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.

For more local data on injuries and other health topics see the interactive dashboards available on Simcoe Muskoka HealthMAPS.

Emergency Visits

According to the National Ambulatory Care Reporting System (NACRS), there were nearly 22,000 emergency visits for fall-related injuries in Simcoe Muskoka in 2018.

The age-standardized rate for fall-related injury emergency visits in Simcoe Muskoka for all ages and sexes in 2018 was 3,622 (3,574, 3,671) visits per 100,000 population, which was significantly higher than the Ontario rate of 3,131 (3,122, 3,141) 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 2018 where rates increased significantly. There was a significant upward trend in the provincial rates over the 16-year period from 2003 to 2018. 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 2018 was 3,400 (3,333, 3468) visits per 100,000, which was significantly lower than the Simcoe Muskoka female rate of 3,804 (3,735, 3,874) visits per 100,000. The local rates were significantly higher than the comparable provincial rates for both males and females for the entire 16-year period from 2003 to 2018.

The age-specific rate for fall-related injury emergency visits between 2014 and 2018 (combined) in Simcoe Muskoka was highest among seniors 75 years of age and older at 9,710 (9,579, 9,841) 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 2018, the age-specific rate for fall-related injury emergency visits among seniors (65+) was significantly higher in Simcoe Muskoka at 6,520 (6,371, 6,672) visits per 100,000 when compared with the provincial rate of 6,133 (6,102, 6,164) visits per 100,000. Both the Simcoe Muskoka and Ontario falls-related injury emergency visit rates among seniors (65+) have increased significantly over the 16-year period from 2003 to 2018.

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In 2018 among seniors (65+) in Simcoe Muskoka, the age-specific rate for fall-related injury emergency visits was significantly higher for females at 7,667 (7,446, 7,892) visits per 100,000 when compared with the male rate of 5,185 (4,990, 5,386) visits per 100,000. The female rates in Simcoe Muskoka has been significantly higher than the male rates every year over the 16-year period from 2003 to 2018.

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For the time period from 2014 to 2018 (combined) in Simcoe Muskoka, falls-related injury emergency visit rates were highest among those living in areas with the highest amount of material deprivation (as measured by the 2016 Ontario Marginalization Index).

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Hospitalizations

On average, there were over 1,700 hospitalizations per year for fall-related injuries in Simcoe Muskoka between 2014 and 2018 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 2018 was 285 (272.7, 298.3) admissions per 100,000 population, which was not significantly different from the Ontario rate of 284 (281.7, 287.0) 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 2018. 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 three years of available data (2016-2018).

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The age-standardized rate for fall-related injury hospitalizations in Simcoe Muskoka among males in 2018 was 245 (228.2, 263.9) admissions per 100,000, which was significantly lower than the Simcoe Muskoka female rate of 312 (294.5, 330.6) admissions per 100,000.

The age-specific rate for fall-related injury hospitalizations increases exponentially with age. Between 2014 and 2018 (combined) in Simcoe Muskoka, the falls hospitalization rate was highest among seniors 75 years of age and older at 2,335 (2,271, 2,400) 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 2018, the age-specific rate for fall-related injury hospitalizations among seniors (65+) was 1,339 (1,271, 1,408) admissions per 100,000 in Simcoe Muskoka, which was similar to the provincial rate of 1,368 (1,354, 1,383) admissions per 100,000. The Simcoe Muskoka falls-related injury hospitalization rates among seniors (65+) decreased significantly from 2003 to 2007 and did not changes significantly from 2007 to 2018. The provincial rates increased slightly but significantly over this sixteen-year period.

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In 2018 among seniors (65+) in Simcoe Muskoka, the age-specific rate for fall-related injury hospitalizations was significantly higher for females at 1,667 (1,565, 1,774) admissions per 100,000 when compared with the male rate of 956 (873, 1,045) 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 16-year period from 2003 to 2018.

200116FallsInjHosp65+bySexTREND

Between 2014 and 2018, approximately one-in-five 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-ten 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 2014 to 2018 (combined) in Simcoe Muskoka, falls-related injury hospitalization rates were highest among those living in areas with the highest amount of material deprivation (as measured by the 2016 Ontario Marginalization Index).

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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.