Examining fall-related mortality in registries and surveillance systems in sub-Saharan Africa: a systematic review

Objective Fall-related injuries are a global public health concern, and trauma registries aid in collecting data to develop measures to reduce their burden on individuals and communities. The aim of this review was to provide a comprehensive overview of the reporting of fall-related mortality in tra...

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Main Authors: Renz, Alissa (Author) , Mayeden, Samuel (Author) , Runge-Ranzinger, Silvia (Author) , Louis, Valérie R. (Author) , Deckert, Andreas (Author) , Dambach, Peter (Author) , Winkler, Volker (Author) , Horstick, Olaf (Author) , Wilson, Michael (Author)
Format: Article (Journal)
Language:English
Published: April 29, 2025
In: Injury prevention
Year: 2025, Pages: 1-8
ISSN:1475-5785
DOI:10.1136/ip-2024-045467
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/ip-2024-045467
Verlag, lizenzpflichtig, Volltext: https://injuryprevention.bmj.com/content/early/2025/04/29/ip-2024-045467
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Author Notes:Alissa Renz, Samuel Mayeden, Silvia Runge-Ranzinger, Valerie R. Louis, Andreas Deckert, Peter Dambach, Volker Winkler, Olaf Horstick, Michael Lowery Wilson
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Summary:Objective Fall-related injuries are a global public health concern, and trauma registries aid in collecting data to develop measures to reduce their burden on individuals and communities. The aim of this review was to provide a comprehensive overview of the reporting of fall-related mortality in trauma registries and surveillance systems in sub-Saharan Africa. - Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched eight electronic databases, and studies set in countries of sub-Saharan Africa were included if the reported data originated from a trauma registry or surveillance system and contained a measurement of fall-related mortality. Results were synthesised in a descriptive manner. - Results Of the 3574 records found, we included 21 studies in the analysis. Different definitions were inconsistently used in reporting fall-related mortality: studies reported either a percentage of fall deaths by total falls or of fall deaths by total deaths. Deaths due to falls by total falls ranged from 0.01% to 2.4% in studies with paediatric patient populations, and from 0.03% to 60% among studies not restricted to a specific age group. Reporting on other variables in relation to injury and trauma care was also inconsistent. - Conclusions The findings of this review were heterogeneous, and variables were collected irregularly among trauma registries. This led to a broad range of results and made comparisons and deductions difficult. A more standardised data collection across registries would heighten the intercomparability of results from different studies and, therefore, facilitate usage in data-based efforts for implementing prevention and optimising care.
Item Description:Gesehen am 15.10.2025
Physical Description:Online Resource
ISSN:1475-5785
DOI:10.1136/ip-2024-045467