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The Global Burden of Injury: Incidence, Mortality, Disability-Adjusted Life Years and Time Trends From the Global Burden of Disease Study 2013 Publisher Pubmed



Haagsma JA1, 60 ; Graetz N1 ; Bolliger I1 ; Naghavi M1 ; Higashi H1 ; Mullany EC1 ; Abera SF2, 3 ; Abraham JP4, 5 ; Adofo K6 ; Alsharif U7 ; Ameh EA8 ; Ammar W9 ; Antonio CAT10 ; Barrero LH11 Show All Authors
Authors
  1. Haagsma JA1, 60
  2. Graetz N1
  3. Bolliger I1
  4. Naghavi M1
  5. Higashi H1
  6. Mullany EC1
  7. Abera SF2, 3
  8. Abraham JP4, 5
  9. Adofo K6
  10. Alsharif U7
  11. Ameh EA8
  12. Ammar W9
  13. Antonio CAT10
  14. Barrero LH11
  15. Bekele T12
  16. Bose D13
  17. Brazinova A14
  18. Catalalopez F15
  19. Dandona L1, 16
  20. Dandona R16
  21. Dargan PI17
  22. De Leo D18
  23. Degenhardt L19
  24. Derrett S20, 21
  25. Dharmaratne SD22
  26. Driscoll TR23
  27. Duan L24
  28. Ermakov SP25, 26
  29. Farzadfar F27
  30. Feigin VL28
  31. Franklin RC29
  32. Gabbe B30
  33. Gosselin RA31
  34. Hafezinejad N32
  35. Hamadeh RR33
  36. Hijar M34
  37. Hu G35
  38. Jayaraman SP36
  39. Jiang G37
  40. Khader YS38
  41. Khan EA39
  42. Krishnaswami S41
  43. Kulkarni C42
  44. Lecky FE43
  45. Leung R44
  46. Lunevicius R45, 46
  47. Lyons RA47
  48. Majdan M48
  49. Masonjones AJ49
  50. Matzopoulos R50, 51
  51. Meaney PA52, 53
  52. Mekonnen W54
  53. Miller TR55, 56
  54. Mock CN57
  55. Norman RE58
  56. Orozco R59
  57. Polinder S60
  58. Pourmalek F61
  59. Rahimimovaghar V62
  60. Refaat A63
  61. Rojasrueda D64
  62. Roy N65, 66
  63. Schwebel DC67
  64. Shaheen A68
  65. Shahraz S69
  66. Skirbekk V70
  67. Soreide K71
  68. Soshnikov S72
  69. Stein DJ73, 74
  70. Sykes BL75
  71. Tabb KM76
  72. Temesgen AM77
  73. Tenkorang EY78
  74. Theadom AM79
  75. Tran BX80, 81
  76. Vasankari TJ82
  77. Vavilala MS57
  78. Vlassov VV83
  79. Woldeyohannes SM84
  80. Yip P85
  81. Yonemoto N86
  82. Younis MZ87
  83. Yu C88, 89
  84. Murray CJL1
  85. Vos T1
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, Seattle, WA, United States
  2. 2. Mekelle University, College of Health Sciences, School of Public Health, Mekelle, Tigray, Ethiopia
  3. 3. Kilte Awlaelo-Health and Demographic Surveillance Site, Mekelle, Tigray, Ethiopia
  4. 4. University of Southern California (USC), California Hospital, Los Angeles, CA, United States
  5. 5. Harvard School of Public Health/Harvard Institute for Global Health, Boston, MA, United States
  6. 6. Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
  7. 7. Charite Universitatsmedizin, Berlin, Germany
  8. 8. Ahmadu Bello University, Zaria, Kaduna State, Nigeria
  9. 9. Ministry of Public Health, Beirut, Lebanon
  10. 10. Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
  11. 11. Department of Industrial Engineering, Pontificia Universidad Javeriana, Bogota, Cundinamarca, Colombia
  12. 12. Madawalabu University Ethiopia, Bale Goba, Oromia, Ethiopia
  13. 13. World Bank, Washington, DC, United States
  14. 14. Trnava University, Trnava, Slovakia
  15. 15. Division of Pharmacoepidemiology and Pharmacovigilance, Spanish Medicines and Healthcare Products Agency (AEMPS), Ministry of Health, Madrid, Spain
  16. 16. Public Health Foundation of India, New Delhi, India
  17. 17. Guy’s and St. Thomas’ NHS Foundation Trust, London, United Kingdom
  18. 18. Griffith University, Brisbane, QLD, Australia
  19. 19. UNSW Australia, Sydney, Australia
  20. 20. Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
  21. 21. School of Public Health, College of Health, Massey University, Palmerston North, New Zealand
  22. 22. University of Peradeniya, Peradeniya, Sri Lanka
  23. 23. Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia
  24. 24. National Center for Chronic and Noncommunicable Disease Control and Prevention, China CDC, Beijing, China
  25. 25. The Institute of Social and Economic Studies of Population at the Russian Academy of Sciences, Moscow, Russian Federation
  26. 26. Federal Research Institute for Health Organization and Informatics of Ministry of Health of Russian Federation, Moscow, Russian Federation
  27. 27. Non-Communicable Diseases Research Center, Endocrine and Metabolic Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  28. 28. National Institute for Stroke and Applied Neurosciences, AUT University, Auckland, New Zealand
  29. 29. James Cook University, Townsville, QLD, Australia
  30. 30. Monash University, Melbourne, VIC, Australia
  31. 31. University of California in San Francisco, San Francisco, CA, United States
  32. 32. Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran
  33. 33. Arabian Gulf University, Manama, Bahrain
  34. 34. Fundacion Entornos AC, Cuernavaca, Morelos, Mexico
  35. 35. Central South University, School of Public Health, Changsha, Hunan, China
  36. 36. Virginia Commonwealth University, Richmond, VA, United States
  37. 37. Tianjin Centers for Diseases Control and Prevention, Tianjin, China
  38. 38. Jordan University of Science and Technology, Irbid, Jordan
  39. 39. Health Services Academy, Islamabad, Punjab, Pakistan
  40. 40. Islamabad, Punjab, Pakistan
  41. 41. Oregon Health and Science University, Portland, OR, United States
  42. 42. Rajrajeswari Medical College and Hospital, Bangalore, Karnataka, India
  43. 43. EMRiS, Health Services Research, University of Sheffield, Sheffield, South Yorkshire, United Kingdom
  44. 44. SUNY-Albany, Rensselaer, NY, United States
  45. 45. Aintree University Hospital NHS Foundation Trust, Liverpool, United Kingdom
  46. 46. School of Medicine, University of Liverpool, Liverpool, United Kingdom
  47. 47. Swansea University, Swansea, United Kingdom
  48. 48. Department of Public Health, Trnava University, Trnava, Slovakia
  49. 49. University of York, York, United Kingdom
  50. 50. South African Medical Research Council, Cape Town, South Africa
  51. 51. University of Cape Town School of Public Health and Family Medicine, Cape Town, South Africa
  52. 52. Pereleman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
  53. 53. Children’s Hospital of Philadelphia, United States
  54. 54. Addis Ababa University, Addis Ababa, Ethiopia
  55. 55. Pacific Institute for Research and Evaluation, Calverton, MD, United States
  56. 56. Curtin University Centre for Population Health, Perth, WA, Australia
  57. 57. University of Washington, Seattle, WA, United States
  58. 58. Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
  59. 59. National Institute of Psychiatry, Mexico City, Distrito Federal, Mexico
  60. 60. ErasmusMC, Rotterdam, Netherlands
  61. 61. University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada
  62. 62. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  63. 63. Suez Canal University, Ismailia, Egypt
  64. 64. Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Catalonia, Spain
  65. 65. BARC Hospital, HBNI University, Mumbai, Maharashtra, India
  66. 66. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
  67. 67. University of Alabama at Birmingham, Birmingham, AL, United States
  68. 68. An-Najah University, Nablus, Palestine
  69. 69. Tufts Medical Center, Boston, MA, United States
  70. 70. Norwegian Institute of Public Health, Oslo, Norway
  71. 71. Stavanger University Hospital, Stavanger, Norway
  72. 72. Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation was founded in 1999 by the order of Ministry of Health of Russia, Moscow, Russian Federation
  73. 73. University of Cape Town, Cape Town, Western Province, South Africa
  74. 74. MRC Unit on Anxiety and Stress Disorders, Cape Town, Western Cape, South Africa
  75. 75. University of California, Irvine, United States
  76. 76. University of Illinois at Urbana-Champaign, Champaign, IL, United States
  77. 77. IHME, Seattle, WA, United States
  78. 78. Memorial University, St. John’s, NF, Canada
  79. 79. Auckland University of Technology, Auckland, New Zealand
  80. 80. Johns Hopkins University, Baltimore, MD, United States
  81. 81. Hanoi Medical University, Hanoi, Viet Nam
  82. 82. UKK Institute for Health Promotion Research, Tampere, Finland
  83. 83. Higher School of Economics, Moscow, Russian Federation
  84. 84. Institute of Public Health, University of Gondar, Gondar, Amhara, Ethiopia
  85. 85. The University of Hong Kong, Hong Kong
  86. 86. National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
  87. 87. Jackson State University, Jackson, MS, United States
  88. 88. Department of Epidemiology and Biostatistics, School of Public Health, Wuhan, Hubei, China
  89. 89. Global Health Institute, Wuhan University, Wuhan, China

Source: Injury Prevention Published:2016


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. © 2016 BMJ Publishing Group. All rights reserved.
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