RT Journal Article SR Electronic T1 The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013 JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP 3 OP 18 DO 10.1136/injuryprev-2015-041616 VO 22 IS 1 A1 Juanita A Haagsma A1 Nicholas Graetz A1 Ian Bolliger A1 Mohsen Naghavi A1 Hideki Higashi A1 Erin C Mullany A1 Semaw Ferede Abera A1 Jerry Puthenpurakal Abraham A1 Koranteng Adofo A1 Ubai Alsharif A1 Emmanuel A Ameh A1 Walid Ammar A1 Carl Abelardo T Antonio A1 Lope H Barrero A1 Tolesa Bekele A1 Dipan Bose A1 Alexandra Brazinova A1 Ferrán Catalá-López A1 Lalit Dandona A1 Rakhi Dandona A1 Paul I Dargan A1 Diego De Leo A1 Louisa Degenhardt A1 Sarah Derrett A1 Samath D Dharmaratne A1 Tim R Driscoll A1 Leilei Duan A1 Sergey Petrovich Ermakov A1 Farshad Farzadfar A1 Valery L Feigin A1 Richard C Franklin A1 Belinda Gabbe A1 Richard A Gosselin A1 Nima Hafezi-Nejad A1 Randah Ribhi Hamadeh A1 Martha Hijar A1 Guoqing Hu A1 Sudha P Jayaraman A1 Guohong Jiang A1 Yousef Saleh Khader A1 Ejaz Ahmad Khan A1 Sanjay Krishnaswami A1 Chanda Kulkarni A1 Fiona E Lecky A1 Ricky Leung A1 Raimundas Lunevicius A1 Ronan Anthony Lyons A1 Marek Majdan A1 Amanda J Mason-Jones A1 Richard Matzopoulos A1 Peter A Meaney A1 Wubegzier Mekonnen A1 Ted R Miller A1 Charles N Mock A1 Rosana E Norman A1 Ricardo Orozco A1 Suzanne Polinder A1 Farshad Pourmalek A1 Vafa Rahimi-Movaghar A1 Amany Refaat A1 David Rojas-Rueda A1 Nobhojit Roy A1 David C Schwebel A1 Amira Shaheen A1 Saeid Shahraz A1 Vegard Skirbekk A1 Kjetil Søreide A1 Sergey Soshnikov A1 Dan J Stein A1 Bryan L Sykes A1 Karen M Tabb A1 Awoke Misganaw Temesgen A1 Eric Yeboah Tenkorang A1 Alice M Theadom A1 Bach Xuan Tran A1 Tommi J Vasankari A1 Monica S Vavilala A1 Vasiliy Victorovich Vlassov A1 Solomon Meseret Woldeyohannes A1 Paul Yip A1 Naohiro Yonemoto A1 Mustafa Z Younis A1 Chuanhua Yu A1 Christopher J L Murray A1 Theo Vos A1 Shivanthi Balalla A1 Michael R Phillips YR 2016 UL http://injuryprevention.bmj.com/content/22/1/3.abstract AB Background The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disability-adjusted life year (DALY) to quantify the burden of diseases, injuries, and risk factors. This paper provides an overview of injury estimates from the 2013 update of GBD, with detailed information on incidence, mortality, DALYs and rates of change from 1990 to 2013 for 26 causes of injury, globally, by region and by country.Methods Injury mortality was estimated using the extensive GBD mortality database, corrections for ill-defined cause of death and the cause of death ensemble modelling tool. Morbidity estimation was based on inpatient and outpatient data sets, 26 cause-of-injury and 47 nature-of-injury categories, and seven follow-up studies with patient-reported long-term outcome measures.Results In 2013, 973 million (uncertainty interval (UI) 942 to 993) people sustained injuries that warranted some type of healthcare and 4.8 million (UI 4.5 to 5.1) people died from injuries. Between 1990 and 2013 the global age-standardised injury DALY rate decreased by 31% (UI 26% to 35%). The rate of decline in DALY rates was significant for 22 cause-of-injury categories, including all the major injuries.Conclusions Injuries continue to be an important cause of morbidity and mortality in the developed and developing world. The decline in rates for almost all injuries is so prominent that it warrants a general statement that the world is becoming a safer place to live in. However, the patterns vary widely by cause, age, sex, region and time and there are still large improvements that need to be made.