Introduction: Trauma in older adults (TOA) is a major cause of mortality, especially due to falls. In Chile, the aging population is increasing, but there are still no studies on TOA as a primary cause of death. Physical frailty and health issues associated with aging make injuries more severe in this group, highlighting the need for studies and specialized care. The main objective is to study TOA mortality in Chile during the period 1997–2023. Materials and methods: Ecological descriptive study. Deaths from trauma as the primary cause in adults over 60 years of age from January 1997 to December 2023 in Chile were studied using databases from the Department of Statistics and Health Information. A descriptive analysis of TOA characteristics in Chile was conducted by sex, age-group, type and mechanism of trauma, and region of death. The TOA mortality analysis in Chile by region was conducted using rates per 100,000 inhabitants with Stata-18. No ethics committee approval was required. Results: A total of 48,579 TOA deaths. Men: 29,357 (60.4%). The overall mortality rate for the period was 77.22. Average age: 76.6 ± 10.7 years (range 60–121). The most common cause is falls, with 12,293 deaths (25.3%). The region with the highest rate is Los Ríos, with 24.94%, and the lowest rate is Los Lagos, with 6.37%. Conclusion: Most TOAs in Chile are due to falls. This type of trauma has been increasing in frequency as age increases. In Chile, it is likely that as the demographic aging process accelerates, its incidence will increase, becoming a health problem in Chile. Thus, public policies are needed to focus on this age-group to reduce mortality.