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 Haagsma, Juanita A A1 Graetz, Nicholas A1 Bolliger, Ian A1 Naghavi, Mohsen A1 Higashi, Hideki A1 Mullany, Erin C A1 Abera, Semaw Ferede A1 Abraham, Jerry Puthenpurakal A1 Adofo, Koranteng A1 Alsharif, Ubai A1 Ameh, Emmanuel A A1 Ammar, Walid A1 Antonio, Carl Abelardo T A1 Barrero, Lope H A1 Bekele, Tolesa A1 Bose, Dipan A1 Brazinova, Alexandra A1 Catalá-López, Ferrán A1 Dandona, Lalit A1 Dandona, Rakhi A1 Dargan, Paul I A1 De Leo, Diego A1 Degenhardt, Louisa A1 Derrett, Sarah A1 Dharmaratne, Samath D A1 Driscoll, Tim R A1 Duan, Leilei A1 Petrovich Ermakov, Sergey A1 Farzadfar, Farshad A1 Feigin, Valery L A1 Franklin, Richard C A1 Gabbe, Belinda A1 Gosselin, Richard A A1 Hafezi-Nejad, Nima A1 Hamadeh, Randah Ribhi A1 Hijar, Martha A1 Hu, Guoqing A1 Jayaraman, Sudha P A1 Jiang, Guohong A1 Khader, Yousef Saleh A1 Khan, Ejaz Ahmad A1 Krishnaswami, Sanjay A1 Kulkarni, Chanda A1 Lecky, Fiona E A1 Leung, Ricky A1 Lunevicius, Raimundas A1 Lyons, Ronan Anthony A1 Majdan, Marek A1 Mason-Jones, Amanda J A1 Matzopoulos, Richard A1 Meaney, Peter A A1 Mekonnen, Wubegzier A1 Miller, Ted R A1 Mock, Charles N A1 Norman, Rosana E A1 Orozco, Ricardo A1 Polinder, Suzanne A1 Pourmalek, Farshad A1 Rahimi-Movaghar, Vafa A1 Refaat, Amany A1 Rojas-Rueda, David A1 Roy, Nobhojit A1 Schwebel, David C A1 Shaheen, Amira A1 Shahraz, Saeid A1 Skirbekk, Vegard A1 Søreide, Kjetil A1 Soshnikov, Sergey A1 Stein, Dan J A1 Sykes, Bryan L A1 Tabb, Karen M A1 Temesgen, Awoke Misganaw A1 Tenkorang, Eric Yeboah A1 Theadom, Alice M A1 Tran, Bach Xuan A1 Vasankari, Tommi J A1 Vavilala, Monica S A1 Vlassov, Vasiliy Victorovich A1 Woldeyohannes, Solomon Meseret A1 Yip, Paul A1 Yonemoto, Naohiro A1 Younis, Mustafa Z A1 Yu, Chuanhua A1 Murray, Christopher J L A1 Vos, Theo A1 Balalla, Shivanthi A1 Phillips, Michael R 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.