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

Haagsma, Juanita A., Graetz, Nicholas, Bolliger, Ian, Naghavi, Mohsen, Higashi, Hideki, Mullany, Erin C., Abera, Semaw Ferede, Abraham, Jerry Puthenpurakal, Adofo, Koranteng, Alsharif, Ubai, Ameh, Emmanuel A., Ammar, Walid, Antonio, Carl Abelardo T., Barrero, Lope H., Bekele, Tolesa, Bose, Dipan, Brazinova, Alexandra, Catalá-López, Ferrán, Dandona, Lalit, Dandona, Rakhi, Dargan, Paul I., De Leo, Diego, Degenhardt, Louisa, Derrett, Sarah, Dharmaratne, Samath D., Driscoll, Tim R., Duan, Leilei, Petrovich Ermakov, Sergey, Farzadfar, Farshad, Feigin, Valery L., Franklin, Richard C., Gabbe, Belinda, Gosselin, Richard A., Hafezi-Nejad, Nima, Hamadeh, Randah Ribhi, Hijar, Martha, Hu, Guoqing, Jayaraman, Sudha P., Jiang, Guohong, Khader, Yousef Saleh, Khan, Ejaz Ahmad, Krishnaswami, Sanjay, Kulkarni, Chanda, Lecky, Fiona E., Leung, Ricky, Lunevicius, Raimundas, Lyons, Ronan Anthony, Majdan, Marek, Mason-Jones, Amanda J., Matzopoulos, Richard, Meaney, Peter A., Mekonnen, Wubegzier, Miller, Ted R., Mock, Charles N., Norman, Rosana E., Orozco, Ricardo, Polinder, Suzanne, Pourmalek, Farshad, Rahimi-Movaghar, Vafa, Refaat, Amany, Rojas-Rueda, David, Roy, Nobhojit, Schwebel, David C, Shaheen, Amira, Shahraz, Saeid, Skirbekk, Vegard, Søreide, Kjetil, Soshnikov, Sergey, Stein, Dan J., Sykes, Bryan L., Tabb, Karen M., Temesgen, Awoke Misganaw, Tenkorang, Eric Yeboah, Theadom, Alice M., Tran, Bach Xuan, Vasankari, Tommi J., Vavilala, Monica S., Vlassov, Vasiliy Victorovich, Woldeyohannes, Solomon Meseret, Yip, Paul, Yonemoto, Naohiro, Younis, Mustafa Z, Yu, Chuanhua, Murray, Christopher J.L., & Vos, Theo (2015) The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Injury Prevention, 22(1), pp. 3-18.

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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.

Impact and interest:

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6 citations in Web of Science®

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ID Code: 93985
Item Type: Journal Article
Refereed: Yes
Keywords: burden of disease, global burden of disease, injury
DOI: 10.1136/injuryprev-2015-041616
ISSN: 1475-5785
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2015 The Author(s)
Copyright Statement: Open Access
non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
provided the original work is properly cited and the use is
non-commercially, and license their derivative works on different terms,
permits others to distribute, remix, adapt, build upon this work
Commons Attribution Non Commercial (CC BY-NC 4.0) license, which
This is an Open Access article distributed in accordance with the Creative
Deposited On: 17 Mar 2016 04:18
Last Modified: 17 Mar 2016 22:26

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