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Journal article

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

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.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/injuryprev-2019-043302

Authors

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Role:
Author
ORCID:
0000-0003-4653-2507
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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
Clinical Trial Service Unit
Role:
Author


Publisher:
BMJ Publishing Group
Journal:
Injury Prevention More from this journal
Volume:
26
Issue:
Supp 1
Pages:
i46-i56
Publication date:
2020-01-08
Acceptance date:
2019-07-30
DOI:
EISSN:
1475-5785
ISSN:
1353-8047
Pmid:
31915274


Language:
English
Keywords:
Pubs id:
1081726
Local pid:
pubs:1081726
Deposit date:
2020-04-08
ARK identifier:

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