Title

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

Authors

Spencer L James
Lydia R Lucchesi
Catherine Bisignano
Chris D Castle
Zachary V Dingels
Jack T Fox
Erin B Hamilton
Zichen Liu
Darrah McCracken
Molly R Nixon
Dillon O Sylte
Nicholas L S Roberts
Oladimeji M Adebayo
Teamur Aghamolaei
Suliman A Alghnam
Syed Mohamed Aljunid
Amir Almasi-Hashiani
Alaa Badawi
Masoud Behzadifar
Meysam Behzadifar
Eyasu Tamru Bekru
Derrick A Bennett
Jens R Chapman, Swedish Neuroscience InstituteFollow
Kebede Deribe
Bereket Duko Adema
Yousef Fatahi
Belayneh K Gelaw
Eskezyiaw Agedew Getahun
Delia Hendrie
Andualem Henok
Hagos de Hidru
Mehdi Hosseinzadeh
Guoqing Hu
Mohammad Ali Jahani
Mihajlo Jakovljevic
Farzad Jalilian
Nitin Joseph
Manoochehr Karami
Abraham Getachew Kelbore
Md Nuruzzaman Khan
Yun Jin Kim
Parvaiz A Koul
Carlo La Vecchia
Shai Linn
Reza Majdzadeh
Man Mohan Mehndiratta
Peter T N Memiah
Melkamu Merid Mengesha
Hayimro Edemealem Merie
Ted R Miller
Mehdi Mirzaei-Alavijeh
Aso Mohammad Darwesh
Naser Mohammad Gholi Mezerji
Roghayeh Mohammadibakhsh
Yoshan Moodley
Maziar Moradi-Lakeh
Kamarul Imran Musa
Bruno Ramos Nascimento
Rajan Nikbakhsh
Peter S Nyasulu
Ahmed Omar Bali
Obinna E Onwujekwe
Sanghamitra Pati
Reza Pourmirza Kalhori
Farkhonde Salehi
Saeed Shahabi
Seifadin Ahmed Shallo
Morteza Shamsizadeh
Zeinab Sharafi
Sharvari Rahul Shukla
Mohammad Reza Sobhiyeh
Joan B Soriano
Bryan L Sykes
Rafael Tabarés-Seisdedos
Degena Bahray Bahrey Tadesse
Yonatal Mesfin Tefera
Arash Tehrani-Banihashemi
Boikhutso Tlou
Roman Topor-Madry
Taweewat Wiangkham
Mehdi Yaseri
Sanni Yaya
Muluken Azage Yenesew
Mustafa Z Younis
Arash Ziapour
Sanjay Zodpey
David M Pigott
Robert C Reiner
Simon I Hay
Alan D Lopez
Ali H Mokdad

Document Type

Article

Publication Date

1-8-2020

Publication Title

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

Abstract

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.

Clinical Institute

Neurosciences (Brain & Spine)

Department

Epidemiology

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