Map of Simcoe Muskoka

Injuries and Prevention

Falls Injuries

Emergency Visits
Hospitalizations
Deaths

This HealthSTATS page provides data on injuries suffered as a result of an accidental fall. This page excludes falls-related injuries due to intentional self-harm or assault. It also excludes falls from: an animal, burning building, machinery while in operation, and transportation vehicles. Injuries were the leading cause of emergency visits among seniors (65+) and more than half these injury-related visits were due to a fall.

Emergency Visits

According to the National Ambulatory Care Reporting System (NACRS), on average, there were nearly 20,000 emergency visits per year for fall-related injuries in Simcoe Muskoka between 2013 and 2017.

The age-standardized rate for fall-related injury emergency visits in Simcoe Muskoka for all ages and sexes in 2017 was 3,724 (3,675, 3,775) visits per 100,000 population, which was significantly higher than the Ontario rate of 3,166 (3,157, 3,175) visits per 100,000.

There was a significant downward trend in the fall-related injury emergency visit rates in Simcoe Muskoka from 2003 to 2010; however, there was a reversal in the trend from 2010 to 2017 where rates increased significantly. There was a significant upward trend in the provincial rates over the 15-year period from 2003 to 2017. The Simcoe Muskoka rates were significantly higher than the comparable provincial rates over this entire time period.

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The age-standardized rate for fall-related injury emergency visits in Simcoe Muskoka among males in 2017 was 3,535 (3,466, 3605) visits per 100,000, which was significantly lower than the Simcoe Muskoka female rate of 3,879 (3,808, 3,952) visits per 100,000. The local rates were significantly higher than the comparable provincial rates for both males and females for the entire 15-year period from 2003 to 2017.

The age-specific rate for fall-related injury emergency visits between 2013 and 2017 (combined) in Simcoe Muskoka was highest among seniors 75 years of age and older at 9,209 (9,081, 9,338) visits per 100,000. This was more than twice the rate for any other age-group over this time period. The age-specific rates in Simcoe Muskoka were significantly higher than the comparable provincial rates for all age-groups over this time period.

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In 2017, the age-specific rate for fall-related injury emergency visits among seniors (65+) was significantly higher in Simcoe Muskoka at 6,308 (6,159, 6,461) visits per 100,000 when compared with the provincial rate of 6,059 (6,027, 6,090) visits per 100,000. Both the Simcoe Muskoka and Ontario falls-related injury emergency visit rates among seniors (65+) have increased significantly over the 15-year period from 2003 to 2017.

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In 2017 among seniors (65+) in Simcoe Muskoka, the age-specific rate for fall-related injury emergency visits was significantly higher for females at 7,307 (7,087, 7,531) visits per 100,000 when compared with the male rate of 5,150 (4,951, 5,354) visits per 100,000. The female rates in Simcoe Muskoka has been significantly higher than the male rates every year over the 15-year period from 2003 to 2017.

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For the time period from 2011 to 2016 (combined) in Simcoe Muskoka, falls-related injury emergency visit rates were highest among those living in areas with the highest prevalence of low-income.

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Hospitalizations

On average, there were nearly 1,700 hospitalizations per year for fall-related injuries in Simcoe Muskoka between 2013 and 2017 and nearly three-quarters of these hospitalizations were for seniors (65 years and older). Less than one-in-ten emergency visit for a fall-related emergency visit led to a hospital admission; however, the proportion of visits leading to an admission increased significantly with age.

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The age-standardized rate for fall-related injury hospitalizations in Simcoe Muskoka for all ages and sexes in 2017 was 269 (256.8, 282.0) admissions per 100,000 population, which was not significantly different from the Ontario rate of 283 (280.3, 285.6) admissions per 100,000 population.

There was a significant downward trend in the fall-related injury hospitalization rates in both Simcoe Muskoka and Ontario over the seven-year period from 2003 to 2009; however, neither the local or provincial rates changed significantly from 2010 to 2017. The Simcoe Muskoka fall-related injury hospitalization rates were significantly lower than the provincial rates from 2013-2015; however, the local rates were similar to the provincial rates for the past two years of available data (2016-2017).

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The age-standardized rate for fall-related injury hospitalizations in Simcoe Muskoka among males in 2015 was 253 (234.8, 271.4) admission per 100,000, which was not significantly different from the Simcoe Muskoka female rate of 278 (261.5, 296.0) per 100,000.

The age-specific rate for fall-related injury hospitalizations increases exponentially with age. Between 2013 and 2017 (combined) in Simcoe Muskoka, the falls hospitalization rate was highest among seniors 75 years of age and older at 2,232 (2,169, 2,296) admissions per 100,000, which was more than four times the rate for seniors 65 to 74 and more than ten times the rate for any other age group. The provincial falls hospitalization rate among older seniors (75 years and older) was significantly higher than the comparable local rate over this five-year period of time.

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In 2017, the age-specific rate for fall-related injury hospitalizations among seniors (65+) was significantly lower in Simcoe Muskoka at 1,265 (1,198.5, 1,334.3) admissions per 100,000 when compared with the provincial rate of 1,347 (1,331.9, 1,361.5) admissions per 100,000. The Simcoe Muskoka falls-related injury hospitalization rates among seniors (65+) decreased significantly from 2003 to 2008 and did not changes significantly from 2008 to 2017. The provincial rates increased slightly but significantly over this fifteen-year period.

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In 2017 among seniors (65+) in Simcoe Muskoka, the age-specificrate for fall-related injury hospitalizations was significantly higher for females at 1,501 (1,402, 1,604) admissions per 100,000 when compared with the male rate of 991 (906, 1,083) admissions per 100,000. The female falls-related injury hospitalizations rates among seniors (65+) in Simcoe Muskoka has been significantly higher than the male rates every year over the 15-year period from 2003 to 2017.

160610FallsInjHospSeniors65+bySexSMTREND

Between 2013 and 2017, approximately one-in-four fall-related emergency visits among seniors (65+) in Simcoe Muskoka were due to an injury to the head; however, only one-tenth of these visits led to a subsequent hospital admission. Conversely, one-in-eight fall-related emergency visits among seniors (65+) in Simcoe Muskoka were due to an injury to the hip or thigh, with more than two-thirds of these visits leading to a hospital admission.

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For the time period from 2011 to 2016 (combined) in Simcoe Muskoka, falls-related hospital admission rates were highest among those living in areas with the highest prevalence of low-income.

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Deaths

Falls is the leading cause of injury-related death in Simcoe Muskoka. On average over the five-year period between 2011 and 2015, more than 100 Simcoe Muskoka residents died per year as a result of a fall. More than 90 per cent of those that died from a fall in Simcoe Muskoka over this time-period were seniors (65 years of age and older). The age-standardized falls mortality rate in Simcoe Muskoka (18.8 (17.2, 20.4) deaths per 100,000) was significantly higher than the comparable provincial rate (17.0 (16.7, 17.3) deaths per 100,000) over this five-year period.

The age-specific rates for fall-related mortality increases exponentially with age. Between 2011 and 2015 (combined) in Simcoe Muskoka, the falls mortality rate was highest among seniors 75 years of age and older at 237.7 (216.8, 260.1) deaths per 100,000, which was more than ten-times the rate of seniors 65 to 74 and more than thirty times the rate for any other age group. The age-specific local falls mortality rates were not significantly different from the comparable provincial rates over this time period.

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There was a significant upward trend in falls-related mortality among seniors (65+) both in Simcoe Muskoka and for Ontario as a whole from 2000 to 2015.

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The death data come from the Vital Statistics database for Ontario.