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

James SL 1 , Lucchesi LR 2 , Bisignano C 2 , Castle CD 2 , Dingels ZV 2 , Fox JT 2 Show all authors , Hamilton EB 2 , Liu Z 2 , McCracken D 2 , Nixon MR 2 , Sylte DO 2 , Roberts NLS 2 , Adebayo OM 3 , Aghamolaei T 4 , Alghnam SA 5 , Aljunid SM 6 , Almasi-Hashiani A 7 , Badawi A 8 , Behzadifar M 9 , Behzadifar M 10 , Bekru ET 11 , Bennett DA 12 , Chapman JR 13 , Deribe K 14 , Duko Adema B 15 , Fatahi Y 16 , Gelaw BK 17 , Getahun EA 18 , Hendrie D 19 , Henok A 20 , Hidru H 21 , Hosseinzadeh M 22 , Hu G 23 , Jahani MA 24 , Jakovljevic M 25 , Jalilian F 26 , Joseph N 27 , Karami M 28 , Kelbore AG 29 , Khan MN 30 , Kim YJ 31 , Koul PA 32 , La Vecchia C 33 , Linn S 34 , Majdzadeh R 35 , Mehndiratta MM 36 , Memiah PTN 37 , Mengesha MM 38 , Merie HE 39 , R Miller T 19 , Mirzaei-Alavijeh M 26 , Mohammad Darwesh A 40 , Mohammad Gholi Mezerji N 41 , Mohammadibakhsh R 42 , Moodley Y 43 , Moradi-Lakeh M 44 , Musa KI 45 , Nascimento BR 46 , Nikbakhsh R 47 , Nyasulu PS 48 , Omar Bali A 49 , Onwujekwe OE 50 , Pati S 51 , Pourmirza Kalhori R 52 , Salehi F 53 , Shahabi S 54 , Shallo SA 55 , Shamsizadeh M 56 , Sharafi Z 57 , Shukla SR 58 , Sobhiyeh MR 59 , Soriano JB 60 , Sykes BL 61 , Tabarés-Seisdedos R 62 , Tadesse DBB 63 , Tefera YM 64 , Tehrani-Banihashemi A 44 , Tlou B 65 , Topor-Madry R 66 , Wiangkham T 67 , Yaseri M 68 , Yaya S 69 , Yenesew MA 70 , Younis MZ 71 , Ziapour A 72 , Zodpey S 73 , Pigott DM 2 , Reiner RC 2 , Hay SI 2 , Lopez AD 2 , Mokdad AH 2

Affiliations 

  • 1 Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA spencj@uw.edu
  • 2 Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA
  • 3 College of Medicine, University College Hospital, Ibadan, Nigeria
  • 4 Department of Health Education and Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  • 5 Department of Population Health Research, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
  • 6 Department of Health Policy and Management, Kuwait University, Safat, Kuwait
  • 7 Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
  • 8 Public Health Risk Sciences Division, Public Health Agency of Canada, Toronto, Ontario, Canada
  • 9 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
  • 10 Hepatitis Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
  • 11 College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia
  • 12 Nuffield Department of Population Health, University of Oxford, Oxford, UK
  • 13 Swedish Neuroscience Institute, Swedish Brain and Spine Specialists, Seattle, Washington, USA
  • 14 Department of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK
  • 15 Department of Public Health, Hawassa University, Hawassa, Ethiopia
  • 16 Department of Pharmaceutical Nanotechnology, Tehran University of Medical Sciences, Tehran, Iran
  • 17 School of Pharmacy, Debre Tabor University, Ambo, Ethiopia
  • 18 Department of Public Health, Arba Minch University, Arba Minch City, Ethiopia
  • 19 School of Public Health, Curtin University, Perth, Western Australia, Australia
  • 20 Department of Public Health, Mizan-Tepi University, Teppi, Ethiopia
  • 21 Department of Biostatistics and Epidemiology, Adigrat University, Adigrat, Ethiopia
  • 22 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 23 Department of Epidemiology and Health Statistics, Central South University, Changsha, China
  • 24 Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
  • 25 N.A.Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
  • 26 Social Development & Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • 27 Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, India
  • 28 Department of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran
  • 29 Department of Dermatology, Wolaita Sodo University, Wolaita Sodo, Ethiopia
  • 30 Department of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh
  • 31 School of Medicine, Xiamen University Malaysia, Sepang, Malaysia
  • 32 Department of Internal and Pulmonary Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, India
  • 33 Department of Clinical Medicine and Community Health, University of Milan, Milano, Italy
  • 34 School of Public Health, University of Haifa, Haifa, Israel
  • 35 Community-Based Participatory-Research (CBPR) Center, Tehran University of Medical Sciences, Tehran, Iran
  • 36 Neurology Department, Janakpuri Super Specialty Hospital Society, New Delhi, India
  • 37 Department of Public Health, University of West Florida, Pensacola, Florida, USA
  • 38 Department of Epidemiology and Biostatistics, Haramaya University, Harar, Ethiopia
  • 39 Department of Statistics, Debre Markos University, Debre Markos, Ethiopia
  • 40 Information Technology Department, University of Human Development, Sulaimaniyah, Iraq
  • 41 Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran
  • 42 Hamadan University of Medical Sciences, Hamadan, Iran
  • 43 Department of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa
  • 44 Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 45 School of Medical Sciences, Science University of Malaysia, Kubang Kerian, Malaysia
  • 46 Hospital of the Federal University of Minas Gerais, Federal University of Minas Gerais, Belo Horizonte, Brazil
  • 47 Obesity Research Center, Research Institute for Endocrine Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 48 Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town, South Africa
  • 49 Department of Diplomacy and Public Relations, University of Human Development, Sulaimaniyah, Iraq
  • 50 Department of Pharmacology and Therapeutics, University of Nigeria Nsukka, Enugu, Nigeria
  • 51 Regional Medical Research Centre, Indian Council of Medical Research, Bhubaneswar, India
  • 52 Paramedic Department, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • 53 Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • 54 Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • 55 Department of Public Health, Ambo University, Ambo, Ethiopia
  • 56 Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
  • 57 Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
  • 58 Symbiosis Institute of Health Sciences, Symbiosis International University, Pune, India
  • 59 Departments of Vascular & Endovascular Surgery, General Surgery, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • 60 Hospital Universitario de la Princesa, Autonomous University of Madrid, Madrid, Spain
  • 61 Department of Criminology, Law and Society, University of California Irvine, Irvine, California, USA
  • 62 Department of Medicine, University of Valencia, Valencia, Spain
  • 63 Nursing Department, Institute of Tropical Medicine, Aksum, Ethiopia
  • 64 School of Public Health, University of Adelaide, Adelaide, South Australia, Australia
  • 65 Department of Public Health, University of KwaZulu-Natal, Durban, South Africa
  • 66 Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
  • 67 Department of Physical Therapy, Faculty of Allied Health Sciences, Naresuan University, Meung District, Thailand
  • 68 Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
  • 69 School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada
  • 70 School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia
  • 71 Health Economics & Finance, Jackson State University, Jackson, Mississippi, USA
  • 72 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 73 Indian Institute of Public Health, Public Health Foundation of India, Gurugram, India
Inj Prev, 2020 Oct;26(Supp 1):i46-i56.
PMID: 31915274 DOI: 10.1136/injuryprev-2019-043302

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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