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

Accidents, Traffic Asia Global Burden of Disease Global Health Humans Morbidity Mortality / trends Quality-Adjusted Life Years Wounds and Injuries / mortality
burden of disease descriptive epidemiology motorcycle road injuries, pedestrian injuries road traffic accident traumatic brain injury

Journal

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
ISSN: 1475-5785
Titre abrégé: Inj Prev
Pays: England
ID NLM: 9510056

Informations de publication

Date de publication:
10 2020
Historique:
received: 10 05 2019
revised: 29 07 2019
accepted: 30 07 2019
pubmed: 10 1 2020
medline: 31 8 2021
entrez: 10 1 2020
Statut: ppublish

Résumé

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.

Sections du résumé

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.

Identifiants

DOI: 10.1136/injuryprev-2019-043302 PMID: 31915274 PMC: PMC7571357
pubmed: 31915274
pii: injuryprev-2019-043302
doi: 10.1136/injuryprev-2019-043302
pmc: PMC7571357
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

i46-i56

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 201900/Z/16/Z
Pays : United Kingdom

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: SLJ reports grants from Sanofi Pasteur outside the submitted work. TRM reports a contract to evaluate AB InBev Foundation’s efforts to, among other things, reduce impaired driving in 6 cities using GBD road safety data in calculating baseline harm.

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Auteurs

Spencer L James (SL)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA spencj@uw.edu.
ORCID: 0000-0003-4653-2507

Lydia R Lucchesi (LR)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Catherine Bisignano (C)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Chris D Castle (CD)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Zachary V Dingels (ZV)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Jack T Fox (JT)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Erin B Hamilton (EB)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Zichen Liu (Z)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Darrah McCracken (D)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Molly R Nixon (MR)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Dillon O Sylte (DO)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Nicholas L S Roberts (NLS)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Oladimeji M Adebayo (OM)

College of Medicine, University College Hospital, Ibadan, Nigeria.

Teamur Aghamolaei (T)

Department of Health Education and Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Suliman A Alghnam (SA)

Department of Population Health Research, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Syed Mohamed Aljunid (SM)

Department of Health Policy and Management, Kuwait University, Safat, Kuwait.
International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia.

Amir Almasi-Hashiani (A)

Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran.

Alaa Badawi (A)

Public Health Risk Sciences Division, Public Health Agency of Canada, Toronto, Ontario, Canada.
Department of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.

Masoud Behzadifar (M)

Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

Meysam Behzadifar (M)

Hepatitis Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

Eyasu Tamru Bekru (ET)

College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia.

Derrick A Bennett (DA)

Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Jens Robert Chapman (JR)

Swedish Neuroscience Institute, Swedish Brain and Spine Specialists, Seattle, Washington, USA.

Kebede Deribe (K)

Department of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK.
School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Bereket Duko Adema (B)

Department of Public Health, Hawassa University, Hawassa, Ethiopia.

Yousef Fatahi (Y)

Department of Pharmaceutical Nanotechnology, Tehran University of Medical Sciences, Tehran, Iran.

Belayneh K Gelaw (BK)

School of Pharmacy, Debre Tabor University, Ambo, Ethiopia.

Eskezyiaw Agedew Getahun (EA)

Department of Public Health, Arba Minch University, Arba Minch City, Ethiopia.

Delia Hendrie (D)

School of Public Health, Curtin University, Perth, Western Australia, Australia.

Andualem Henok (A)

Department of Public Health, Mizan-Tepi University, Teppi, Ethiopia.

Hagos de Hidru (H)

Department of Biostatistics and Epidemiology, Adigrat University, Adigrat, Ethiopia.

Mehdi Hosseinzadeh (M)

Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Computer Science Department, University of Human Development, Sulaimaniyah, Iraq.

Guoqing Hu (G)

Department of Epidemiology and Health Statistics, Central South University, Changsha, China.

Mohammad Ali Jahani (MA)

Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.

Mihajlo Jakovljevic (M)

N.A.Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Farzad Jalilian (F)

Social Development & Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Nitin Joseph (N)

Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, India.

Manoochehr Karami (M)

Department of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran.

Abraham Getachew Kelbore (AG)

Department of Dermatology, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

Md Nuruzzaman Khan (MN)

Department of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.
Department of Public Health, University of Newcastle, Newcastle, New South Wales, Australia.

Yun Jin Kim (YJ)

School of Medicine, Xiamen University Malaysia, Sepang, Malaysia.

Parvaiz A Koul (PA)

Department of Internal and Pulmonary Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, India.

Carlo La Vecchia (C)

Department of Clinical Medicine and Community Health, University of Milan, Milano, Italy.

Shai Linn (S)

School of Public Health, University of Haifa, Haifa, Israel.

Reza Majdzadeh (R)

Community-Based Participatory-Research (CBPR) Center, Tehran University of Medical Sciences, Tehran, Iran.
Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences, Tehran, Iran.

Man Mohan Mehndiratta (MM)

Neurology Department, Janakpuri Super Specialty Hospital Society, New Delhi, India.
Department of Neurology, New Delhi, India.

Peter T N Memiah (PTN)

Department of Public Health, University of West Florida, Pensacola, Florida, USA.

Melkamu Merid Mengesha (MM)

Department of Epidemiology and Biostatistics, Haramaya University, Harar, Ethiopia.

Hayimro Edemealem Merie (HE)

Department of Statistics, Debre Markos University, Debre Markos, Ethiopia.

Ted R Miller (T)

School of Public Health, Curtin University, Perth, Western Australia, Australia.
Pacific Institute for Research and Evaluation, Calverton, Maryland, United States.

Mehdi Mirzaei-Alavijeh (M)

Social Development & Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Aso Mohammad Darwesh (A)

Information Technology Department, University of Human Development, Sulaimaniyah, Iraq.

Naser Mohammad Gholi Mezerji (N)

Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran.

Roghayeh Mohammadibakhsh (R)

Hamadan University of Medical Sciences, Hamadan, Iran.

Yoshan Moodley (Y)

Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.

Maziar Moradi-Lakeh (M)

Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.

Kamarul Imran Musa (KI)

School of Medical Sciences, Science University of Malaysia, Kubang Kerian, Malaysia.

Bruno Ramos Nascimento (BR)

Hospital of the Federal University of Minas Gerais, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Rajan Nikbakhsh (R)

Obesity Research Center, Research Institute for Endocrine Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Peter S Nyasulu (PS)

Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town, South Africa.

Ahmed Omar Bali (A)

Department of Diplomacy and Public Relations, University of Human Development, Sulaimaniyah, Iraq.

Obinna E Onwujekwe (OE)

Department of Pharmacology and Therapeutics, University of Nigeria Nsukka, Enugu, Nigeria.

Sanghamitra Pati (S)

Regional Medical Research Centre, Indian Council of Medical Research, Bhubaneswar, India.

Reza Pourmirza Kalhori (R)

Paramedic Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Farkhonde Salehi (F)

Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Saeed Shahabi (S)

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Seifadin Ahmed Shallo (SA)

Department of Public Health, Ambo University, Ambo, Ethiopia.

Morteza Shamsizadeh (M)

Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Zeinab Sharafi (Z)

Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

Sharvari Rahul Shukla (SR)

Symbiosis Institute of Health Sciences, Symbiosis International University, Pune, India.

Mohammad Reza Sobhiyeh (MR)

Departments of Vascular & Endovascular Surgery, General Surgery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Peripheral Vascular Intervention Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Joan B Soriano (JB)

Hospital Universitario de la Princesa, Autonomous University of Madrid, Madrid, Spain.
Respiratory Diseases Networking Biomedical Research Centre (CIBERES), Institute of Health Carlos III, Madrid, Spain.

Bryan L Sykes (BL)

Department of Criminology, Law and Society, University of California Irvine, Irvine, California, USA.

Rafael Tabarés-Seisdedos (R)

Department of Medicine, University of Valencia, Valencia, Spain.
Carlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain.

Degena Bahray Bahrey Tadesse (DBB)

Nursing Department, Institute of Tropical Medicine, Aksum, Ethiopia.
Axum College of Health Science, Mekelle, Ethiopia.

Yonatal Mesfin Tefera (YM)

School of Public Health, University of Adelaide, Adelaide, South Australia, Australia.
Department of Environmental Health, Wollo University, Dessie, Ethiopia.

Arash Tehrani-Banihashemi (A)

Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, Iran University of Medical Sciences, Tehran, Iran.

Boikhutso Tlou (B)

Department of Public Health, University of KwaZulu-Natal, Durban, South Africa.

Roman Topor-Madry (R)

Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
The Agency for Health Technology Assessment and Tariff System, Warsaw, Poland.

Taweewat Wiangkham (T)

Department of Physical Therapy, Faculty of Allied Health Sciences, Naresuan University, Meung District, Thailand.

Mehdi Yaseri (M)

Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Sanni Yaya (S)

School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada.

Muluken Azage Yenesew (MA)

School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia.

Mustafa Z Younis (MZ)

Health Economics & Finance, Jackson State University, Jackson, Mississippi, USA.
Research Center for Public Health, Tsinghua University, Peking, China.

Arash Ziapour (A)

Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.

Sanjay Zodpey (S)

Indian Institute of Public Health, Public Health Foundation of India, Gurugram, India.

David M Pigott (DM)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.

Robert C Reiner (RC)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.

Simon I Hay (SI)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.

Alan D Lopez (AD)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
School of Population and Global Health, University of Melbourne, Melbourne, Queensland, Australia.

Ali H Mokdad (AH)

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Accidents › Accidents de la route › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Régions géographiques › Asie › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Enquêtes de santé › Indicateurs d'état de santé › Charge mondiale de morbidité › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé mondiale › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Mortalité › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Espérance de vie › Années de vie ajustées sur la qualité › Morbidity and mortality from road injuries:...
questionsmedicales.fr › Plaies et blessures › Morbidity and mortality from road injuries:...