Epidemiologic studies show that injury is a nonrandom event of considerable consequence to older people. Even though children have the highest injury rates for all injuries combined, the elderly have the highest death rates and the highest dysfunction and disability rates from falls, fires and contact with hot substances, and vehicular crashes.
There are notable race and sex differences in injuries in the elderly. Women have higher rates of injury from falls than men. Men have higher injury rates from burns and motor vehicle crashes (including pedestrian injuries), and for each of the three categories of injury men have higher death rates than women. Before the age of 75, nonwhite males have the highest rates of death from injury. At 75, however, white males cross over to have a much higher rate of death from injury than do nonwhite males.
More than half the deaths due to unintentional injury in persons 65 and older are caused by falls. White men have the highest death rates from falls, followed by white women. More than a fourth of the injury fatalities for people 65 and older are from motor vehicle crashes. More than 9.3 per cent of all licensed drivers are 65 or older. Older drivers drive fewer miles than other people, and they tend to limit their driving to daytime and to relatively less stressful conditions. Nonetheless, when miles driven by drivers over 64 are taken into account, the relatively small number of crashes is equivalent to a crash rate exceeded only by the under‐25 age group. Pedestrian deaths account for more than a third of motor vehicle deaths to people 65 and older. The death rate from burns is higher in the elderly than in any other age group, including young children. In the event of thermal injury, old people are much less likely to survive.
Diminished ability to perceive hazard and to respond effectively contributes to higher injury rates among the elderly, as does lower injury threshold.