《全球疾病负担研究2013：全球伤害负担——发病率、死亡率、伤残调整生命年及时间趋势》
The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013.
作者信息
Haagsma Juanita A, Graetz Nicholas, Bolliger Ian, Naghavi Mohsen, Higashi Hideki, Mullany Erin C, Abera Semaw Ferede, Abraham Jerry Puthenpurakal, Adofo Koranteng, Alsharif Ubai, Ameh Emmanuel A, Ammar Walid, Antonio Carl Abelardo T, Barrero Lope H, Bekele Tolesa, Bose Dipan, Brazinova Alexandra, Catalá-López Ferrán, Dandona Lalit, Dandona Rakhi, Dargan Paul I, De Leo Diego, Degenhardt Louisa, Derrett Sarah, Dharmaratne Samath D, Driscoll Tim R, Duan Leilei, Petrovich Ermakov Sergey, Farzadfar Farshad, Feigin Valery L, Franklin Richard C, Gabbe Belinda, Gosselin Richard A, Hafezi-Nejad Nima, Hamadeh Randah Ribhi, Hijar Martha, Hu Guoqing, Jayaraman Sudha P, Jiang Guohong, Khader Yousef Saleh, Khan Ejaz Ahmad, Krishnaswami Sanjay, Kulkarni Chanda, Lecky Fiona E, Leung Ricky, Lunevicius Raimundas, Lyons Ronan Anthony, Majdan Marek, Mason-Jones Amanda J, Matzopoulos Richard, Meaney Peter A, Mekonnen Wubegzier, Miller Ted R, Mock Charles N, Norman Rosana E, Orozco Ricardo, Polinder Suzanne, Pourmalek Farshad, Rahimi-Movaghar Vafa, Refaat Amany, Rojas-Rueda David, Roy Nobhojit, Schwebel David C, Shaheen Amira, Shahraz Saeid, Skirbekk Vegard, Søreide Kjetil, Soshnikov Sergey, Stein Dan J, Sykes Bryan L, Tabb Karen M, Temesgen Awoke Misganaw, Tenkorang Eric Yeboah, Theadom Alice M, Tran Bach Xuan, Vasankari Tommi J, Vavilala Monica S, Vlassov Vasiliy Victorovich, Woldeyohannes Solomon Meseret, Yip Paul, Yonemoto Naohiro, Younis Mustafa Z, Yu Chuanhua, Murray Christopher J L, Vos Theo
机构信息
Institute for Health Metrics and Evaluation, Seattle, Washington, USA ErasmusMC, Rotterdam, Netherlands.
Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
出版信息
Inj Prev. 2016 Feb;22(1):3-18. doi: 10.1136/injuryprev-2015-041616. Epub 2015 Dec 3.
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.
背景
全球疾病负担（GBD）、伤害及风险因素研究使用伤残调整生命年（DALY）来量化疾病、伤害及风险因素的负担。本文概述了《2013年全球疾病负担更新》中的伤害估计数据，详细介绍了1990年至2013年全球、各地区及各国26种伤害原因的发病率、死亡率、伤残调整生命年及变化率。
方法
伤害死亡率通过广泛的全球疾病负担死亡率数据库、死因定义不明确的校正以及死因综合建模工具进行估计。发病率估计基于住院和门诊数据集、26种伤害原因和47种伤害性质类别，以及7项采用患者报告的长期结局指标的随访研究。
结果
2013年，9.73亿人（不确定区间（UI）为9.42亿至9.93亿）遭受了需要某种医疗保健的伤害，480万人（UI为450万至510万）死于伤害。1990年至2013年，全球年龄标准化伤害伤残调整生命年率下降了31%（UI为26%至35%）。22种伤害原因类别的伤残调整生命年率下降显著，包括所有主要伤害类型。
结论
伤害仍然是发达国家和发展中国家发病和死亡的重要原因。几乎所有伤害发生率的下降都非常显著，足以得出这样一个普遍结论：世界正变得更安全。然而，不同原因、年龄、性别、地区和时间的模式差异很大，仍有很大的改进空间。
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