falls per 100,000 population was estimated at 414 (based on number of admissions), 373 (based on number of patients) and 353 (based on number of admissions with a principal diagnosis of injury).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This study provides an overall picture of the landscape of falls in a scarcely explored setting. The results aim to contribute to identifying appropriate preventive interventions and policies for these populations.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0261456","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T18:30:58Z","timestamp":1640197858000},"page":"e0261456","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":13,"title":["The epidemiology of falls in Portugal: An analysis of hospital admission data"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5540-9853","authenticated-orcid":true,"given":"Filipa","family":"Sampaio","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8316-5035","authenticated-orcid":true,"given":"Paulo","family":"Nogueira","sequence":"additional","affiliation":[]},{"given":"Raquel","family":"Ascen\u00e7\u00e3o","sequence":"additional","affiliation":[]},{"given":"Adriana","family":"Henriques","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2727-4402","authenticated-orcid":true,"given":"Andreia","family":"Costa","sequence":"additional","affiliation":[]}],"member":"340","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"pone.0261456.ref001","doi-asserted-by":"crossref","first-page":"i3","DOI":"10.1136\/injuryprev-2019-043286","article-title":"The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017","volume":"26","author":"SL James","year":"2020","journal-title":"Inj Prev J Int Soc Child Adolesc Inj Prev"},{"key":"pone.0261456.ref002","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","year":"2020","journal-title":"Lancet (London, England)"},{"key":"pone.0261456.ref003","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1097\/EDE.0b013e3181e89905","article-title":"Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis","volume":"21","author":"S Deandrea","year":"2010","journal-title":"Epidemiology"},{"issue":"Suppl 2","key":"pone.0261456.ref004","doi-asserted-by":"crossref","first-page":"ii37","DOI":"10.1093\/ageing\/afl084","article-title":"Falls in older people: epidemiology, risk factors and strategies for prevention","volume":"35","author":"LZ Rubenstein","year":"2006","journal-title":"Age Ageing"},{"key":"pone.0261456.ref005","first-page":"288","article-title":"Fall determinants in the adult Portuguese: do chronic conditions change the risk of falling?","volume":"44","author":"AJ Marques","year":"2019","journal-title":"Acta Reumatol Port"},{"key":"pone.0261456.ref006","unstructured":"Alves T, Rodrigues E, Neto M, Mexia R, Dias CM. 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