Department of Public Health, Erasmus Medical Centre, PO Box 2040, Rotterdam 3000 CA, Netherlands.
Bull World Health Organ. 2012 Jul 1;90(7):513-21. doi: 10.2471/BLT.11.095109. Epub 2012 Mar 13.
To develop a standardized method for calculating years lived with disability (YLD) after injury.
The method developed consists of obtaining data on injury cases seen in emergency departments as well as injury-related hospital admissions, using the EUROCOST system to link the injury cases to disability information and employing empirical data to describe functional outcomes in injured patients.
Overall, 87 weights and proportions for 27 injury diagnoses involving lifelong consequences were included in the method. Almost all of the injuries investigated (96-100%) could be assigned to EUROCOST categories. The mean number of YLD per case of injury varied with the country studied. Use of the novel method resulted in estimated burdens of injury that were 3 to 8 times higher, in terms of YLD, than the corresponding estimates produced using the conventional methods employed in global burden of disease studies, which employ disability-adjusted life years.
The novel method for calculating YLD after injury can be applied in different settings, overcomes some limitations of the method used to calculate the global burden of disease, and allows more accurate estimates of the population burden of injury.
制定一种标准化方法来计算损伤后的伤残损失年数（YLD）。
所开发的方法包括获取急诊科所见损伤病例以及与损伤相关的住院病例数据，使用 EUROCOST 系统将损伤病例与残疾信息联系起来，并利用经验数据描述损伤患者的功能结局。
该方法总共纳入了涉及终身后果的 27 种损伤诊断的 87 个权重和比例。几乎所有研究的损伤（96%-100%）都可以归入 EUROCOST 类别。每个损伤病例的 YLD 平均值因所研究的国家而异。使用新方法得出的损伤负担估计值比使用全球疾病负担研究中使用的伤残调整生命年的传统方法高 3 至 8 倍。
这种新的损伤后 YLD 计算方法可应用于不同环境，克服了计算全球疾病负担的方法的一些局限性，并能更准确地估计损伤的人群负担。
