Morbidity and mortality from road injuries: results from the Global Burden of Disease Study 2017.

Morbidity and mortality from road injuries: results from the Global Burden of Disease Study 2017.
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DOI:
10.1136/injuryprev-2019-043302
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发表时间:
2020-10
期刊:
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子:
--
通讯作者:
Mokdad AH
Mokdad AH
中科院分区:
其他
文献类型:
--
作者:
James SL;Lucchesi LR;Bisignano C;Castle CD;Dingels ZV;Fox JT;Hamilton EB;Liu Z;McCracken D;Nixon MR;Sylte DO;Roberts NLS;Adebayo OM;Aghamolaei T;Alghnam SA;Aljunid SM;Almasi-Hashiani A;Badawi A;Behzadifar M;Behzadifar M;Bekru ET;Bennett DA;Chapman JR;Deribe K;Duko Adema B;Fatahi Y;Gelaw BK;Getahun EA;Hendrie D;Henok A;Hidru H;Hosseinzadeh M;Hu G;Jahani MA;Jakovljevic M;Jalilian F;Joseph N;Karami M;Kelbore AG;Khan MN;Kim YJ;Koul PA;La Vecchia C;Linn S;Majdzadeh R;Mehndiratta MM;Memiah PTN;Mengesha MM;Merie HE;R Miller T;Mirzaei-Alavijeh M;Mohammad Darwesh A;Mohammad Gholi Mezerji N;Mohammadibakhsh R;Moodley Y;Moradi-Lakeh M;Musa KI;Nascimento BR;Nikbakhsh R;Nyasulu PS;Omar Bali A;Onwujekwe OE;Pati S;Pourmirza Kalhori R;Salehi F;Shahabi S;Shallo SA;Shamsizadeh M;Sharafi Z;Shukla SR;Sobhiyeh MR;Soriano JB;Sykes BL;Tabarés-Seisdedos R;Tadesse DBB;Tefera YM;Tehrani-Banihashemi A;Tlou B;Topor-Madry R;Wiangkham T;Yaseri M;Yaya S;Yenesew MA;Younis MZ;Ziapour A;Zodpey S;Pigott DM;Reiner RC Jr;Hay SI;Lopez AD;Mokdad AH

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众所周知,全球道路伤害负担具有复杂的地理、时间和人口模式。虽然道路伤害造成的健康损失是一个具有全球重要性的重大问题,但近年来没有进行全面评估,包括对每个年龄组、性别和国家的估计数。我们使用了2017年全球疾病负担(GBD)研究的结果,报告了1990年至2017年GBD层级中所有地点道路伤害的发病率、患病率、残疾生活年限、死亡、生命损失年限和残疾调整生命年。其次,我们按地区测量了死亡率与发病率之比。第三,我们评估了每个道路伤害造成的伤害性质的分布(例如,创伤性脑损伤)。2017年,在全球54 192 330例(47 381 583至61 645 891)新发道路伤害病例中,有1 243 068人(95%不确定区间1 191 889至1 276 940)死于道路伤害。1990年至2017年期间,年龄标准化道路伤害发生率上升,而死亡率下降。从区域来看,年龄标准化死亡率在除南亚和拉丁美洲南部两个区域外的所有区域都有所下降,这两个区域的死亡率没有显著变化。在21个GBD地区中,有9个地区的年龄标准化发病率显著上升,10个地区显著下降,2个地区没有显著变化。虽然近几十年来道路伤害死亡率有所改善,但发病率却在恶化,而且存在明显的地理异质性。这些发现表明,需要更多的研究来更好地了解如何预防道路伤害。
The global burden of road injuries is known to follow complex geographical, temporal and demographic patterns. While health loss from road injuries is a major topic of global importance, there has been no recent comprehensive assessment that includes estimates for every age group, sex and country over recent years. We used results from the Global Burden of Disease (GBD) 2017 study to report incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years for all locations in the GBD 2017 hierarchy from 1990 to 2017 for road injuries. Second, we measured mortality-to-incidence ratios by location. Third, we assessed the distribution of the natures of injury (eg, traumatic brain injury) that result from each road injury. Globally, 1 243 068 (95% uncertainty interval 1 191 889 to 1 276 940) people died from road injuries in 2017 out of 54 192 330 (47 381 583 to 61 645 891) new cases of road injuries. Age-standardised incidence rates of road injuries increased between 1990 and 2017, while mortality rates decreased. Regionally, age-standardised mortality rates decreased in all but two regions, South Asia and Southern Latin America, where rates did not change significantly. Nine of 21 GBD regions experienced significant increases in age-standardised incidence rates, while 10 experienced significant decreases and two experienced no significant change. While road injury mortality has improved in recent decades, there are worsening rates of incidence and significant geographical heterogeneity. These findings indicate that more research is needed to better understand how road injuries can be prevented.
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发表时间: 2018-11-10
期刊: Lancet (London, England)
影响因子: --
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发表时间: 2016-02
期刊: Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
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DOI: 10.1097/sla.0000000000000522
发表时间: 2015-03
期刊: Annals of surgery
影响因子: 9
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