TY - JOUR 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 DO - 10.1136/injuryprev-2015-041616 SP - injuryprev-2015-041616 AU - Juanita A Haagsma AU - Nicholas Graetz AU - Ian Bolliger AU - Mohsen Naghavi AU - Hideki Higashi AU - Erin C Mullany AU - Semaw Ferede Abera AU - Jerry Puthenpurakal Abraham AU - Koranteng Adofo AU - Ubai Alsharif AU - Emmanuel A Ameh AU - Walid Ammar AU - Carl Abelardo T Antonio AU - Lope H Barrero AU - Tolesa Bekele AU - Dipan Bose AU - Alexandra Brazinova AU - Ferrán Catalá-López AU - Lalit Dandona AU - Rakhi Dandona AU - Paul I Dargan AU - Diego De Leo AU - Louisa Degenhardt AU - Sarah Derrett AU - Samath D Dharmaratne AU - Tim R Driscoll AU - Leilei Duan AU - Sergey Petrovich Ermakov AU - Farshad Farzadfar AU - Valery L Feigin AU - Richard C Franklin AU - Belinda Gabbe AU - Richard A Gosselin AU - Nima Hafezi-Nejad AU - Randah Ribhi Hamadeh AU - Martha Hijar AU - Guoqing Hu AU - Sudha P Jayaraman AU - Guohong Jiang AU - Yousef Saleh Khader AU - Ejaz Ahmad Khan AU - Sanjay Krishnaswami AU - Chanda Kulkarni AU - Fiona E Lecky AU - Ricky Leung AU - Raimundas Lunevicius AU - Ronan Anthony Lyons AU - Marek Majdan AU - Amanda J Mason-Jones AU - Richard Matzopoulos AU - Peter A Meaney AU - Wubegzier Mekonnen AU - Ted R Miller AU - Charles N Mock AU - Rosana E Norman AU - Ricardo Orozco AU - Suzanne Polinder AU - Farshad Pourmalek AU - Vafa Rahimi-Movaghar AU - Amany Refaat AU - David Rojas-Rueda AU - Nobhojit Roy AU - David C Schwebel AU - Amira Shaheen AU - Saeid Shahraz AU - Vegard Skirbekk AU - Kjetil Søreide AU - Sergey Soshnikov AU - Dan J Stein AU - Bryan L Sykes AU - Karen M Tabb AU - Awoke Misganaw Temesgen AU - Eric Yeboah Tenkorang AU - Alice M Theadom AU - Bach Xuan Tran AU - Tommi J Vasankari AU - Monica S Vavilala AU - Vasiliy Victorovich Vlassov AU - Solomon Meseret Woldeyohannes AU - Paul Yip AU - Naohiro Yonemoto AU - Mustafa Z Younis AU - Chuanhua Yu AU - Christopher J L Murray AU - Theo Vos Y1 - 2015/10/20 UR - http://injuryprevention.bmj.com/content/early/2015/10/20/injuryprev-2015-041616.abstract N2 - 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. ER -