Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease study 2017
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2020
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Background Past research in population health trends has shown
that injuries form a substantial burden of population health loss.
Regular updates to injury burden assessments are critical. We report
Global Burden of Disease (GBD) 2017 Study estimates on morbidity
and mortality for all injuries.
Methods We reviewed results for injuries from the GBD 2017 study.
GBD 2017 measured injury-specific mortality and years of life lost
(YLLs) using the Cause of Death Ensemble model. To measure non-fatal
injuries, GBD 2017 modelled injury-specific incidence and converted
this to prevalence and years lived with disability (YLDs). YLLs and YLDs
were summed to calculate disability-adjusted life years (DALYs).
Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138)
injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554)
deaths in 2017, while age-standardised mortality decreased from 1079
(1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were
354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802)
new cases of injury globally, which increased to 520 710 288 (493
430 247 to 547 988 635) new cases in 2017. During this time, age standardised incidence decreased non-significantly from 6824 (6534 to
7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017,
age-standardised DALYs decreased from 4947 (4655 to 5233) per
100 000 to 3267 (3058 to 3505).
Interpretation Injuries are an important cause of health loss
globally, though mortality has declined between 1990 and 2017.
Future research in injury burden should focus on prevention in high burden populations, improving data collection and ensuring access to
medical care.
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JAMES, Spencer L. et. al. Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease study 2017. Injury Prevention, London, v. 26, p. i96–i114, 2020. Suppl. 2. DOI: 10.1136/injuryprev-2019-043494. Disponível em: https://injuryprevention.bmj.com/content/26/Suppl_2/i96.long. Acesso em: 2 abr. 2025.