Estimating global injuries morbidity and mortality: methods and data used in the Global Burden of Disease 2017 study

Abstract

BackgroundWhile there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria.MethodsIn this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced.ResultsGBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes.ConclusionsGBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future.

A profile of a major trauma centre of North West England between 2011 and 2018

“…Third, 95% of patients were admitted with injuries caused by falls and road traffic accidents. This is not a surprising finding, as similar patterns have been found in other trauma centres globally 20 . However, the large proportion of patients (83%) admitted with significant injuries following a fall or road traffic accident and high cause-specific case-fatality rates (up to 10–12.5% in 2012 and 2013) are alarming findings that underline the importance of preventative measures and programmes on road safety and falls; known as a systematic work for trauma pre-event phase 5 , 21 .…”

Incidence and multidimensional predictors of occasional and recurrent falls among Malaysian community‐dwelling older persons

“…Despite the apparent association between age and decline in both physical and cognitive functions [ 5 ], our results showed that advancing age did not predict the incidence of occasional and recurrent falls. In an age-specific population, the incidence of falls was not age-dependent, as opposed to the prevalence of falls [ 1 ]. This suggests that the number of falls does not increase with increasing age.…”

“…The global prevalence of falls was 5,186 (4,622–5,849) per 100,000 people in year 2017 [ 1 ]. Falls can lead to debilitating consequences, including injury-related hospitalization, disability and death [ 2 ].…”

Utilization of ICH Score on Patient Outcome in Intracerebral Hemorrhage

“…By introducing the ICH Score to our Emergency Department we could be able to predict the mortality and thus provide better treatment plan and care for the patient. It could also help the treating physician in better explaining the prognosis of the patient to the bystander thereby helping them to cope up mentally with the outcome of the patient [22][23][24][25].…”