TY - JOUR T1 - Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study JF - Injury Prevention JO - Inj Prev SP - i115 LP - i124 DO - 10.1136/injuryprev-2019-043495 VL - 26 IS - Suppl 2 AU - Christopher Stephen Crowe AU - Benjamin Ballard Massenburg AU - Shane Douglas Morrison AU - James Chang AU - Jeffrey Barton Friedrich AU - Gdiom Gebreheat Abady AU - Fares Alahdab AU - Vahid Alipour AU - Jalal Arabloo AU - Malke Asaad AU - Maciej Banach AU - Ali Bijani AU - Antonio Maria Borzì AU - Nikolay Ivanovich Briko AU - Chris D Castle AU - Daniel Youngwhan Cho AU - Michael T Chung AU - Ahmad Daryani AU - Gebre Teklemariam Demoz AU - Zachary V Dingels AU - Hoa Thi Do AU - Florian Fischer AU - Jack T Fox AU - Takeshi Fukumoto AU - Abadi Kahsu Gebre AU - Berhe Gebremichael AU - Juanita A Haagsma AU - Arvin Haj-Mirzaian AU - Demelash Woldeyohannes Handiso AU - Simon I Hay AU - Chi Linh Hoang AU - Seyed Sina Naghibi Irvani AU - Jacek Jerzy Jozwiak AU - Rohollah Kalhor AU - Amir Kasaeian AU - Yousef Saleh Khader AU - Rovshan Khalilov AU - Ejaz Ahmad Khan AU - Roba Khundkar AU - Sezer Kisa AU - Adnan Kisa AU - Zichen Liu AU - Marek Majdan AU - Navid Manafi AU - Ali Manafi AU - Ana-Laura Manda AU - Tuomo J Meretoja AU - Ted R Miller AU - Abdollah Mohammadian-Hafshejani AU - Reza Mohammadpourhodki AU - Mohammad A Mohseni Bandpei AU - Ali H Mokdad AU - Mukhammad David Naimzada AU - Duduzile Edith Ndwandwe AU - Cuong Tat Nguyen AU - Huong Lan Thi Nguyen AU - Andrew T Olagunju AU - Tinuke O Olagunju AU - Hai Quang Pham AU - Dimas Ria Angga Pribadi AU - Navid Rabiee AU - Kiana Ramezanzadeh AU - Kavitha Ranganathan AU - Nicholas L S Roberts AU - Leonardo Roever AU - Saeed Safari AU - Abdallah M Samy AU - Lidia Sanchez Riera AU - Saeed Shahabi AU - Catalin-Gabriel Smarandache AU - Dillon O Sylte AU - Berhe Etsay Tesfay AU - Bach Xuan Tran AU - Irfan Ullah AU - Parviz Vahedi AU - Amir Vahedian-Azimi AU - Theo Vos AU - Dawit Habte Woldeyes AU - Adam Belay Wondmieneh AU - Zhi-Jiang Zhang AU - Spencer L James Y1 - 2020/10/01 UR - http://injuryprevention.bmj.com/content/26/Suppl_2/i115.abstract N2 - Background As global rates of mortality decrease, rates of non-fatal injury have increased, particularly in low Socio-demographic Index (SDI) nations. We hypothesised this global pattern of non-fatal injury would be demonstrated in regard to bony hand and wrist trauma over the 27-year study period.Methods The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 was used to estimate prevalence, age-standardised incidence and years lived with disability for hand trauma in 195 countries from 1990 to 2017. Individual injuries included hand and wrist fractures, thumb amputations and non-thumb digit amputations.Results The global incidence of hand trauma has only modestly decreased since 1990. In 2017, the age-standardised incidence of hand and wrist fractures was 179 per 100 000 (95% uncertainty interval (UI) 146 to 217), whereas the less common injuries of thumb and non-thumb digit amputation were 24 (95% UI 17 to 34) and 56 (95% UI 43 to 74) per 100 000, respectively. Rates of injury vary greatly by region, and improvements have not been equally distributed. The highest burden of hand trauma is currently reported in high SDI countries. However, low-middle and middle SDI countries have increasing rates of hand trauma by as much at 25%.Conclusions Certain regions are noted to have high rates of hand trauma over the study period. Low-middle and middle SDI countries, however, have demonstrated increasing rates of fracture and amputation over the last 27 years. This trend is concerning as access to quality and subspecialised surgical hand care is often limiting in these resource-limited regions. ER -