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

Spencer L. James, Chris D. Castle, Zachary V. Dingels, Jack T. Fox, Erin B. Hamilton, Zichen Liu, Nicholas L. S Roberts, Dillon O. Sylte, Nathaniel J. Henry, Kate E. Legrand, Ahmed Abdelalim, Amir Abdoli, Ibrahim Abdollahpour, Rizwan Suliankatchi Abdulkader, Aidin Abedi, Akine Eshete Abosetugn, Abdelrahman I. Abushouk, Oladimeji M. Adebayo, Marcela Agudelo-Botero, Tauseef AhmadRushdia Ahmed, Muktar Beshir Ahmed, Miloud Taki Eddine Aichour, Fares Alahdab, Genet Melak Alamene, Fahad Mashhour Alanezi, Animut Alebel, Niguse Meles Alema, Suliman A. Alghnam, Samar Al-Hajj, Beriwan Abdulqadir Ali, Saqib Ali, Mahtab Alikhani, Cyrus Alinia, Vahid Alipour, Syed Mohamed Aljunid, Amir Almasi-Hashiani, Nihad A. Almasri, Khalid Altirkawi, Yasser Sami Abdeldayem Amer, Saeed Amini, Arianna Maever Loreche Amit, Catalina Liliana Andrei, Alireza Ansari-Moghaddam, Carl Abelardo T Antonio, Seth Christopher Yaw Appiah, Jalal Arabloo, Morteza Arab-Zozani, Zohreh Arefi, Olatunde Aremu, Filippo Ariani, Amit Arora, Malke Asaad, Babak Asghari, Nefsu Awoke, Beatriz Paulina Ayala Quintanilla, Getinet Ayano, Martin Amogre Ayanore, Samad Azari, Ghasem Azarian, Alaa Badawi, Ashish D. Badiye, Eleni Bagli, Atif Amin Baig, Mohan Bairwa, Ahad Bakhtiari, Arun Balachandran, Maciej Banach, Srikanta K. Banerjee, Palash Chandra Banik, Amrit Banstola, Suzanne Lyn Barker-Collo, Till Winfried Bärnighausen, Lope H. Barrero, Akbar Barzegar, Mohsen Bayati, Bayisa Abdissa Baye, Neeraj Bedi, Masoud Behzadifar, Tariku Tesfaye Bekuma, Habte Belete, Corina Benjet, Derrick A. Bennett, Isabela M. Bensenor, Kidanemaryam Berhe, Pankaj Bhardwaj, Anusha Ganapati Bhat, Krittika Bhattacharyya, Sadia Bibi, Ali Bijani, Muhammad Shahdaat Bin Sayeed, Guilherme Borges, Antonio Maria Borzì, Soufiane Boufous, Alexandra Brazinova, Nikolay Ivanovich Briko, Shyam S. Budhathoki, Josip Car, Rosario Cárdenas, Félix Carvalho, João Mauricio Castaldelli-Maia, Carlos A. Castañeda-Orjuela, Giulio Castelpietra, Ferrán Catalá-López, Ester Cerin, Wagaye Fentahun Chanie, Joht S. Chandan, Soosanna Kumary Chattu, Vijay Kumar Chattu, Irini Chatziralli, Neha Chaudhary, Daniel Youngwhan Cho, Mohiuddin Ahsanul Kabir Chowdhury, Dinh Toi Chu, Samantha M. Colquhoun, Maria Magdalena Constantin, Vera M. Costa, Giovanni Damiani, Ahmad Daryani, Claudio Alberto Dávila-Cervantes, Feleke Mekonnen Demeke, Asmamaw Bizuneh Demis, Gebre Teklemariam Demoz, Desalegn Getnet Demsie, Afshin Derakhshani, Kebede Deribe, Rupak Desai, Mostafa Dianati Nasab, Diana Dias Da Silva, Zahra Sadat Dibaji Forooshani, Kerrie E. Doyle, Tim Robert Driscoll, Eleonora Dubljanin, Bereket Duko Adema, Arielle Wilder Eagan, Aziz Eftekhari, Elham Ehsani-Chimeh, Maysaa El Sayed Zaki, Demelash Abewa Elemineh, Shaimaa I. El-Jaafary, Ziad El-Khatib, Christian Lycke Ellingsen, Mohammad Hassan Emamian, Daniel Adane Endalew, Sharareh Eskandarieh, Pawan Sirwan Faris, Andre Faro, Farshad Farzadfar, Yousef Fatahi, Wubalem Fekadu, Tomas Y. Ferede, Seyed Mohammad Fereshtehnejad, Eduarda Fernandes, Pietro Ferrara, Garumma Tolu Feyissa, Irina Filip, Florian Fischer, Morenike Oluwatoyin Folayan, Masoud Foroutan, Joel Msafiri Francis, Richard Charles Franklin, Takeshi Fukumoto, Biniyam Sahiledengle Geberemariyam, Abadi Kahsu Gebre, Ketema Bizuwork Gebremedhin, Gebreamlak Gebremedhn Gebremeskel, Berhe Gebremichael, Getnet Azeze Gedefaw, Birhanu Geta, Mansour Ghafourifard, Farhad Ghamari, Ahmad Ghashghaee, Asadollah Gholamian, Tiffany K. Gill, Alessandra C. Goulart, Ayman Grada, Michal Grivna, Mohammed Ibrahim Mohialdeen Gubari, Rafael Alves Guimarães, Yuming Guo, Gaurav Gupta, Juanita A. Haagsma, Nima Hafezi-Nejad, Hassan Haghparast Bidgoli, Brian James Hall, Randah R. Hamadeh, Samer Hamidi, Josep Maria Haro, Md Mehedi Hasan, Amir Hasanzadeh, Soheil Hassanipour, Hadi Hassankhani, Hamid Yimam Hassen, Rasmus Havmoeller, Khezar Hayat, Delia Hendrie, Fatemeh Heydarpour, Martha Híjar, Hung Chak Ho, Chi Linh Hoang, Michael K. Hole, Ramesh Holla, Naznin Hossain, Mehdi Hosseinzadeh, Sorin Hostiuc, Guoqing Hu, Segun Emmanuel Ibitoye, Olayinka Stephen Ilesanmi, Irena Ilic, Milena D. Ilic, Leeberk Raja Inbaraj, Endang Indriasih, Seyed Sina Naghibi Irvani, Sheikh Mohammed Shariful Islam, M. Mofizul Islam, Rebecca Q. Ivers, Kathryn H. Jacobsen, Mohammad Ali Jahani, Nader Jahanmehr, Mihajlo Jakovljevic, Farzad Jalilian, Sudha Jayaraman, Achala Upendra Jayatilleke, Ravi Prakash Jha, Yetunde O. John-Akinola, Jost B. Jonas, Nitin Joseph, Farahnaz Joukar, Jacek Jerzy Jozwiak, Suresh Banayya Jungari, Mikk Jürisson, Ali Kabir, Rajendra Kadel, Amaha Kahsay, Leila R. Kalankesh, Rohollah Kalhor, Teshome Abegaz Kamil, Tanuj Kanchan, Neeti Kapoor, Manoochehr Karami, Amir Kasaeian, Hagazi Gebremedhin Kassaye, Taras Kavetskyy, Hafte Kahsay Kebede, Peter Njenga Keiyoro, Abraham Getachew Kelbore, Bayew Kelkay, Yousef Saleh Khader, Morteza Abdullatif Khafaie, Nauman Khalid, Shaun Lee, Shanshan Li, Ronan A. Lyons, Sojib Bin Zaman

Research output: Contribution to journalArticleResearchpeer-review

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.

Original languageEnglish
Pages (from-to)i96-i114
Number of pages19
JournalInjury Prevention
Volume26
Issue numberS1
DOIs
Publication statusPublished - Oct 2020

Keywords

  • burden of disease
  • descriptive epidemiology
  • global

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