. 2023 May 11;23(1):284.

doi: 10.1186/s12877-023-03971-6.

Characteristics of falls among older hip fracture patients from six Chinese hospitals: a post-hoc descriptive analysis

Junyi Peng^#¹, Pengpeng Ye^#², Jing Zhang³, Xinyi Zhang¹, Ke Peng⁴, Jiusheng He⁵, Liangyuan Wen⁶, Xianhai Wang⁷, Zongxin Shi⁸, Sanbao Hu⁹, Fengpo Sun⁶, Zishun Gong⁸, Mingyao Sun⁹, Tingzhuo Liu¹, Xinyan Liu¹, Ruofei Ma¹⁰, Shiwen Zhu¹⁰, Xinbao Wu¹⁰, Rebecca Ivers³, Minghui Yang¹¹, Maoyi Tian^{12

13}

Affiliations

¹ School of Public Health, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, 150081, China.
² National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
³ School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
⁴ National Clinical Research Centre for Cardiovascular Diseases, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, China.
⁵ Department of Orthopaedics, Beijing Shunyi District Hospital, Beijing, China.
⁶ Department of Orthopaedics, Beijing Hospital, Institute of Geriatric Medicine, National Centre of Gerontology, Chinese Academy of Medical Sciences, Beijing, China.
⁷ Department of Orthopaedics, Beijing Changping District Hospital, Beijing, China.
⁸ Department of Orthopaedics, Beijing Liangxiang Hospital, Beijing, China.
⁹ Department of Orthopaedics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
¹⁰ Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, 31 Xinjiekou E Street, Xicheng District, Beijing, 100035, China.
¹¹ Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, 31 Xinjiekou E Street, Xicheng District, Beijing, 100035, China. doctyang0125@126.com.
¹² School of Public Health, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, 150081, China. mtian@georgeinstitute.org.cn.
¹³ The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia. mtian@georgeinstitute.org.cn.

^# Contributed equally.

PMID: 37170210
PMCID: PMC10176772
DOI: 10.1186/s12877-023-03971-6

Characteristics of falls among older hip fracture patients from six Chinese hospitals: a post-hoc descriptive analysis

Junyi Peng et al. BMC Geriatr. 2023.

. 2023 May 11;23(1):284.

doi: 10.1186/s12877-023-03971-6.

Authors

Affiliations

¹ School of Public Health, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, 150081, China.
² National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
³ School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
⁴ National Clinical Research Centre for Cardiovascular Diseases, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, China.
⁵ Department of Orthopaedics, Beijing Shunyi District Hospital, Beijing, China.
⁶ Department of Orthopaedics, Beijing Hospital, Institute of Geriatric Medicine, National Centre of Gerontology, Chinese Academy of Medical Sciences, Beijing, China.
⁷ Department of Orthopaedics, Beijing Changping District Hospital, Beijing, China.
⁸ Department of Orthopaedics, Beijing Liangxiang Hospital, Beijing, China.
⁹ Department of Orthopaedics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
¹⁰ Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, 31 Xinjiekou E Street, Xicheng District, Beijing, 100035, China.
¹¹ Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, 31 Xinjiekou E Street, Xicheng District, Beijing, 100035, China. doctyang0125@126.com.
¹² School of Public Health, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, 150081, China. mtian@georgeinstitute.org.cn.
¹³ The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia. mtian@georgeinstitute.org.cn.

^# Contributed equally.

PMID: 37170210
PMCID: PMC10176772
DOI: 10.1186/s12877-023-03971-6

Abstract

Background: There is well-established evidence to understand the characteristics of falls among the older patients with hip fracture in many countries, but very little knowledge existed in China. This study described the characteristics of falls in older patients with hip fractures from six Chinese hospitals.

Methods: This cross-sectional study is a post-hoc descriptive analysis of a recently completed trial. Eligible patients were aged 65 years and older, with confirmed hip fractures due to falls, and were admitted to the hospital within 21 days of the fracture. All patients were consecutively enrolled and screened within one year (November 15, 2018, to November 14, 2019). The collected data included patient demographics and fall-related information.

Results: A total of 1,892 patients' fall-related information were described. Most patients with hip fractures caused by falls were in the oldest old age group (60.4% in age group ≥ 80), with an overall average age of 80.7 (7.6) years. There were more females (n = 1,325, 70.0%) than males (n = 567, 30.0%). The majority lived in urban (n = 1,409, 74.5%). Most falls (n = 1,237, 67.3%) occurred during the daytime (6:01-18:00). There were 1,451 patients had their falls occurring at home (76.7%). Lost balance (n = 1,031, 54.5%) was reported as the primary reason to cause falls. The most common activity during a fall was walking (n = 1,079, 57.0%).

Conclusions: Although the incidence of fall-related hip fractures in China is unclear, preventing falls and fall-related hip fractures in older people remains an urgent health concern as the ageing society increases. Studies with larger sample size and diverse population are needed to robustly understand this growing epidemic.

Keywords: Characteristics of falls; China; Epidemiology; Fall-related hip fracture; Older people.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

**Fig. 2**
Selected characteristics of the study participants in different age groups

See this image and copyright information in PMC

Cited by

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.
Monkuntod K, Aree-Ue S, Roopsawang I. Monkuntod K, et al. J Clin Med. 2023 Sep 28;12(19):6258. doi: 10.3390/jcm12196258. J Clin Med. 2023. PMID: 37834903 Free PMC article.
The impact of ADL disability in middle-aged and older adults on the incidence of hip fractures and the mediating role of depression: a longitudinal evidence from CHARLS.
Li C, Luo C, Zhu J, You R, Yuan Q, Zhang N, Zhang Y. Li C, et al. Front Med (Lausanne). 2025 Jul 11;12:1604729. doi: 10.3389/fmed.2025.1604729. eCollection 2025. Front Med (Lausanne). 2025. PMID: 40718425 Free PMC article.

References

1. WHO . Step safely: strategies for preventing and managing falls across the life-course. Geneva: World Health Organization; 2021.
1. Phelan EA, Ritchey K. Fall Prevention in Community-Dwelling Older Adults. Ann Intern Med. 2018;169(11):ITC81–ITC96. doi: 10.7326/AITC201812040. - DOI - PubMed
1. Kannus P, Parkkari J, Niemi S, Palvanen M. Fall-induced deaths among elderly people. Am J Public Health. 2005;95(3):422–4. doi: 10.2105/AJPH.2004.047779. - DOI - PMC - PubMed
1. Sterling DA, O’Connor JA, Bonadies J. Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma. 2001;50(1):116–9. doi: 10.1097/00005373-200101000-00021. - DOI - PubMed
1. Skuladottir SS, Ramel A, Hjaltadottir I, Launer LJ, Cotch MF, Siggeirsdottir K, et al. Characteristics of incidence hip fracture cases in older adults participating in the longitudinal AGES-Reykjavik study. Osteoporos Int. 2021;32(2):243–50. doi: 10.1007/s00198-020-05567-x. - DOI - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Characteristics of falls among older hip fracture patients from six Chinese hospitals: a post-hoc descriptive analysis

Affiliations

Characteristics of falls among older hip fracture patients from six Chinese hospitals: a post-hoc descriptive analysis

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

LinkOut - more resources

Full Text Sources

Medical