TY - JOUR PY - 2020// TI - Morbidity and mortality from road injuries: results from the Global Burden of Disease Study 2017 JO - Injury prevention A1 - James, Spencer L. A1 - Lucchesi, Lydia R. A1 - Bisignano, Catherine A1 - Castle, Chris D. A1 - Dingels, Zachary V. A1 - Fox, Jack T. A1 - Hamilton, Erin B. A1 - Liu, Zichen A1 - McCracken, Darrah A1 - Nixon, Molly R. A1 - Sylte, Dillon O. A1 - Roberts, Nicholas L. S. A1 - Adebayo, Oladimeji M. A1 - Aghamolaei, Teamur A1 - Alghnam, Suliman A. A1 - Aljunid, Syed Mohamed A1 - Almasi-Hashiani, Amir A1 - Badawi, Alaa A1 - Behzadifar, Masoud A1 - Behzadifar, Meysam A1 - Bekru, Eyasu Tamru A1 - Bennett, Derrick A. A1 - Chapman, Jens Robert A1 - Deribe, Kebede A1 - Duko Adema, Bereket A1 - Fatahi, Yousef A1 - Gelaw, Belayneh K. A1 - Getahun, Eskezyiaw Agedew A1 - Hendrie, Delia A1 - Henok, Andualem A1 - Hidru, Hagos de A1 - Hosseinzadeh, Mehdi A1 - Hu, Guoqing A1 - Jahani, Mohammad Ali A1 - Jakovljevic, Mihajlo A1 - Jalilian, Farzad A1 - Joseph, Nitin A1 - Karami, Manoochehr A1 - Kelbore, Abraham Getachew A1 - Khan, Md Nuruzzaman A1 - Kim, Yun Jin A1 - Koul, Parvaiz A. A1 - La Vecchia, Carlo A1 - Linn, Shai A1 - Majdzadeh, Reza A1 - Mehndiratta, Man Mohan A1 - Memiah, Peter T. N. A1 - Mengesha, Melkamu Merid A1 - Merie, Hayimro Edemealem A1 - Miller, Ted R. A1 - Mirzaei-Alavijeh, Mehdi A1 - Mohammad Darwesh, Aso A1 - Mohammad Gholi Mezerji, Naser A1 - Mohammadibakhsh, Roghayeh A1 - Moodley, Yoshan A1 - Moradi-Lakeh, Maziar A1 - Musa, Kamarul Imran A1 - Nascimento, Bruno Ramos A1 - Nikbakhsh, Rajan A1 - Nyasulu, Peter S. A1 - Omar Bali, Ahmed A1 - Onwujekwe, Obinna E. A1 - Pati, Sanghamitra A1 - Pourmirza Kalhori, Reza A1 - Salehi, Farkhonde A1 - Shahabi, Saeed A1 - Shallo, Seifadin Ahmed A1 - Shamsizadeh, Morteza A1 - Sharafi, Zeinab A1 - Shukla, Sharvari Rahul A1 - Sobhiyeh, Mohammad Reza A1 - Soriano, Joan B. A1 - Sykes, Bryan L. A1 - Tabarés-Seisdedos, Rafael A1 - Tadesse, Degena Bahray Bahrey A1 - Tefera, Yonatal Mesfin A1 - Tehrani-Banihashemi, Arash A1 - Tlou, Boikhutso A1 - Topór-Madry, Roman A1 - Wiangkham, Taweewat A1 - Yaseri, Mehdi A1 - Yaya, Sanni A1 - Yenesew, Muluken Azage A1 - Younis, Mustafa Z. A1 - Ziapour, Arash A1 - Zodpey, Sanjay A1 - Pigott, David M. A1 - Reiner, Robert C. A1 - Hay, Simon I. A1 - Lopez, Alan D. A1 - Mokdad, Ali H. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Language: en

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2019-043302 ID - ref1 ER -