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. 2020 Oct;26(Supp 1):i46-i56.
doi: 10.1136/injuryprev-2019-043302. Epub 2020 Jan 8.

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

Spencer L James  1 Lydia R Lucchesi  2 Catherine Bisignano  2 Chris D Castle  2 Zachary V Dingels  2 Jack T Fox  2 Erin B Hamilton  2 Zichen Liu  2 Darrah McCracken  2 Molly R Nixon  2 Dillon O Sylte  2 Nicholas L S Roberts  2 Oladimeji M Adebayo  3 Teamur Aghamolaei  4 Suliman A Alghnam  5 Syed Mohamed Aljunid  6   7 Amir Almasi-Hashiani  8 Alaa Badawi  9   10 Masoud Behzadifar  11 Meysam Behzadifar  12 Eyasu Tamru Bekru  13 Derrick A Bennett  14 Jens Robert Chapman  15 Kebede Deribe  16   17 Bereket Duko Adema  18 Yousef Fatahi  19 Belayneh K Gelaw  20 Eskezyiaw Agedew Getahun  21 Delia Hendrie  22 Andualem Henok  23 Hagos de Hidru  24 Mehdi Hosseinzadeh  25   26 Guoqing Hu  27 Mohammad Ali Jahani  28 Mihajlo Jakovljevic  29 Farzad Jalilian  30 Nitin Joseph  31 Manoochehr Karami  32 Abraham Getachew Kelbore  33 Md Nuruzzaman Khan  34   35 Yun Jin Kim  36 Parvaiz A Koul  37 Carlo La Vecchia  38 Shai Linn  39 Reza Majdzadeh  40   41 Man Mohan Mehndiratta  42   43 Peter T N Memiah  44 Melkamu Merid Mengesha  45 Hayimro Edemealem Merie  46 Ted R Miller  22   47 Mehdi Mirzaei-Alavijeh  30 Aso Mohammad Darwesh  48 Naser Mohammad Gholi Mezerji  49 Roghayeh Mohammadibakhsh  50 Yoshan Moodley  51 Maziar Moradi-Lakeh  52 Kamarul Imran Musa  53 Bruno Ramos Nascimento  54 Rajan Nikbakhsh  55 Peter S Nyasulu  56 Ahmed Omar Bali  57 Obinna E Onwujekwe  58 Sanghamitra Pati  59 Reza Pourmirza Kalhori  60 Farkhonde Salehi  61 Saeed Shahabi  62 Seifadin Ahmed Shallo  63 Morteza Shamsizadeh  64 Zeinab Sharafi  65 Sharvari Rahul Shukla  66 Mohammad Reza Sobhiyeh  67   68 Joan B Soriano  69   70 Bryan L Sykes  71 Rafael Tabarés-Seisdedos  72   73 Degena Bahray Bahrey Tadesse  74   75 Yonatal Mesfin Tefera  76   77 Arash Tehrani-Banihashemi  52   78 Boikhutso Tlou  79 Roman Topor-Madry  80   81 Taweewat Wiangkham  82 Mehdi Yaseri  83   84 Sanni Yaya  85 Muluken Azage Yenesew  86 Mustafa Z Younis  87   88 Arash Ziapour  89 Sanjay Zodpey  90 David M Pigott  2   91 Robert C Reiner Jr  2   91 Simon I Hay  2   91 Alan D Lopez  2   92 Ali H Mokdad  2   91
Affiliations

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

Spencer L James et al. Inj Prev. 2020 Oct.

Erratum in

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.

Keywords: burden of disease; descriptive epidemiology; motorcycle; road injuries, pedestrian injuries; road traffic accident; traumatic brain injury.

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Conflict of interest statement

Competing interests: SLJ reports grants from Sanofi Pasteur outside the submitted work. TRM reports a contract to evaluate AB InBev Foundation’s efforts to, among other things, reduce impaired driving in 6 cities using GBD road safety data in calculating baseline harm.

Figures

Figure 1
Figure 1
Incident cases, age-standardised incidence rates, and per cent change between 1990 and 2017 by country for road injuries.
Figure 2
Figure 2
Age-specific and sex-specific incidence of road injuries globally in 2017.
Figure 3
Figure 3
Deaths, age-standardised mortality rates and per cent change between 1990 and 2017 by country for road injuries.
Figure 4
Figure 4
Changes in mortality-to-incidence ratios by GBD region from 1990 to 2017. GBD, Global Burden of Disease.
Figure 5
Figure 5
Distribution of most severe nature of injury sustained in road injuries by region in 2017. TBI, traumatic brain injury.

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