TY - JOUR
T1 - Morbidity and mortality from road injuries
T2 - Results from the Global Burden of Disease Study 2017
AU - James, Spencer L.
AU - Lucchesi, Lydia R.
AU - Bisignano, Catherine
AU - Castle, Chris D.
AU - Dingels, Zachary V.
AU - Fox, Jack T.
AU - Hamilton, Erin B.
AU - Liu, Zichen
AU - McCracken, Darrah
AU - Nixon, Molly R.
AU - Sylte, Dillon O.
AU - Roberts, Nicholas L.S.
AU - Adebayo, Oladimeji M.
AU - Aghamolaei, Teamur
AU - Alghnam, Suliman A.
AU - Aljunid, Syed Mohamed
AU - Almasi-Hashiani, Amir
AU - Badawi, Alaa
AU - Behzadifar, Masoud
AU - Behzadifar, Meysam
AU - Bekru, Eyasu Tamru
AU - Bennett, Derrick A.
AU - Chapman, Jens Robert
AU - Deribe, Kebede
AU - Duko Adema, Bereket
AU - Fatahi, Yousef
AU - Gelaw, Belayneh K.
AU - Getahun, Eskezyiaw Agedew
AU - Hendrie, Delia
AU - Henok, Andualem
AU - Hidru, Hagos De
AU - Hosseinzadeh, Mehdi
AU - Hu, Guoqing
AU - Jahani, Mohammad Ali
AU - Jakovljevic, Mihajlo
AU - Jalilian, Farzad
AU - Joseph, Nitin
AU - Karami, Manoochehr
AU - Kelbore, Abraham Getachew
AU - Khan, Md Nuruzzaman
AU - Kim, Yun Jin
AU - Koul, Parvaiz A.
AU - La Vecchia, Carlo
AU - Linn, Shai
AU - Majdzadeh, Reza
AU - Mehndiratta, Man Mohan
AU - Memiah, Peter T.N.
AU - Mengesha, Melkamu Merid
AU - Merie, Hayimro Edemealem
AU - R Miller, Ted
AU - Mirzaei-Alavijeh, Mehdi
AU - Mohammad Darwesh, Aso
AU - Mohammad Gholi Mezerji, Naser
AU - Mohammadibakhsh, Roghayeh
AU - Moodley, Yoshan
AU - Moradi-Lakeh, Maziar
AU - Musa, Kamarul Imran
AU - Nascimento, Bruno Ramos
AU - Nikbakhsh, Rajan
AU - Nyasulu, Peter S.
AU - Omar Bali, Ahmed
AU - Onwujekwe, Obinna E.
AU - Pati, Sanghamitra
AU - Pourmirza Kalhori, Reza
AU - Salehi, Farkhonde
AU - Shahabi, Saeed
AU - Shallo, Seifadin Ahmed
AU - Shamsizadeh, Morteza
AU - Sharafi, Zeinab
AU - Shukla, Sharvari Rahul
AU - Sobhiyeh, Mohammad Reza
AU - Soriano, Joan B.
AU - Sykes, Bryan L.
AU - Tabarés-Seisdedos, Rafael
AU - Tadesse, Degena Bahray Bahrey
AU - Tefera, Yonatal Mesfin
AU - Tehrani-Banihashemi, Arash
AU - Tlou, Boikhutso
AU - Topor-Madry, Roman
AU - Wiangkham, Taweewat
AU - Yaseri, Mehdi
AU - Yaya, Sanni
AU - Yenesew, Muluken Azage
AU - Younis, Mustafa Z.
AU - Ziapour, Arash
AU - Zodpey, Sanjay
AU - Pigott, David M.
AU - Reiner, Robert C.
AU - Hay, Simon I.
AU - Lopez, Alan D.
AU - Mokdad, Ali H.
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
PY - 2020/10
Y1 - 2020/10
N2 - Background: 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. Methods: 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. Results: 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. Conclusions: 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.
AB - Background: 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. Methods: 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. Results: 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. Conclusions: 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.
KW - burden of disease
KW - descriptive epidemiology
KW - motorcycle
KW - road injuries, pedestrian injuries
KW - road traffic accident
KW - traumatic brain injury
UR - http://www.scopus.com/inward/record.url?scp=85077898113&partnerID=8YFLogxK
U2 - 10.1136/injuryprev-2019-043302
DO - 10.1136/injuryprev-2019-043302
M3 - Article
C2 - 31915274
AN - SCOPUS:85077898113
SN - 1353-8047
JO - Injury Prevention
JF - Injury Prevention
M1 - 2019043302
ER -