Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017

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James, Spencer L;Castle, Chris D;Dingels, Zachary V;Fox, Jack T;Hamilton, Erin B;Liu, Zichen;S Roberts, Nicholas L;Sylte, Dillon O;Henry, Nathaniel J;LeGrand, Kate E;Abdelalim, Ahmed;Abdoli, Amir;Abdollahpour, Ibrahim;Abdulkader, Rizwan Suliankatchi;Abedi, Aidin;Abosetugn, Akine Eshete;Abushouk, Abdelrahman I;Adebayo, Oladimeji M;Agudelo-Botero, Marcela;Ahmad, Tauseef;Ahmed, Rushdia;Ahmed, Muktar Beshir;Eddine Aichour, Miloud Taki;Alahdab, Fares;Alamene, Genet Melak;Alanezi, Fahad Mashhour;Alebel, Animut;Alema, Niguse Meles;Alghnam, Suliman A;Al-Hajj, Samar;Ali, Beriwan Abdulqadir;Ali, Saqib;Alikhani, Mahtab;Alinia, Cyrus;Alipour, Vahid;Aljunid, Syed Mohamed;Almasi-Hashiani, Amir;Almasri, Nihad A;Altirkawi, Khalid;Abdeldayem Amer, Yasser Sami;Amini, Saeed;Loreche Amit, Arianna Maever;Andrei, Catalina Liliana;Ansari-Moghaddam, Alireza;T Antonio, Carl Abelardo;Yaw Appiah, Seth Christopher;Arabloo, Jalal;Arab-Zozani, Morteza;Arefi, Zohreh;Aremu, Olatunde;Ariani, Filippo;Arora, Amit;Asaad, Malke;Asghari, Babak;Awoke, Nefsu;Ayala Quintanilla, Beatriz Paulina;Ayano, Getinet;Ayanore, Martin Amogre;Azari, Samad;Azarian, Ghasem;Badawi, Alaa;Badiye, Ashish D;Bagli, Eleni;Baig, Atif Amin;Bairwa, Mohan;Bakhtiari, Ahad;Balachandran, Arun;Banach, Maciej;Banerjee, Srikanta K;Banik, Palash Chandra;Banstola, Amrit;Barker-Collo, Suzanne Lyn;Bärnighausen, Till Winfried;Barrero, Lope H;Barzegar, Akbar;Bayati, Mohsen;Baye, Bayisa Abdissa;Bedi, Neeraj;Behzadifar, Masoud;Bekuma, Tariku Tesfaye;Belete, Habte;Benjet, Corina;Bennett, Derrick A;Bensenor, Isabela M;Berhe, Kidanemaryam;Bhardwaj, Pankaj;Bhat, Anusha Ganapati;Bhattacharyya, Krittika;Bibi, Sadia;Bijani, Ali;Bin Sayeed, Muhammad Shahdaat;Borges, Guilherme;Borzì, Antonio Maria;Boufous, Soufiane;Brazinova, Alexandra;Briko, Nikolay Ivanovich;Budhathoki, Shyam S;Car, Josip;Cárdenas, Rosario;Carvalho, Félix;Castaldelli-Maia, João Mauricio;Castañeda-Orjuela, Carlos A;Castelpietra, Giulio;Catalá-López, Ferrán;Cerin, Ester;Chandan, Joht S;Chanie, Wagaye Fentahun;Chattu, Soosanna Kumary;Chattu, Vijay Kumar;Chatziralli, Irini;Chaudhary, Neha;Cho, Daniel Youngwhan;Kabir Chowdhury, Mohiuddin Ahsanul;Chu, Dinh-Toi;Colquhoun, Samantha M;Constantin, Maria-Magdalena;Costa, Vera M;Damiani, Giovanni;Daryani, Ahmad;Dávila-Cervantes, Claudio Alberto;Demeke, Feleke Mekonnen;Demis, Asmamaw Bizuneh;Demoz, Gebre Teklemariam;Demsie, Desalegn Getnet;Derakhshani, Afshin;Deribe, Kebede;Desai, Rupak;Nasab, Mostafa Dianati;da Silva, Diana Dias;Dibaji Forooshani, Zahra Sadat;Doyle, Kerrie E;Driscoll, Tim Robert;Dubljanin, Eleonora;Adema, Bereket Duko;Eagan, Arielle Wilder;Eftekhari, Aziz;Ehsani-Chimeh, Elham;Sayed Zaki, Maysaa El;Elemineh, Demelash Abewa;El-Jaafary, Shaimaa I;El-Khatib, Ziad;Ellingsen, Christian Lycke;Emamian, Mohammad Hassan;Endalew, Daniel Adane;Eskandarieh, Sharareh;Faris, Pawan Sirwan;Faro, Andre;Farzadfar, Farshad;Fatahi, Yousef;Fekadu, Wubalem;Ferede, Tomas Y;Fereshtehnejad, Seyed-Mohammad;Fernandes, Eduarda;Ferrara, Pietro;Feyissa, Garumma Tolu;Filip, Irina;Fischer, Florian;Folayan, Morenike Oluwatoyin;Foroutan, Masoud;Francis, Joel Msafiri;Franklin, Richard Charles;Fukumoto, Takeshi;Geberemariyam, Biniyam Sahiledengle;Gebre, Abadi Kahsu;Gebremedhin, Ketema Bizuwork;Gebremeskel, Gebreamlak Gebremedhn;Gebremichael, Berhe;Gedefaw, Getnet Azeze;Geta, Birhanu;Ghafourifard, Mansour;Ghamari, Farhad;Ghashghaee, Ahmad;Gholamian, Asadollah;Gill, Tiffany K;Goulart, Alessandra C;Grada, Ayman;Grivna, Michal;Mohialdeen Gubari, Mohammed Ibrahim;Guimarães, Rafael Alves;Guo, Yuming;Gupta, Gaurav;Haagsma, Juanita A;Hafezi-Nejad, Nima;Bidgoli, Hassan Haghparast;Hall, Brian James;Hamadeh, Randah R;Hamidi, Samer;Haro, Josep Maria;Hasan, Md Mehedi;Hasanzadeh, Amir;Hassanipour, Soheil;Hassankhani, Hadi;Hassen, Hamid Yimam;Havmoeller, Rasmus;Hayat, Khezar;Hendrie, Delia;Heydarpour, Fatemeh;Híjar, Martha;Ho, Hung Chak;Hoang, Chi Linh;Hole, Michael K;Holla, Ramesh;Hossain, Naznin;Hosseinzadeh, Mehdi;Hostiuc, Sorin;Hu, 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Borhan;Mansournia, Mohammad Ali;Maravilla, Joemer C;March, Lyn M;Mason-Jones, Amanda J;Masoumi, Seyedeh Zahra;Massenburg, Benjamin Ballard;Maulik, Pallab K;Meles, Gebrekiros Gebremichael;Melese, Addisu;Melketsedik, Zeleke Aschalew;N Memiah, Peter T;Mendoza, Walter;Menezes, Ritesh G;Mengesha, Meresa Berwo;Mengesha, Melkamu Merid;Meretoja, Tuomo J;Meretoja, Atte;Merie, Hayimro Edemealem;Mestrovic, Tomislav;Miazgowski, Bartosz;Miazgowski, Tomasz;Miller, Ted R;Mini, GK;Mirica, Andreea;Mirrakhimov, Erkin M;Mirzaei-Alavijeh, Mehdi;Mithra, Prasanna;Moazen, Babak;Moghadaszadeh, Masoud;Mohamadi, Efat;Mohammad, Yousef;Mohammad, Karzan Abdulmuhsin;Darwesh, Aso Mohammad;Gholi Mezerji, Naser Mohammad;Mohammadian-Hafshejani, Abdollah;Mohammadoo-Khorasani, Milad;Mohammadpourhodki, Reza;Mohammed, Shafiu;Mohammed, Jemal Abdu;Mohebi, Farnam;Molokhia, Mariam;Monasta, Lorenzo;Moodley, Yoshan;Moosazadeh, Mahmood;Moradi, Masoud;Moradi, Ghobad;Moradi-Lakeh, Maziar;Moradpour, Farhad;Morawska, Lidia;Velásquez, 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Abstract

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.

Journal

Injury Prevention

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26

ISBN/ISSN

1475-5785

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Pages Count

19

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Publisher

BMJ Group

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DOI

10.1136/injuryprev-2019-043494