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Why falls matter

What a fall really costs an older person, and their family.

When we think of a fall, we think of a bruise or a broken bone. For an older person it can be the start of something longer: a hospital, a slow recovery, and a smaller, more frightened life. This page is about that, and about why so much of it can be avoided.

The numbers behind the worry.

842,000

people died from falls worldwide in 2023

Second only to road injuries among accidental deaths.

71%

of those deaths were among people aged 60 and over

1 in 8

Indians aged 60 and over reported a fall in the previous two years

12.6% of 28,285 older adults in India’s national ageing survey (LASI, 2017-18); 5.8% were injured in a fall.

1 in 5

people over 50 treated for a hip fracture at one Indian hospital had died within a year

19.0% one-year mortality, about five times the expected rate for the same age and sex (George and colleagues, Chinese Journal of Traumatology, 2023).

The cost you can count

The bill does not end at discharge.

We all know how expensive a hospital stay is. A serious fall sets off a chain of costs, and most families discover them one at a time, and in a hurry.

  • A hospital stay, and surgery if a bone is broken
  • Months of recovery: medicines, physiotherapy, rehabilitation
  • Care at home, sometimes for good
  • Your own leave, your own travel, your own work put on hold

The cost you cannot

Some losses have no invoice.

Confidence
After a fall, many people are afraid to walk, to bathe, to go out. They stop doing the things that kept them strong.
Independence
The parent who always managed alone now needs help to stand, to wash, to cross the room. Some never get that back.
Their world, made smaller
Fewer walks, fewer visits, fewer ordinary pleasures. Less movement makes the next fall more likely.
Your peace of mind
The phone beside the bed. The trip you do not take. The guilt of the days you were not there.
Time, which cannot be bought back
Months of recovery in what could have been good years together.

The World Health Organization describes it as a loss of confidence, reduced activity and a cycle of increasing frailty, and notes that falls that are not fatal can lead to loss of independence, disability and long-term care needs.

Where it happens

Most falls happen at home.

Not on the road, and not in hospital: at home, in the rooms and routes a parent knows best. That is why the home is where prevention starts.

8 in 10

falls that send an older person to the emergency room happen at home

79.2% of visits

7 in 10

of those happen in just three places: the bedroom, the stairs and the bathroom

70.6% together

Where at home, ranked

  • Bedroom25.0%
  • Stairs22.9%
  • Bathroom22.7%
  • Kitchen and dining room7.2%
  • Driveway and garage6.0%
  • Yard5.5%
  • Living room4.8%
  • Porch3.0%

Ages 65 to 74: stairs lead (30.0%). Age 85 and over: the bedroom leads (31.6%).

United States figures: emergency visits by people aged 65 and over, 2015. Shares are of falls at home where the place was recorded (about half were not). They show where falls led to an emergency visit, not how likely a fall is per hour spent in each place. Source: Moreland and colleagues, American Journal of Lifestyle Medicine 2020: location of older adult falls that resulted in emergency department visits, United States, 2015.
See the figures as a table
Share of falls at home by place, people aged 65 and over, United States
PlaceShare of falls at home
Bedroom25.0%
Stairs22.9%
Bathroom22.7%
Kitchen and dining room7.2%
Driveway and garage6.0%
Yard5.5%
Living room4.8%
Porch3.0%

The good news

Many falls can be prevented.

Falls have causes, and many of those causes are in the home: in the rooms, the routes and the routines your parent uses every day. When a home is looked at carefully by someone who knows what to look for, and put right, fewer people fall.

38%

fewer falls

among older people at higher risk of falling who had their home assessed and changed (Cochrane review, 2023, as reported by WHO). Exercise lowers falls by about 23%.

You cannot be there at 2 a.m. Your parent’s home can be.

A SteadySteps visit takes about two hours. You get a clear report within 24 hours, you choose what to do, and our own team does the work in one visit.

How SteadySteps works