The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013.
The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013.
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DOI：
10.1136/injuryprev-2015-041616
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发表时间：
2016-02
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通讯作者：
Vos T
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作者：
Haagsma JA;Graetz N;Bolliger I;Naghavi M;Higashi H;Mullany EC;Abera SF;Abraham JP;Adofo K;Alsharif U;Ameh EA;Ammar W;Antonio CA;Barrero LH;Bekele T;Bose D;Brazinova A;Catalá-López F;Dandona L;Dandona R;Dargan PI;De Leo D;Degenhardt L;Derrett S;Dharmaratne SD;Driscoll TR;Duan L;Petrovich Ermakov S;Farzadfar F;Feigin VL;Franklin RC;Gabbe B;Gosselin RA;Hafezi-Nejad N;Hamadeh RR;Hijar M;Hu G;Jayaraman SP;Jiang G;Khader YS;Khan EA;Krishnaswami S;Kulkarni C;Lecky FE;Leung R;Lunevicius R;Lyons RA;Majdan M;Mason-Jones AJ;Matzopoulos R;Meaney PA;Mekonnen W;Miller TR;Mock CN;Norman RE;Orozco R;Polinder S;Pourmalek F;Rahimi-Movaghar V;Refaat A;Rojas-Rueda D;Roy N;Schwebel DC;Shaheen A;Shahraz S;Skirbekk V;Søreide K;Soshnikov S;Stein DJ;Sykes BL;Tabb KM;Temesgen AM;Tenkorang EY;Theadom AM;Tran BX;Vasankari TJ;Vavilala MS;Vlassov VV;Woldeyohannes SM;Yip P;Yonemoto N;Younis MZ;Yu C;Murray CJ;Vos T
全球疾病负担、伤害和风险因素研究使用残疾调整生命年（DALY）来量化疾病、伤害和风险因素的负担。本文概述了GBD 2013年更新版中的伤害估计值，并详细介绍了1990年至2013年全球26种伤害原因的发病率、死亡率、死亡率和变化率。使用广泛的GBD死亡率数据库，对不明确的死亡原因和死亡原因集成建模工具进行校正，估计损伤死亡率。死亡率估计基于住院和门诊数据集、26种损伤原因和47种损伤性质类别以及7项随访研究（患者报告的长期结局指标）。2013年，9.73亿人（不确定区间（UI）942至993）遭受了需要某种类型医疗保健的伤害，480万人（UI 4.5至5.1）死于伤害。从1990年到2013年，全球年龄标准化伤害DALY率下降了31%（UI从26%下降到35%）。DALY率的下降率在22个伤害原因类别中是显著的，包括所有重大伤害。伤害仍然是发达国家和发展中国家发病率和死亡率的一个重要原因。几乎所有伤害发生率的下降如此显著，以至于有必要发表一项一般性声明，即世界正在成为一个更安全的生活场所。然而，这些模式因原因、年龄、性别、区域和时间而有很大差异，仍然需要作出很大的改进。
The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disability-adjusted 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. Injury mortality was estimated using the extensive GBD mortality database, corrections for ill-defined 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. 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. 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.