Global injury morbidity and mortality from 1990 to 2017: Results from the global burden of disease study 2017

Authors

Spencer L. James, Institute for Health Metrics and Evaluation
Chris D. Castle, Institute for Health Metrics and Evaluation
Zachary V. Dingels, Institute for Health Metrics and Evaluation
Jack T. Fox, Institute for Health Metrics and Evaluation
Erin B. Hamilton, Institute for Health Metrics and Evaluation
Zichen Liu, Institute for Health Metrics and Evaluation
Nicholas L.S. Roberts, Institute for Health Metrics and Evaluation
Dillon O. Sylte, Institute for Health Metrics and Evaluation
Nathaniel J. Henry, Institute for Health Metrics and Evaluation
Kate E. LeGrand, Institute for Health Metrics and Evaluation
Ahmed Abdelalim, Cairo University
Amir Abdoli, Jahrom University of Medical Science
Ibrahim Abdollahpour, Isfahan University of Medical Sciences
Rizwan Suliankatchi Abdulkader, Ministry of Health Saudi Arabia
Aidin Abedi, University of Southern California
Akine Eshete Abosetugn, Debre Berhan University
Abdelrahman I. Abushouk, Ain Shams University
Oladimeji M. Adebayo, University College Hospital, Ibadan
Marcela Agudelo-Botero, Universidad Nacional Autónoma de México
Janet L. Leasher, Nova Southeastern UniversityFollow

Publisher

BMJ Publishing Group

Publication Date

1-1-2020

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.

DOI

10.1136/injuryprev-2019-043494

Volume

26

Issue

1

First Page

I96

Last Page

I114

Disciplines

Optometry

NSUWorks Citation

James, Spencer L.; Castle, Chris D.; Dingels, Zachary V.; Fox, Jack T.; Hamilton, Erin B.; Liu, Zichen; Roberts, Nicholas L.S.; 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; and Leasher, Janet L., "Global injury morbidity and mortality from 1990 to 2017: Results from the global burden of disease study 2017" (2020). Faculty Articles. 38.
https://nsuworks.nova.edu/hpd_opt_facarticles/38