TY  - JOUR
TI  - The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013
AU  - Juanita A. Haagsma
AU  - Nicholas Graetz
AU  - Ian Bolliger
AU  - Mohsen Naghavi
AU  - Hideki Higashi
AU  - Erin C Mullany
AU  - Semaw Ferede Abera
AU  - Jerry Abraham
AU  - Adofo Koranteng
AU  - Ubai Alsharif
AU  - Emmanuel A Ameh
AU  - Walid Ammar
AU  - Carl Abelardo T. Antonio
AU  - Lope H. Barrero
AU  - Tolesa Bekele
AU  - Dipan Bose
AU  - Alexandra Bražinová
AU  - Ferrán Catalá-López
AU  - Lalit Dandona
AU  - Rakhi Dandona
AU  - Paul I. Dargan
AU  - Diego De Leo
AU  - Louisa Degenhardt
AU  - Sarah Derrett
AU  - Samath Dhamminda Dharmaratne
AU  - Tim Driscoll
AU  - Leilei Duan
AU  - Ermakov Sp
AU  - Farshad Farzadfar
AU  - Valery L. Feigin
AU  - Richard C. Franklin
AU  - Belinda J. Gabbe
AU  - Richard A. Gosselin
AU  - Nima Hafezi‐Nejad
AU  - Randah R Hamadeh
AU  - Martha Hı́jar
AU  - Guoqing Hu
AU  - Sudha Jayaraman
AU  - Guohong Jiang
AU  - Yousef Khader
AU  - Ejaz Ahmad Khan
AU  - Sanjay Krishnaswami
AU  - Chanda Kulkarni
AU  - Fiona Lecky
AU  - Ricky Leung
AU  - Raimundas Lunevičius
AU  - Ronan A Lyons
AU  - Marek Majdán
AU  - Amanda J. Mason‐Jones
AU  - Richard Matzopoulos
AU  - Peter A. Meaney
AU  - Wubegzier Mekonnen
AU  - Ted R. Miller
AU  - Charles Mock
AU  - Rosana Norman
AU  - Ricardo Orozco
AU  - Suzanne Polinder
AU  - Farshad Pourmalek
AU  - Vafa Rahimi‐Movaghar
AU  - Amany Refaat
AU  - David Rojas‐Rueda
AU  - Nobhojit Roy
AU  - David C. Schwebel
AU  - Amira Shaheen
AU  - Saeid Shahraz
AU  - Vegard Skirbekk
AU  - Kjetil Søreide
AU  - Sergey Soshnikov
AU  - Dan J. Stein
AU  - Bryan L. Sykes
AU  - Karen M. Tabb
AU  - Awoke Misganaw Temesgen
AU  - Eric Y. Tenkorang
AU  - Alice Theadom
AU  - Bach Xuan Tran
AU  - Tommi Vasankari
AU  - Monica S. Vavilala
AU  - Vasily Vlassov
AU  - Solomon Woldeyohannes
AU  - Paul Yip
AU  - Naohiro Yonemoto
AU  - Mustafa Z Younis
AU  - Chuanhua Yu
AU  - Christopher Murray
AU  - Theo Vos
AU  - Shivanthi Balalla
AU  - Michael Phillips
PY  - 2015
JO  - Injury Prevention
DO  - 10.1136/injuryprev-2015-041616
UR  - https://doi.org/10.1136/injuryprev-2015-041616
AB  - BACKGROUND: 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. METHODS: 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. 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.
ER  -