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

Abstract

BackgroundPast 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.MethodsWe 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).FindingsIn 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).InterpretationInjuries 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.

Knowledge and Attitudes on First aid among Advanced Level Students in Gampaha Educational Zone, Sri Lanka.

“…In 1990, there weremore than 350millionnew cases of injuries recorded globally and it hasincreased to 520 million new cases by2017 [2]. Even though injuries are considered as an important cause of health lossworldwide, the mortality rate has declined by 2017from 1079 to 738 per 100 000 individuals [2].…”

“…In 1990, there weremore than 350millionnew cases of injuries recorded globally and it hasincreased to 520 million new cases by2017 [2]. Even though injuries are considered as an important cause of health lossworldwide, the mortality rate has declined by 2017from 1079 to 738 per 100 000 individuals [2]. In 2013,973 million peoplewere subjected to injuries which required medical attention [2].Most significant causes included car crashes (29%), selfharm(17.6%), falls (11.6%) and violence (8.5%).…”

“…Even though injuries are considered as an important cause of health lossworldwide, the mortality rate has declined by 2017from 1079 to 738 per 100 000 individuals [2]. In 2013,973 million peoplewere subjected to injuries which required medical attention [2].Most significant causes included car crashes (29%), selfharm(17.6%), falls (11.6%) and violence (8.5%). However, out of the total cases,only around 6% required hospital admission.…”

“…However, out of the total cases,only around 6% required hospital admission. Out of those cases, the most common reason (38.5%) for admission was having fractures [2].…”

Population ageing in Europe and Asia: Beyond traditional perspectives

“…Many developing countries in Asia started having higher mortality from noncommunicable diseases even before they had managed to bring deaths due to communicable diseases down to lower levels. The mortality rates at adult ages from injuries and accidents are also higher in Asian countries (James et al, 2020). In addition, females in several Asian countries face an additional burden of deaths from reproductive health issues (Khan et al, 2006).…”