Department of Critical Care Medicine, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Department of Critical Care Medicine, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
Inj Prev. 2023 Oct;29(5):418-424. doi: 10.1136/ip-2023-044915. Epub 2023 Aug 7.
Transport injuries (TIs) are a major cause of global disability-adjusted life-years (DALYs) and mortality. In this study, we aimed to assess the global burden and trends of TIs from 1990 to 2019.
We assessed the annual age-standardised incidence rate (ASIR) and age-standardised DALYs rate of TIs by sex, age, Social Development Index (SDI) and geographical region from 1990 to 2019 from the Global Burden of Disease Study 2019. The changing trends were described by estimated annual percentage changes (EAPCs).
Globally, in 2019, the ASIR and age-standardised DALYs rates of TIs were 134 6.06/100 000 (95% UI 11 42.6/100 000-157 5.57/100 000) and 97 7.91/100 000 (86 8.91/100 000-107 6.81/100 000), respectively. From 1990 to 2019, the global ASIR of TIs presented significant upwards trends with the EAPC (0.25%, 95% CI 0.19% to 0.31%), and it was significantly increased in the age groups of 15-49 (0.37%, 95% CI 0.29% to 0.45%), 50-69 (0.40%, 95% CI 0.36% to 0.44%) and 70+ (0.22%, 95% CI 0.17% to 0.28%). Prominent increases in ASIR were detected in middle-SDI areas (0.72%, 95% CI 0.57% to 0.87%), low-middle SDI areas (0.66%, 95% CI 0.59% to 0.72%) and low-SDI areas (0.21%, 95% CI 0.17% to 0.26%). The global age-standardised DALYs rate presented downwards trends with the EAPC (-1.27%, 95% CI -1.35% to -1.2%), and it was significantly decreased in all age groups and SDI areas.
Globally, TIs still cause a serious burden, and the incidence has significantly increased, especially in people above the age of 14 and in middle-SDI and low-SDI areas, thus necessitating more attention and health interventions.
交通伤是导致全球伤残调整生命年（DALYs）和死亡的主要原因。本研究旨在评估 1990 年至 2019 年全球交通伤负担和趋势。
我们评估了全球疾病负担研究 2019 年中 1990 年至 2019 年按性别、年龄、社会发展指数（SDI）和地理区域划分的交通伤年龄标准化发生率（ASIR）和年龄标准化 DALYs 率。通过估计年变化百分比（EAPC）来描述变化趋势。
2019 年，全球交通伤的 ASIR 和年龄标准化 DALYs 率分别为 134.60/100000（95%UI 114.26/100000-157.555/100000）和 97.79/100000（86.89/100000-107.681/100000）。1990 年至 2019 年，全球交通伤的 ASIR 呈显著上升趋势，EAPC 为 0.25%（95%CI 0.19%-0.31%），15-49 岁年龄组（0.37%，95%CI 0.29%-0.45%）、50-69 岁年龄组（0.40%，95%CI 0.36%-0.44%）和 70 岁及以上年龄组（0.22%，95%CI 0.17%-0.28%）的上升幅度显著增加。中 SDI 地区（0.72%，95%CI 0.57%-0.87%）、中低 SDI 地区（0.66%，95%CI 0.59%-0.72%）和低 SDI 地区（0.21%，95%CI 0.17%-0.26%）的 ASIR 显著增加。全球年龄标准化 DALYs 率呈下降趋势，EAPC 为-1.27%（95%CI-1.35%-1.20%），所有年龄组和 SDI 地区的 DALYs 率均显著下降。
全球范围内，交通伤仍造成严重负担，发病率显著上升，特别是在 14 岁以上人群和中、低 SDI 地区，因此需要更多关注和健康干预。
