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

James, Spencer L, Castle, Chris D, Dingels, Zachary V, Fox, Jack T, Hamilton, Erin B, Liu, Zichen, S Roberts, Nicholas L, 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, Ahmad, Tauseef, Ahmed, Rushdia, Ahmed, Muktar Beshir, Eddine Aichour, Miloud Taki, Alahdab, Fares, Alamene, Genet Melak, Alanezi, Fahad Mashhour, Alebel, Animut, Alema, Niguse Meles, Alghnam, Suliman A, Al-Hajj, Samar, Ali, Beriwan Abdulqadir, Ali, Saqib, Alikhani, Mahtab, Alinia, Cyrus, Alipour, Vahid, Aljunid, Syed Mohamed, Almasi-Hashiani, Amir, Almasri, Nihad A, Altirkawi, Khalid, Abdeldayem Amer, Yasser Sami, Amini, Saeed, Loreche Amit, Arianna Maever, Andrei, Catalina Liliana, Ansari-Moghaddam, Alireza, T Antonio, Carl Abelardo, Yaw Appiah, Seth Christopher, Arabloo, Jalal, Arab-Zozani, Morteza, Arefi, Zohreh, Aremu, Olatunde, Ariani, Filippo, Arora, Amit, Asaad, Malke, Asghari, Babak, Awoke, Nefsu, Ayala Quintanilla, Beatriz Paulina, Ayano, Getinet, Ayanore, Martin Amogre, Azari, Samad, Azarian, Ghasem, Badawi, Alaa, Badiye, Ashish D, Bagli, Eleni, Baig, Atif Amin, Bairwa, Mohan, Bakhtiari, Ahad, Balachandran, Arun, Banach, Maciej, Banerjee, Srikanta K, Banik, Palash Chandra, Banstola, Amrit, Barker-Collo, Suzanne Lyn, Bärnighausen, Till Winfried, Barrero, Lope H, Barzegar, Akbar, Bayati, Mohsen, Baye, Bayisa Abdissa, Bedi, Neeraj, Behzadifar, Masoud, Bekuma, Tariku Tesfaye, Belete, Habte, Benjet, Corina, Bennett, Derrick A, Bensenor, Isabela M, Berhe, Kidanemaryam, Bhardwaj, Pankaj, Bhat, Anusha Ganapati, Bhattacharyya, Krittika, Bibi, Sadia, Bijani, Ali, Bin Sayeed, Muhammad Shahdaat, Borges, Guilherme, Borzì, Antonio Maria, Boufous, Soufiane, Brazinova, Alexandra, Briko, Nikolay Ivanovich, Budhathoki, Shyam S, Car, Josip, Cárdenas, Rosario, Carvalho, Félix, Castaldelli-Maia, João Mauricio, Castañeda-Orjuela, Carlos A, Castelpietra, Giulio, Catalá-López, Ferrán, Cerin, Ester, Chandan, Joht S, Chanie, Wagaye Fentahun, Chattu, Soosanna Kumary, Chattu, Vijay Kumar, Chatziralli, Irini, Chaudhary, Neha, Cho, Daniel Youngwhan, Kabir Chowdhury, Mohiuddin Ahsanul, Chu, Dinh-Toi, Colquhoun, Samantha M, Constantin, Maria-Magdalena, Costa, Vera M, Damiani, Giovanni, Daryani, Ahmad, Dávila-Cervantes, Claudio Alberto, Demeke, Feleke Mekonnen, Demis, Asmamaw Bizuneh, Demoz, Gebre Teklemariam, Demsie, Desalegn Getnet, Derakhshani, Afshin, Deribe, Kebede, Desai, Rupak, Nasab, Mostafa Dianati, da Silva, Diana Dias, Dibaji Forooshani, Zahra Sadat, Doyle, Kerrie E, Driscoll, Tim Robert, Dubljanin, Eleonora, Adema, Bereket Duko, Eagan, Arielle Wilder, Eftekhari, Aziz, Ehsani-Chimeh, Elham, Sayed Zaki, Maysaa El, Elemineh, Demelash Abewa, El-Jaafary, Shaimaa I, El-Khatib, Ziad, Ellingsen, Christian Lycke, Emamian, Mohammad Hassan, Endalew, Daniel Adane, Eskandarieh, Sharareh, Faris, Pawan Sirwan, Faro, Andre, Farzadfar, Farshad, Fatahi, Yousef, Fekadu, Wubalem, Ferede, Tomas Y, Fereshtehnejad, Seyed-Mohammad, Fernandes, Eduarda, Ferrara, Pietro, Feyissa, Garumma Tolu, Filip, Irina, Fischer, Florian, Folayan, Morenike Oluwatoyin, Foroutan, Masoud, Francis, Joel Msafiri, Franklin, Richard Charles, Fukumoto, Takeshi, Geberemariyam, Biniyam Sahiledengle, Gebre, Abadi Kahsu, Gebremedhin, Ketema Bizuwork, Gebremeskel, Gebreamlak Gebremedhn, Gebremichael, Berhe, Gedefaw, Getnet Azeze, Geta, Birhanu, Ghafourifard, Mansour, Ghamari, Farhad, Ghashghaee, Ahmad, Gholamian, Asadollah, Gill, Tiffany K, Goulart, Alessandra C, Grada, Ayman, Grivna, Michal, Mohialdeen Gubari, Mohammed Ibrahim, Guimarães, Rafael Alves, Guo, Yuming, Gupta, Gaurav, Haagsma, Juanita A, Hafezi-Nejad, Nima, Bidgoli, Hassan Haghparast, Hall, Brian James, Hamadeh, Randah R, Hamidi, Samer, Haro, Josep Maria, Hasan, Md Mehedi, Hasanzadeh, Amir, Hassanipour, Soheil, Hassankhani, Hadi, Hassen, Hamid Yimam, Havmoeller, Rasmus, Hayat, Khezar, Hendrie, Delia, Heydarpour, Fatemeh, Híjar, Martha, Ho, Hung Chak, Hoang, Chi Linh, Hole, Michael K, Holla, Ramesh, Hossain, Naznin, Hosseinzadeh, Mehdi, Hostiuc, Sorin, Hu, Guoqing, Ibitoye, Segun Emmanuel, Ilesanmi, Olayinka Stephen, Ilic, Irena, Ilic, Milena D, Inbaraj, Leeberk Raja, Indriasih, Endang, Naghibi Irvani, Seyed Sina, Shariful Islam, Sheikh Mohammed, Islam, M Mofizul, Ivers, Rebecca Q, Jacobsen, Kathryn H, Jahani, Mohammad Ali, Jahanmehr, Nader, Jakovljevic, Mihajlo, Jalilian, Farzad, Jayaraman, Sudha, Jayatilleke, Achala Upendra, Jha, Ravi Prakash, John-Akinola, Yetunde O, Jonas, Jost B, Joseph, Nitin, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jungari, Suresh Banayya, Jürisson, Mikk, Kabir, Ali, Kadel, Rajendra, Kahsay, Amaha, Kalankesh, Leila R, Kalhor, Rohollah, Kamil, Teshome Abegaz, Kanchan, Tanuj, Kapoor, Neeti, Karami, Manoochehr, Kasaeian, Amir, Kassaye, Hagazi Gebremedhin, Kavetskyy, Taras, Kebede, Hafte Kahsay, Keiyoro, Peter Njenga, Kelbore, Abraham Getachew, Kelkay, Bayew, Khader, Yousef Saleh, Khafaie, Morteza Abdullatif, Khalid, Nauman, Khalil, Ibrahim A, Khalilov, Rovshan, Khammarnia, Mohammad, Khan, Ejaz Ahmad, Khan, Maseer, Khanna, Tripti, Khazaie, Habibolah, Shadmani, Fatemeh Khosravi, Khundkar, Roba, Kiirithio, Daniel N, Kim, Young-Eun, Kim, Daniel, Kim, Yun Jin, Kisa, Adnan, Kisa, Sezer, Komaki, Hamidreza, M Kondlahalli, Shivakumar K, Korshunov, Vladimir Andreevich, Koyanagi, Ai, G Kraemer, Moritz U, Krishan, Kewal, Bicer, Burcu Kucuk, Kugbey, Nuworza, Kumar, Vivek, Kumar, Nithin, Kumar, G Anil, Kumar, Manasi, Kumaresh, Girikumar, Kurmi, Om P, Kuti, Oluwatosin, Vecchia, Carlo La, Lami, Faris Hasan, Lamichhane, Prabhat, Lang, Justin J, Lansingh, Van C, Laryea, Dennis Odai, Lasrado, Savita, Latifi, Arman, Lauriola, Paolo, Leasher, Janet L, Huey Lee, Shaun Wen, Lenjebo, Tsegaye Lolaso, Levi, Miriam, Li, Shanshan, Linn, Shai, Liu, Xuefeng, Lopez, Alan D, Lotufo, Paulo A, Lunevicius, Raimundas, Lyons, Ronan A, Madadin, Mohammed, El Razek, Muhammed Magdy Abd, Mahotra, Narayan Bahadur, Majdan, Marek, Majeed, Azeem, Malagon-Rojas, Jeadran N, Maled, Venkatesh, Malekzadeh, Reza, Malta, Deborah Carvalho, Manafi, Navid, Manafi, Amir, Manda, Ana-Laura, Manjunatha, Narayana, Mansour-Ghanaei, Fariborz, Mansouri, Borhan, Mansournia, Mohammad Ali, Maravilla, Joemer C, March, Lyn M, Mason-Jones, Amanda J, Masoumi, Seyedeh Zahra, Massenburg, Benjamin Ballard, Maulik, Pallab K, Meles, Gebrekiros Gebremichael, Melese, Addisu, Melketsedik, Zeleke Aschalew, N Memiah, Peter T, Mendoza, Walter, Menezes, Ritesh G, Mengesha, Meresa Berwo, Mengesha, Melkamu Merid, Meretoja, Tuomo J, Meretoja, Atte, Merie, Hayimro Edemealem, Mestrovic, Tomislav, Miazgowski, Bartosz, Miazgowski, Tomasz, Miller, Ted R, Mini, GK, Mirica, Andreea, Mirrakhimov, Erkin M, Mirzaei-Alavijeh, Mehdi, Mithra, Prasanna, Moazen, Babak, Moghadaszadeh, Masoud, Mohamadi, Efat, Mohammad, Yousef, Mohammad, Karzan Abdulmuhsin, Darwesh, Aso Mohammad, Gholi Mezerji, Naser Mohammad, Mohammadian-Hafshejani, Abdollah, Mohammadoo-Khorasani, Milad, Mohammadpourhodki, Reza, Mohammed, Shafiu, Mohammed, Jemal Abdu, Mohebi, Farnam, Molokhia, Mariam, Monasta, Lorenzo, Moodley, Yoshan, Moosazadeh, Mahmood, Moradi, Masoud, Moradi, Ghobad, Moradi-Lakeh, Maziar, Moradpour, Farhad, Morawska, Lidia, Velásquez, Ilais Moreno, Morisaki, Naho, Morrison, Shane Douglas, Mossie, Tilahun Belete, Muluneh, Atalay Goshu, Murthy, Srinivas, Musa, Kamarul Imran, Mustafa, Ghulam, Nabhan, Ashraf F, Nagarajan, Ahamarshan Jayaraman, Naik, Gurudatta, Naimzada, Mukhammad David, Najafi, Farid, Nangia, Vinay, Nascimento, Bruno Ramos, Naserbakht, Morteza, Nayak, Vinod, Ndwandwe, Duduzile Edith, Negoi, Ionut, Ngunjiri, Josephine W, Nguyen, Cuong Tat, Thi Nguyen, Huong Lan, Nikbakhsh, Rajan, Anggraini Ningrum, Dina Nur, Nnaji, Chukwudi A, Nyasulu, Peter S, Ogbo, Felix Akpojene, Oghenetega, Onome Bright, Oh, In-Hwan, Okunga, Emmanuel Wandera, Olagunju, Andrew T, Olagunju, Tinuke O, Bali, Ahmed Omar, Onwujekwe, Obinna E, Asante, Kwaku Oppong, Orpana, Heather M, Ota, Erika, Otstavnov, Nikita, Otstavnov, Stanislav S, A, Mahesh P, Padubidri, Jagadish Rao, Pakhale, Smita, Pakshir, Keyvan, Panda-Jonas, Songhomitra, Park, Eun-Kee, Patel, Sangram Kishor, Pathak, Ashish, Pati, Sanghamitra, Patton, George C, Paulos, Kebreab, Peden, Amy E., Filipino Pepito, Veincent Christian, Pereira, Jeevan, Pham, Hai Quang, Phillips, Michael R, Pinheiro, Marina, Polibin, Roman V, Polinder, Suzanne, Poustchi, Hossein, Prakash, Swayam, Angga Pribadi, Dimas Ria, Puri, Parul, Syed, Zahiruddin Quazi, Rabiee, Mohammad, Rabiee, Navid, Radfar, Amir, Rafay, Anwar, Rafiee, Ata, Rafiei, Alireza, Rahim, Fakher, Rahimi, Siavash, Rahimi-Movaghar, Vafa, Rahman, Muhammad Aziz, Rajabpour-Sanati, Ali, Rajati, Fatemeh, Rakovac, Ivo, Ranganathan, Kavitha, Rao, Sowmya J, Rashedi, Vahid, Rastogi, Prateek, Rathi, Priya, Rawaf, Salman, Rawal, Lal, Rawassizadeh, Reza, Renjith, Vishnu, N Renzaho, Andre M, Resnikoff, Serge, Rezapour, Aziz, Ribeiro, Ana Isabel, Rickard, Jennifer, Rios González, Carlos Miguel, Ronfani, Luca, Roshandel, Gholamreza, Saad, Anas M, Sabde, Yogesh Damodar, Sabour, Siamak, Saddik, Basema, Safari, Saeed, Safari-Faramani, Roya, Safarpour, Hamid, Safdarian, Mahdi, Sajadi, S Mohammad, Salamati, Payman, Salehi, Farkhonde, Zahabi, Saleh Salehi, Rashad Salem, Marwa R, Salem, Hosni, Salman, Omar, Salz, Inbal, Samy, Abdallah M, Sanabria, Juan, Riera, Lidia Sanchez, Santric Milicevic, Milena M, Sarker, Abdur Razzaque, Sarveazad, Arash, Sathian, Brijesh, Sawhney, Monika, Sawyer, Susan M, Saxena, Sonia, Sayyah, Mehdi, Schwebel, David C, Seedat, Soraya, Senthilkumaran, Subramanian, Sepanlou, Sadaf G, Seyedmousavi, Seyedmojtaba, Sha, Feng, Shaahmadi, Faramarz, Shahabi, Saeed, Shaikh, Masood Ali, Shams-Beyranvand, Mehran, Shamsizadeh, Morteza, Sharif-Alhoseini, Mahdi, Sharifi, Hamid, Sheikh, Aziz, Shigematsu, Mika, Shin, Jae Il, Shiri, Rahman, Siabani, Soraya, Sigfusdottir, Inga Dora, Singh, Pankaj Kumar, Singh, Jasvinder A, Sinha, Dhirendra Narain, Smarandache, Catalin-Gabriel, R Smith, Emma U, Soheili, Amin, Soleymani, Bija, Soltanian, Ali Reza, Soriano, Joan B, Sorrie, Muluken Bekele, Soyiri, Ireneous N, Stein, Dan J, Stokes, Mark A, Sufiyan, Mu'awiyyah Babale, Rasul Suleria, Hafiz Ansar, Sykes, Bryan L, Tabarés-Seisdedos, Rafael, Tabb, Karen M, Taddele, Biruk Wogayehu, Tadesse, Degena Bahrey, Tamiru, Animut Tagele, Tarigan, Ingan Ukur, Tefera, Yonatal Mesfin, Tehrani-Banihashemi, Arash, Tekle, Merhawi Gebremedhin, Tekulu, Gebretsadkan Hintsa, Tesema, Ayenew Kassie, Tesfay, Berhe Etsay, Thapar, Rekha, Tilahune, Asres Bedaso, Tlaye, Kenean Getaneh, Tohidinik, Hamid Reza, Topor-Madry, Roman, Tran, Bach Xuan, Tran, Khanh Bao, Tripathy, Jaya Prasad, Tsai, Alexander C, Car, Lorainne Tudor, Ullah, Saif, Ullah, Irfan, Umar, Maida, Unnikrishnan, Bhaskaran, Upadhyay, Era, Uthman, Olalekan A, Valdez, Pascual R, Vasankari, Tommi Juhani, Venketasubramanian, Narayanaswamy, Violante, Francesco S, Vlassov, Vasily, Waheed, Yasir, Weldesamuel, Girmay Teklay, Werdecker, Andrea, Wiangkham, Taweewat, Wolde, Haileab Fekadu, Woldeyes, Dawit Habte, Wondafrash, Dawit Zewdu, Wondmeneh, Temesgen Gebeyehu, Wondmieneh, Adam Belay, Wu, Ai-Min, Yadav, Rajaram, Yadollahpour, Ali, Yano, Yuichiro, Yaya, Sanni, Yazdi-Feyzabadi, Vahid, Yip, Paul, Yisma, Engida, Yonemoto, Naohiro, Yoon, Seok-Jun, Youm, Yoosik, Younis, Mustafa Z, Yousefi, Zabihollah, Yu, Yong, Yu, Chuanhua, Yusefzadeh, Hasan, Moghadam, Telma Zahirian, Zaidi, Zoubida, Zaman, Sojib Bin, Zamani, Mohammad, Zamanian, Maryam, Zandian, Hamed, Zarei, Ahmad, Zare, Fatemeh, Zhang, Zhi-Jiang, Zhang, Yunquan, Zodpey, Sanjay, Dandona, Lalit, Dandona, Rakhi, Degenhardt, Louisa, Dharmaratne, Samath Dhamminda, Hay, Simon I, Mokdad, Ali H, Reiner, Robert C, Sartorius, Benn, and Vos, Theo (2020) Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017. Injury Prevention, 26. i96-i114.

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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.

Item ID: 65006
Item Type: Article (Research - C1)
ISSN: 1475-5785
Keywords: burden of disease, global, descriptive epidemiology
Copyright Information: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
Funders: Bill and Melinda Gates Foundation (BMGF)
Projects and Grants: BMGF OPP1152504
Date Deposited: 11 Nov 2020 01:58
FoR Codes: 42 HEALTH SCIENCES > 4202 Epidemiology > 420207 Major global burdens of disease @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920409 Injury Control @ 100%
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