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The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013 - PubMed

doi: 10.1136/injuryprev-2015-041616. Epub 2015 Dec 3.

Nicholas Graetz  2 , Ian Bolliger  2 , Mohsen Naghavi  2 , Hideki Higashi  2 , Erin C Mullany  2 , Semaw Ferede Abera  3 , Jerry Puthenpurakal Abraham  4 , Koranteng Adofo  5 , Ubai Alsharif  6 , Emmanuel A Ameh  7 , Walid Ammar  8 , Carl Abelardo T Antonio  9 , Lope H Barrero  10 , Tolesa Bekele  11 , Dipan Bose  12 , Alexandra Brazinova  13 , Ferrán Catalá-López  14 , Lalit Dandona  15 , Rakhi Dandona  16 , Paul I Dargan  17 , Diego De Leo  18 , Louisa Degenhardt  19 , Sarah Derrett  20 , Samath D Dharmaratne  21 , Tim R Driscoll  22 , Leilei Duan  23 , Sergey Petrovich Ermakov  24 , Farshad Farzadfar  25 , Valery L Feigin  26 , Richard C Franklin  27 , Belinda Gabbe  28 , Richard A Gosselin  29 , Nima Hafezi-Nejad  30 , Randah Ribhi Hamadeh  31 , Martha Hijar  32 , Guoqing Hu  33 , Sudha P Jayaraman  34 , Guohong Jiang  35 , Yousef Saleh Khader  36 , Ejaz Ahmad Khan  37 , Sanjay Krishnaswami  38 , Chanda Kulkarni  39 , Fiona E Lecky  40 , Ricky Leung  41 , Raimundas Lunevicius  42 , Ronan Anthony Lyons  43 , Marek Majdan  44 , Amanda J Mason-Jones  45 , Richard Matzopoulos  46 , Peter A Meaney  47 , Wubegzier Mekonnen  48 , Ted R Miller  49 , Charles N Mock  50 , Rosana E Norman  51 , Ricardo Orozco  52 , Suzanne Polinder  53 , Farshad Pourmalek  54 , Vafa Rahimi-Movaghar  55 , Amany Refaat  56 , David Rojas-Rueda  57 , Nobhojit Roy  58 , David C Schwebel  59 , Amira Shaheen  60 , Saeid Shahraz  61 , Vegard Skirbekk  62 , Kjetil Søreide  63 , Sergey Soshnikov  64 , Dan J Stein  65 , Bryan L Sykes  66 , Karen M Tabb  67 , Awoke Misganaw Temesgen  68 , Eric Yeboah Tenkorang  69 , Alice M Theadom  70 , Bach Xuan Tran  71 , Tommi J Vasankari  72 , Monica S Vavilala  50 , Vasiliy Victorovich Vlassov  73 , Solomon Meseret Woldeyohannes  74 , Paul Yip  75 , Naohiro Yonemoto  76 , Mustafa Z Younis  77 , Chuanhua Yu  78 , Christopher J L Murray  2 , Theo Vos  2

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The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013

Juanita A Haagsma et al. Inj Prev. 2016 Feb.

Abstract

Background: The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disability-adjusted life year (DALY) to quantify the burden of diseases, injuries, and risk factors. This paper provides an overview of injury estimates from the 2013 update of GBD, with detailed information on incidence, mortality, DALYs and rates of change from 1990 to 2013 for 26 causes of injury, globally, by region and by country.

Methods: Injury mortality was estimated using the extensive GBD mortality database, corrections for ill-defined cause of death and the cause of death ensemble modelling tool. Morbidity estimation was based on inpatient and outpatient data sets, 26 cause-of-injury and 47 nature-of-injury categories, and seven follow-up studies with patient-reported long-term outcome measures.

Results: In 2013, 973 million (uncertainty interval (UI) 942 to 993) people sustained injuries that warranted some type of healthcare and 4.8 million (UI 4.5 to 5.1) people died from injuries. Between 1990 and 2013 the global age-standardised injury DALY rate decreased by 31% (UI 26% to 35%). The rate of decline in DALY rates was significant for 22 cause-of-injury categories, including all the major injuries.

Conclusions: Injuries continue to be an important cause of morbidity and mortality in the developed and developing world. The decline in rates for almost all injuries is so prominent that it warrants a general statement that the world is becoming a safer place to live in. However, the patterns vary widely by cause, age, sex, region and time and there are still large improvements that need to be made.

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Figures

Figure 1
Figure 1

Flowchart of Global Burden of Disease Injury years lived with disability (YLD) estimation.

Figure 2
Figure 2

Disability-adjusted life year (DALY) rates by cause of injury, sex and region, ages 0–14 years. For the purposes of these plots, all non-road unintentional injuries have been collapsed to “All Other Unintent” (other transport injury, animal contact categories, foreign body categories, and adverse effects of medical treatment).

Figure 3
Figure 3

Disability-adjusted life year (DALY) rates by cause of injury, sex and region, ages 15–49 years of injury, sex and region.

Figure 4
Figure 4

Disability-adjusted life year (DALY) rates by cause of injury, sex and region, ages 50–79 years of injury, sex and region.

Figure 5
Figure 5

Disability-adjusted life year (DALY) rates by cause of injury, sex and region, ages 80 years and above of injury, sex and region.

Figure 6
Figure 6

Percent change in age-standardised all-injury disability-adjusted life year (DALY) rates 1990–2013.

Figure 7
Figure 7

Percent change in age-standardised road injury disability-adjusted life year (DALY) rates 1990–2013.

Figure 8
Figure 8

Percent change in age-standardised falls disability-adjusted life year (DALY) rates 1990–2013.

Figure 9
Figure 9

Percent change in age-standardised fire injury disability-adjusted life year (DALY) rates 1990–2013.

Figure 10
Figure 10

Percent change in age-standardised poisoning injury disability-adjusted life year (DALY) rates 1990–2013.

Figure 11
Figure 11

Percent change in age-standardised interpersonal violence disability-adjusted life year (DALY) rates 1990–2013.

Figure 12
Figure 12

Percent change in age-standardised self-harm disability-adjusted life year (DALY) rates 1990–2013.

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