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To the Editor: The Research Letter by Dr Kannus and colleagues¹ reports that hospitalization rates for fall-induced severe head injury among Finns aged 80 years and older have increased. This is an important trend that US data cannot yet address. The US National Hospital Discharge Survey includes hospital admissions for traumatic brain injury (TBI), a defined severe head injury, but not underlying causes. Increasing US rates of hip fracture,² primarily a fall injury, and of fatal falls in the United States² and Finland³ suggest that fall-induced nonfatal TBI rates in the United States also may be increasing. Morbidity data including TBI cases (with underlying causes) will be available shortly from the recently expanded National Electronic Injury Surveillance System All Injury Program, soon to be released by the US Consumer Product Safety Commission and the Centers for Disease Control and Prevention.

Among elderly persons in the United States, falls are the . . . [Full Text of this Article]

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RELATED LETTER

Time Trends in Severe Head Injuries Among Elderly Finns
Pekka Kannus, Mika Palvanen, and Seppo Niemi
JAMA. 2001;286(6):673-674.
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