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

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

Research output: Contribution to journalArticle

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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.

Original languageEnglish
Article number2019-043494
JournalInjury Prevention
DOIs
Publication statusAccepted/In press - 01-01-2020

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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    James, S. L., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Liu, Z., S Roberts, N. L., Sylte, D. O., Henry, N. J., Legrand, K. E., Abdelalim, A., Abdoli, A., Abdollahpour, I., Abdulkader, R. S., Abedi, A., Abosetugn, A. E., Abushouk, A. I., Adebayo, O. M., Agudelo-Botero, M., ... Vos, T. (Accepted/In press). Global injury morbidity and mortality from 1990 to 2017: Results from the Global Burden of Disease Study 2017. Injury Prevention, [2019-043494]. https://doi.org/10.1136/injuryprev-2019-043494