TY - JOUR
T1 - Global injury morbidity and mortality from 1990 to 2017
T2 - results from the Global Burden of Disease Study 2017
AU - Global Burden of Diseases Study Group
AU - James, Spencer L
AU - Castle, Chris D
AU - Dingels, Zachary V
AU - Fox, Jack T
AU - Hamilton, Erin B
AU - Liu, Zichen
AU - S Roberts, Nicholas L
AU - Sylte, Dillon O
AU - Henry, Nathaniel J
AU - LeGrand, Kate E
AU - Abdelalim, Ahmed
AU - Abdoli, Amir
AU - Abdollahpour, Ibrahim
AU - Abdulkader, Rizwan Suliankatchi
AU - Abedi, Aidin
AU - Abosetugn, Akine Eshete
AU - Abushouk, Abdelrahman I
AU - Adebayo, Oladimeji M
AU - Agudelo-Botero, Marcela
AU - Ahmad, Tauseef
AU - Ahmed, Rushdia
AU - Ahmed, Muktar Beshir
AU - Eddine Aichour, Miloud Taki
AU - Alahdab, Fares
AU - Alamene, Genet Melak
AU - Alanezi, Fahad Mashhour
AU - Alebel, Animut
AU - Alema, Niguse Meles
AU - Alghnam, Suliman A
AU - Al-Hajj, Samar
AU - Ali, Beriwan Abdulqadir
AU - Ali, Saqib
AU - Alikhani, Mahtab
AU - Alinia, Cyrus
AU - Alipour, Vahid
AU - Aljunid, Syed Mohamed
AU - Almasi-Hashiani, Amir
AU - Almasri, Nihad A
AU - Altirkawi, Khalid
AU - Abdeldayem Amer, Yasser Sami
AU - Amini, Saeed
AU - Loreche Amit, Arianna Maever
AU - Andrei, Catalina Liliana
AU - Ansari-Moghaddam, Alireza
AU - T Antonio, Carl Abelardo
AU - Yaw Appiah, Seth Christopher
AU - Arabloo, Jalal
AU - Arab-Zozani, Morteza
AU - Arefi, Zohreh
AU - Kurmi, Om P
N1 - This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - BACKGROUND: Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries.METHODS: We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs).FINDINGS: In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505).INTERPRETATION: Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.
AB - BACKGROUND: Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries.METHODS: We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs).FINDINGS: In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505).INTERPRETATION: Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.
KW - burden of disease
KW - descriptive epidemiology
KW - global
UR - http://www.scopus.com/inward/record.url?scp=85092680472&partnerID=8YFLogxK
U2 - 10.1136/injuryprev-2019-043494
DO - 10.1136/injuryprev-2019-043494
M3 - Article
C2 - 32332142
VL - 26
SP - i96-i114
JO - Traffic Injury Prevention
JF - Traffic Injury Prevention
SN - 1538-9588
IS - 1
ER -
