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, Nicholas Graetz, Ian Bolliger, Mohsen Naghavi, Hideki Higashi, Erin C. Mullany, Semaw Ferede Abera, Jerry Puthenpurakal Abraham, Koranteng Adofo, Ubai Alsharif, Emmanuel A. Ameh, Walid Ammar, Carl Abelardo T Antonio, Lope H. Barrero, Tolesa Bekele, Dipan Bose, Alexandra Brazinova, Ferrán Catalá-López, Lalit Dandona, Rakhi Dandona & 30 others Paul I. Dargan, Diego De Leo, Louisa Degenhardt, Sarah Derrett, Samath D. Dharmaratne, Tim R. Driscoll, Leilei Duan, Sergey Petrovich Ermakov, Farshad Farzadfar, Valery L. Feigin, Richard C. Franklin, Belinda Gabbe, Richard A. Gosselin, Nima Hafezi-Nejad, Randah Ribhi Hamadeh, Martha Hijar, Guoqing Hu, Sudha P. Jayaraman, Guohong Jiang, Yousef Saleh Khader, Ejaz Ahmad Khan, Sanjay Krishnaswami, Chanda Kulkarni, Fiona Lecky, Ricky Leung, Raimundas Lunevicius, Ronan Anthony Lyons, Marek Majdan, Amanda J. Mason-Jones, Richard Matzopoulos

Research output: Contribution to journalArticleResearchpeer-review

317 Citations (Scopus)

Abstract

Background: The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disabilityadjusted 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 illdefined 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.

Original languageEnglish
Pages (from-to)3-18
Number of pages16
JournalInjury Prevention
Volume22
Issue number1
DOIs
Publication statusPublished - 1 Feb 2016

Cite this

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 ; Ermakov, Sergey Petrovich ; 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 ; Leung, Ricky ; Lunevicius, Raimundas ; Lyons, Ronan Anthony ; Majdan, Marek ; Mason-Jones, Amanda J. ; Matzopoulos, Richard. / The global burden of injury : Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. In: Injury Prevention. 2016 ; Vol. 22, No. 1. pp. 3-18.
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title = "The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013",
abstract = "Background: The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disabilityadjusted 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 illdefined 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.",
author = "Haagsma, {Juanita A.} and Nicholas Graetz and Ian Bolliger and Mohsen Naghavi and Hideki Higashi and Mullany, {Erin C.} and Abera, {Semaw Ferede} and Abraham, {Jerry Puthenpurakal} and Koranteng Adofo and Ubai Alsharif and Ameh, {Emmanuel A.} and Walid Ammar and Antonio, {Carl Abelardo T} and Barrero, {Lope H.} and Tolesa Bekele and Dipan Bose and Alexandra Brazinova and Ferr{\'a}n Catal{\'a}-L{\'o}pez and Lalit Dandona and Rakhi Dandona and Dargan, {Paul I.} and {De Leo}, Diego and Louisa Degenhardt and Sarah Derrett and Dharmaratne, {Samath D.} and Driscoll, {Tim R.} and Leilei Duan and Ermakov, {Sergey Petrovich} and Farshad Farzadfar and Feigin, {Valery L.} and Franklin, {Richard C.} and Belinda Gabbe and Gosselin, {Richard A.} and Nima Hafezi-Nejad and Hamadeh, {Randah Ribhi} and Martha Hijar and Guoqing Hu and Jayaraman, {Sudha P.} and Guohong Jiang and Khader, {Yousef Saleh} and Khan, {Ejaz Ahmad} and Sanjay Krishnaswami and Chanda Kulkarni and Fiona Lecky and Ricky Leung and Raimundas Lunevicius and Lyons, {Ronan Anthony} and Marek Majdan and Mason-Jones, {Amanda J.} and Richard Matzopoulos",
year = "2016",
month = "2",
day = "1",
doi = "10.1136/injuryprev-2015-041616",
language = "English",
volume = "22",
pages = "3--18",
journal = "Injury Prevention",
issn = "1353-8047",
publisher = "BMJ Publishing Group Ltd",
number = "1",

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Haagsma, JA, Graetz, N, Bolliger, I, Naghavi, M, Higashi, H, Mullany, EC, Abera, SF, Abraham, JP, Adofo, K, Alsharif, U, Ameh, EA, Ammar, W, Antonio, CAT, Barrero, LH, Bekele, T, Bose, D, Brazinova, A, Catalá-López, F, Dandona, L, Dandona, R, Dargan, PI, De Leo, D, Degenhardt, L, Derrett, S, Dharmaratne, SD, Driscoll, TR, Duan, L, Ermakov, SP, Farzadfar, F, Feigin, VL, Franklin, RC, Gabbe, B, Gosselin, RA, Hafezi-Nejad, N, Hamadeh, RR, Hijar, M, Hu, G, Jayaraman, SP, Jiang, G, Khader, YS, Khan, EA, Krishnaswami, S, Kulkarni, C, Lecky, F, Leung, R, Lunevicius, R, Lyons, RA, Majdan, M, Mason-Jones, AJ & Matzopoulos, R 2016, 'The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013', Injury Prevention, vol. 22, no. 1, pp. 3-18. https://doi.org/10.1136/injuryprev-2015-041616

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; Ermakov, Sergey Petrovich; 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; Leung, Ricky; Lunevicius, Raimundas; Lyons, Ronan Anthony; Majdan, Marek; Mason-Jones, Amanda J.; Matzopoulos, Richard.

In: Injury Prevention, Vol. 22, No. 1, 01.02.2016, p. 3-18.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The global burden of injury

T2 - Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013

AU - Haagsma, Juanita A.

AU - Graetz, Nicholas

AU - Bolliger, Ian

AU - Naghavi, Mohsen

AU - Higashi, Hideki

AU - Mullany, Erin C.

AU - Abera, Semaw Ferede

AU - Abraham, Jerry Puthenpurakal

AU - Adofo, Koranteng

AU - Alsharif, Ubai

AU - Ameh, Emmanuel A.

AU - Ammar, Walid

AU - Antonio, Carl Abelardo T

AU - Barrero, Lope H.

AU - Bekele, Tolesa

AU - Bose, Dipan

AU - Brazinova, Alexandra

AU - Catalá-López, Ferrán

AU - Dandona, Lalit

AU - Dandona, Rakhi

AU - Dargan, Paul I.

AU - De Leo, Diego

AU - Degenhardt, Louisa

AU - Derrett, Sarah

AU - Dharmaratne, Samath D.

AU - Driscoll, Tim R.

AU - Duan, Leilei

AU - Ermakov, Sergey Petrovich

AU - Farzadfar, Farshad

AU - Feigin, Valery L.

AU - Franklin, Richard C.

AU - Gabbe, Belinda

AU - Gosselin, Richard A.

AU - Hafezi-Nejad, Nima

AU - Hamadeh, Randah Ribhi

AU - Hijar, Martha

AU - Hu, Guoqing

AU - Jayaraman, Sudha P.

AU - Jiang, Guohong

AU - Khader, Yousef Saleh

AU - Khan, Ejaz Ahmad

AU - Krishnaswami, Sanjay

AU - Kulkarni, Chanda

AU - Lecky, Fiona

AU - Leung, Ricky

AU - Lunevicius, Raimundas

AU - Lyons, Ronan Anthony

AU - Majdan, Marek

AU - Mason-Jones, Amanda J.

AU - Matzopoulos, Richard

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Background: The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disabilityadjusted 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 illdefined 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.

AB - Background: The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disabilityadjusted 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 illdefined 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.

UR - http://www.scopus.com/inward/record.url?scp=84955326939&partnerID=8YFLogxK

U2 - 10.1136/injuryprev-2015-041616

DO - 10.1136/injuryprev-2015-041616

M3 - Article

VL - 22

SP - 3

EP - 18

JO - Injury Prevention

JF - Injury Prevention

SN - 1353-8047

IS - 1

ER -