NSW Department of Health | IRMRC | AIHW Publications | MUARC

Trends in fall related hospitalisations, persons aged 65 years and over, NSW, 1998-99 to 2011-12

Understanding which falls and which populations are at risk of the significant consequences of falls is vital for the targeting resources in the future and evaluating the impact of fall prevention strategies.
This report describes the epidemiology of fall-related hospitalisations over a fourteen year period in NSW from 1998 to 2012 by four key indicators:
1) all fall-related hospitalisations,
2) injury hospitalisations,
3) fracture hospitalisations, and
4) non-fracture hospitalisations.
Trend across LHDs are reported to inform falls prevention plans and Service planning at the local health district level.

The report can be accessed at:Trends in fall related hospitalisations, persons aged 65 years and over, NSW, 1998-99 to 2011-12

NSW Ministry of Health Reports

An economic evaluation of community and residential aged care falls prevention strategies in NSW

This project was funded by the NSW Ministry of Health and conducted by the Centre for Health Economics Research and Evaluation as part of the Costing for Health Economic Evaluation Program.

The report describes the most cost effective falls prevention interventions in both the community and the residential aged care settings. It is the first to convert falls avoided and hospitalisations avoided into QALYs gained, the most commonly used outcome measure in economic evaluation.

An economic evaluation of community and residential aged care falls prevention strategies in NSW

New South Wales Falls Prevention Baseline Survey: 2009 Report

In 2009 the Centre for Epidemiology and Research conducted the New South Wales Falls Prevention Baseline Survey to inform the review of the Management Policy to Reduce Falls Injury Among Older People 2003-07. The mains aims of the survey are to provide information about falls carers, falls status, risk and protective factors, consultation with health professionals, and falls knowledge, among community-dwelling older people. This report from the survey provides information about the health of 5,681 adults aged 65 years and over, which will provide a baseline measure against which policy can be developed and the effectiveness of population health initiatives can be evaluated.

NSW Falls prevention Baseline Survey: 2009 Report

The incidence and cost of falls injury among older people in New South Wales 2006/07

The report provides the most comprehensive estimate to date of the costs associated with falls injury among older people in NSW. The total cost of health care associated with fall-related injury, among older people, to NSW, in 2006/07, is estimated at $558.5 million.

The considerable cost of these injuries to the NSW health system and the community underscores the need for significant investment in falls injury prevention, in both the community and residential aged care settings, to reduce these costs. Data from this study will be used in: cost-effectiveness studies on falls interventions at the population level; to inform NSW falls prevention policy development; and the prioritisation of evidence-based prevention programs within the community.

Incidence and cost of falls in NSW 2006/07

AIHW Publications relevant to Falls Prevention

AIHW 2018:  Admitted patient care 2016–17: Australian hospital statistics. Health services series no. 84. Cat. no. HSE 201. Canberra: AIHW

AIHW: Pointer S 2019 Trends in hospitalised injury due to falls in older people, 2007-08 to 2016-17. Injury research and statistics series no. 126. Cat. no. INJCAT 206. Canberra: AIHW

AIHW: Pointer S 2018. Trends in hospitalised injury due to falls in older people, 2002–03 to 2014–15. Injury research and statistics series no. 111. Cat. no. INJCAT 191. Canberra: AIHW

AIHW: Kreisfeld R, Pointer S, and Bradley C 2017. Trends in hospitalisations due to falls by older people, Australia 2002-03 to 2012-13. Injury research and statistics series no. 106. Cat. no. INJCAT 182. Canberra: AIHW

AIHW: Henley G & Harrison JE 2017. Trends in injury deaths, Australia, 1999 -00 to 2011-12. Injury research and statistics series no. 108. Cat. no. INJCAT 188. Canberra: AIHW

AIHW: Pointer S 2015. Trends in hospitalised injury, Australia: 1999–00 to 2012–13. Injury research and statistics series no. 95. Cat. no. INJCAT 171. Canberra: AIHW (this report includes falls statistics on page 72).

Australia’s Health 2014

Australia’s health 2014 is the 14th biennial health report of the Australian Institute of Health and Welfare. This edition combines analytical feature articles on highly topical health issues with short statistical snapshots in the following areas: Understanding health and illness; The Australian health system; How healthy are we?; Leading types of ill health; Health behaviours and risks; Health through your life; Indigenous health; Preventing and treating ill health; Indicators of Australia’s health.

Tovell A, Harrison JE & Pointer S 2014. Hospitalised injury in older Australians, 2011–12. Injury research and statistics series no. 90. Cat. no. INJCAT 166. Canberra: AIHW.

Bradley C 2013. Hospitalisations due to falls by older people, Australia 2009–10. Canberra: AIHW

Tovell A, McKenna K, Bradley C & Pointer S 2012. Hospital separations due to injury and poisoning, Australia 2009-10. AIHW 2012

AIHW 2012. People with dementia in hospitals in New South Wales 2006-07.

AIHW Report Profile, Hopsitalisations due to falls by older people 2006-07 to 2008-09

Bradley C 2012. Hospitalisations due to falls by older people, Australia 2008–09. Injury research and statistics series no. 62. Cat. no. INJCAT 138. Canberra: AIHW.

Bradley C 2012. Hospitalisations due to falls by older people, Australia 2007–08. Injury research and statistics series no. 61. Cat. no. INJCAT 137. Canberra: AIHW.

Bradley C 2012. Hospitalisations due to falls by older people, Australia 2006–07. Injury research and statistics series no. 57. Cat. No. INJCAT 133. Canberra: AIHW.

Injury severity scaling: a comparison of methods for measurement of injury severity
Injury technical paper series no. 10
NISU uses a method to distinguish ‘high threat to life’ injuries from less serious injuries in some publications. The method is called the ICD-based Injury Severity Scaling (ICISS). This technical report documents a revision and update to the method.
– Authored by Harrison J & Henley G. Published 15 June 2009

Residential Aged Care in Australia 2007-08: a statistical overview
Aged care statistics series no. 28
Residential aged care in Australia 2007-08: a statistical overview provides comprehensive statistical information on the 2,080 residential aged care homes and their 160,250 residents at 30 June 2008. The report contains information on the capacity of residential aged care homes, their residents and resident characteristics, levels of dependency among residents, and admissions and separations. The year is particularly significant with the change over from the Resident Classification Scale to the Aged Care Funding Instrument for the appraisal and funding of residents.
– Authored by AIHW. Published 19 June 2009

Hospitalisations due to falls by older people, Australia 2005-06
Injury research and statistics series no. 50
This report is the second in a series of biennial reports on hospitalisations due to falls by older people in Australia. The report focuses on hospitalised falls occurring in the financial year 2005-06 and examines trends in fall-related hospitalisations over the period 1999-2006.
– Authored by AIHW National Injury Surveillance Unit. Published 4 June 2009

Australia’s Health 2008
Australia’s health no. 11
Australia’s health 2008 is the 11th biennial health report of the Australian Institute of Health and Welfare. It’s the nation’s premier source of statistics and informed commentary on: – patterns and determinants of health and illness – health across the life stages – the supply and use of health services – expenditure and workforce – and health sector performance. If you’re interested in health, this is THE essential reference for your bookshelf.
– Authored by AIHW. Published 24 June 2008

Review and evaluation of Australian Information about primary health care: a focus on General practice
Primary health care services are generally the first port of call when Australians need health care. Services provided through general practice are the core of Australia’s primary health-care system, and it is vital that accurate, reliable and timely information about these services is available to support policy and practice decisions. This report presents the results of a critical evaluation of Australian data collections relating to general practice services. It describes the usefulness of these data collections for meeting priority information needs, and recommends strategies to address data gaps and limitations. The report also outlines methods currently being used to collect general practice data electronically, and establishes options for further investigation.
– Authored by AIHW. Published 10 December 2008

Arthritis and osteoporosis in Australia 2008
Arthritis series no. 8
Arthritis and osteoporosis are among the world’s leading causes of pain and disability, and impose a substantial burden on the Australian community. These highly prevalent conditions are major reasons for the use of health and allied health services, community assistance programs, and formal and informal care. Under the National Health Priority Area of arthritis and musculoskeletal conditions, national action is focused on osteoarthritis, rheumatoid arthritis, juvenile arthritis and osteoporosis. This report brings together data and information from a wide variety of sources to provide a picture of arthritis and ostoeporosis in Australia, and highlight some of the main issues relating to these conditions. The report should be useful to policy makers, the broader community, and anyone with an interest in arthritis and osteoporosis.
Authored by AIHW. Published 17 December 2008

Hospital separations due to injury and poisoning, Australia, 2004-05
Injury research and statistics series no. 46
This report presents national statistics on injuries that resulted in admission to hospitals in Australia. It includes cases discharged during the year to 30 June 2005. Unintentional falls, transport-related injury, intentional self-harm and assault are common causes of hospitalised injury in the Australian community. Injuries due to these and other causes are described, in terms of case numbers and rates, by age and sex, place of usual residence, length of stay in hospital and other characteristics. Injuries sustained while working for income or while engaged in sporting activities are also described. The report will be relevant to anyone interested in gaining an insight into patterns of injury morbidity and the burden it imposes on the Australian community.
– Authored by Bradley C & Harrison J. Published 28 November 2008

Movement from Hospital to residential aged care
Data linkage series no. 6
The movement of people between acute hospital care and residential aged care has long been recognised as an important issue, but existing national data sets provide only limited information on such movement. This report presents the first comprehensive statistical results into issues affecting movement from hospital into residential aged care, using linked hospital care and residential aged care data for 2001-02. In particular, factors affecting admission into residential care on discharge from hospital are examined.
– Authored by Anderson P, Karmel R & Lloyd J. Published 26 November 2008

Injury as a chronic health issue in Australia
NISU briefing no. 13
This Briefing provides an overview of injury as a chronic health issue in Australia. The report highlights the long-term health consequences following severe injury and the effects on individual’s physical and psychosocial wellbeing. Types of injuries covered in the Briefing include spinal cord injuries, traumatic brain injuries, severe burns as well as injury comorbidities such as fractures and self-harm.
– Authored by Cripps R. Published 15 September 2008

Aged care packages in the community 2006-07: a statistical overview
Aged care statistics series no. 27
Aged care packages in the community 2006-07: a statistical overview presents key statistics on the provision Australian Government funded aged care packages and the characteristics of care recipients. This publication covers packages provided through the Community Aged Care Packages (CACP) program, the Extended Aged Care at Home (EACH) program, and the Extended Aged Care at Home Dementia (EACH Dementia) program. These packages provide care to people in their own homes. CACPs provide care for people eligible for at least low-level residential aged care, while EACH and EACH Dementia packages provide a higher level of care to people eligible for high-level residential aged care. The report provides detailed statistics on the sociodemographic characteristics of care recipients and the patterns of the recipients’ admissions and separations. The data presented in this report are a useful resource for those involved in policy development, policy review and the planning of aged care services, with a specific interest in the provision of these packages.
– Authored by AIHW, Published 14 August 2008

Australian hospital statistics 2006-07
Health services series no. 31
Australian hospital statistics 2006-07 continues the comprehensive reporting of statistics on Australian hospitals by the AIHW. The publication presents a detailed overview of public and private hospital activity in 2006-07 with summaries of changes over time. Statistics presented on admitted patient care include information on patient diagnoses, procedures, lengths of stay, and waiting times for elective surgery. Emergency department activity statistics include information on triage categories, waiting times and the duration of care. Clinic level information on outpatient care is also presented. A range of hospital performance indicators are reported as well as information on public hospital expenditure, resources and bed numbers. This report is a useful resource for health planners, administrators and researchers with an interest in Australia’s hospitals.
– Authored by AIHW. Published 30 May 2008

Older Australia at a glance (4th edition)
Australia’s population is ageing and as baby boomers move into old age this trend is set to gather greater momentum over the next three decades. Significant changes will flow to all aspects of social and economic life as both the number and proportion of older people in the community increase. This fourth edition of Older Australians at a glance provides insights into the diversity of the older population of Australia, where they are living, what they are doing, how healthy they are and the services they are using.
– Authored by AIHW. Published 22 November 2007

Older Australians in hospital
AIHW bulletin no. 53
Hospital use increases with age for both admissions and length of stay. This bulletin examines patterns of hospital use among people aged 65 and over. Hospitalisation, length of stay, diagnosis, type of care and destination on discharge are examined.
– Authored by Karmel R, Hales C & Lloyd J. Published 24 August 2007

Ladder- related fall injuries
NISU briefing no. 11
Falls from ladders contribute a substantial number of emergency department presentations and admissions to Australian hospitals each year. This report examines the nature of hospitalised injuries due to falls from ladders for the 2004-05 financial year.
– Authored by Bradley C. Published 20 August 2007

Injury Risk Management Research Centre (IRMRC)

NSW Injury Profile: A Review of Injury Hospitalisations During 1989-1990 to 2003-2004 Sydney: NSW Injury Risk Management Research Centre, Hayen, A. Mitchell, R. The University of New South Wales, 2006.

This report provides an overview of injury related hospitalisations of NSW residents during 1989-90 to 2003-04 using injury related morbidity data from the NSW Inpatients Statistics Collections from the NSW Department of Health. Injury related admissions for over 65 year olds wer predominately falls related. – PDF ~1.2mb

Monash University Accident Research Centre (MUARC)

Modelling the impact, costs and benefits of falls prevention measures to support policy makers and program planners – PDF ~852kb
– By Lesley Day, Effie Hoareau, Caroline Finch, James Harrison, Leonie Segal, Tom Bolton, Clare Bradley, Soufiane Boufous, Shahid Ullah and the National Injury Prevention Injury Working Group.

MUARC publishes a regular Victorian Injury Surveillance Unit Publication called HAZARD this often includes information on falls injuries and their prevention.

Preventing injuries in Victorian Seniors aged 65 years and over – PDF ~672kb
– By Erin Cassell and Angela Clapperton, 2008, HAZARD Ediction 67