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, Abdelrahman Ibrahim Abushouk, Oladimeji Adebayo, Marcela Agudelo‐Botero, Tauseef Ahmad, Rushdiá Ahmed, Muktar Beshir Ahmed, Miloud Taki Eddine Aichour, Fares Alahdab, Genet Melak Alamene, Fahad Alanezi, Animut Alebel, Niguse Meles Alema, Suliman 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 A Altirkawi, Yasser Sami Amer, Saeed Amini, Arianna Maever L. Amit, Cătălina 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 Badiye, Eleni Bagli, Atif Amin Baig, Mohan Bairwa, Ahad Bakhtiari, Arun Balachandran, Maciej Banach, Srikanta Banerjee, Palash Chandra Banik, Amrit Banstola, Suzanne Barker‐Collo, Till Bärnighausen, Lope H. Barrero, Akbar Barzegar, Mohsen Bayati, Bayisa Abdissa Baye, Neeraj Bedi, Masoud Behzadifar, Tariku Tesfaye Bekuma, Habte Belete, Corina Benjet, Derrick Bennett, Isabela M. Benseñor, 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 Bražinová, Н. И. Брико, Shyam Sundar Budhathoki, Josip Car, Rosario Cárdenas, Félix Carvalho
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.