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Repository of Research and Investigative Information

dezful University of Medical Sciences

Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

(2019) Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology.

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Abstract

Background Traumatic brain injury (TBI) and spinal cord injury (SCI) are increasingly recognised as global health priorities in view of the preventability of most injuries and the complex and expensive medical care they necessitate. We aimed to measure the incidence, prevalence, and years of life lived with disability (YLDs) for TBI and SCI from all causes of injury in every country, to describe how these measures have changed between 1990 and 2016, and to estimate the proportion of TBI and SCI cases caused by different types of injury. Methods We used results from the Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016 to measure the global, regional, and national burden of TBI and SCI by age and sex. We measured the incidence and prevalence of all causes of injury requiring medical care in inpatient and outpatient records, literature studies, and survey data. By use of clinical record data, we estimated the proportion of each cause of injury that required medical care that would result in TBI or SCI being considered as the nature of injury. We used literature studies to establish standardised mortality ratios and applied differential equations to convert incidence to prevalence of long-term disability. Finally, we applied GBD disability weights to calculate YLDs. We used a Bayesian meta-regression tool for epidemiological modelling, used cause-specific mortality rates for non-fatal estimation, and adjusted our results for disability experienced with comorbid conditions. We also analysed results on the basis of the Socio-demographic Index, a compound measure of income per capita, education, and fertility. Findings In 2016, there were 27.08 million (95 uncertainty interval UI 24.30-30.30 million) new cases of TBI and 0.93 million (0.78-1.16 million) new cases of SCI, with age-standardised incidence rates of 369 (331-412) per 100 000 population for TBI and 13 (11-16) per 100 000 for SCI. In 2016, the number of prevalent cases of TBI was 55.50 million (53.40-57.62 million) and of SCI was 27.04 million (24 .98-30 .15 million). From 1990 to 2016, the age-standardised prevalence of TBI increased by 8.4% (95% UI 7.7 to 9.2), whereas that of SCI did not change significantly (-0.2% -2.1 to 2.7). Age-standardised incidence rates increased by 3.6% (1.8 to 5.5) for TBI, but did not change significantly for SCI (-3.6% -7.4 to 4.0). TBI caused 8.1 million (95% UI 6. 0-10. 4 million) YLDs and SCI caused 9.5 million (6.7-12.4 million) YLDs in 2016, corresponding to age-standardised rates of 111 (82-141) per 100 000 for TBI and 130 (90-170) per 100 000 for SCI. Falls and road injuries were the leading causes of new cases of TBI and SCI in most regions. Interpretation TBI and SCI constitute a considerable portion of the global injury burden and are caused primarily by falls and road injuries. The increase in incidence of TBI over time might continue in view of increases in population density, population ageing, and increasing use of motor vehicles, motorcycles, and bicycles. The number of individuals living with SCI is expected to increase in view of population growth, which is concerning because of the specialised care that people with SCI can require. Our study was limited by data sparsity in some regions, and it will be important to invest greater resources in collection of data for TBI and SCI to improve the accuracy of future assessments. Copyright (C) 2018 The Author(s). Published by Elsevier Ltd.

Item Type: Article
Creators:
CreatorsEmail
James, S. L.UNSPECIFIED
Theadom, A.UNSPECIFIED
Ellenbogen, R. G.UNSPECIFIED
Bannick, M. S.UNSPECIFIED
Mountjoy-Venning, W. C.UNSPECIFIED
Lucchesi, L. R.UNSPECIFIED
Abbasi, N.UNSPECIFIED
Abdulkader, R.UNSPECIFIED
Abraha, H. N.UNSPECIFIED
Adsuar, J. C.UNSPECIFIED
Afarideh, M.UNSPECIFIED
Agrawal, S.UNSPECIFIED
Ahmadi, A.UNSPECIFIED
Ahmed, M. B.UNSPECIFIED
Aichour, A. N.UNSPECIFIED
Aichour, I.UNSPECIFIED
Aichour, M. T. E.UNSPECIFIED
Akinyemi, R. O.UNSPECIFIED
Akseer, N.UNSPECIFIED
Alahdab, F.UNSPECIFIED
Alebel, A.UNSPECIFIED
Alghnam, S. A.UNSPECIFIED
Ali, B. A.UNSPECIFIED
Alsharif, U.UNSPECIFIED
Altirkawi, K.UNSPECIFIED
Andrei, C. L.UNSPECIFIED
Anjomshoa, M.UNSPECIFIED
Ansari, H.UNSPECIFIED
Ansha, M. G.UNSPECIFIED
Antonio, C. A. T.UNSPECIFIED
Appiah, S. C. Y.UNSPECIFIED
Ariani, F.UNSPECIFIED
Asefa, N. G.UNSPECIFIED
Asgedom, S. W.UNSPECIFIED
Atique, S.UNSPECIFIED
Awasthi, A.UNSPECIFIED
Quintanilla, B. P. A.UNSPECIFIED
Ayuk, T. B.UNSPECIFIED
Azzopardi, P. S.UNSPECIFIED
Badali, H.UNSPECIFIED
Badawi, A.UNSPECIFIED
Balalla, S.UNSPECIFIED
Banstola, A.UNSPECIFIED
Barker-Collo, S. L.UNSPECIFIED
Barnighausen, T. W.UNSPECIFIED
Bedi, N.UNSPECIFIED
Behzadifar, M.UNSPECIFIED
Behzadifar, M.UNSPECIFIED
Bekele, B. B.UNSPECIFIED
Belachew, A. B.UNSPECIFIED
Belay, Y. A.UNSPECIFIED
Bennett, D. A.UNSPECIFIED
Bensenor, I. M.UNSPECIFIED
Berhane, A.UNSPECIFIED
Beuran, M.UNSPECIFIED
Bhalla, A.UNSPECIFIED
Bhaumik, S.UNSPECIFIED
Bhutta, Z. A.UNSPECIFIED
Biadgo, B.UNSPECIFIED
Biffino, M.UNSPECIFIED
Bijani, A.UNSPECIFIED
Bililign, N.UNSPECIFIED
Birungi, C.UNSPECIFIED
Boufous, S.UNSPECIFIED
Brazinova, A.UNSPECIFIED
Brown, A. W.UNSPECIFIED
Car, M.UNSPECIFIED
Cardenas, R.UNSPECIFIED
Carrero, J. J.UNSPECIFIED
Carvalho, F.UNSPECIFIED
Castaneda-Orjuela, C. A.UNSPECIFIED
Catala-Lopez, F.UNSPECIFIED
Chaiah, Y.UNSPECIFIED
Champs, A. P.UNSPECIFIED
Chang, J. C.UNSPECIFIED
Choi, J. Y. J.UNSPECIFIED
Christopher, D. J.UNSPECIFIED
Cooper, C.UNSPECIFIED
Crowe, C. S.UNSPECIFIED
Dandona, L.UNSPECIFIED
Dandona, R.UNSPECIFIED
Daryani, A.UNSPECIFIED
Davitoiu, D. V.UNSPECIFIED
Degefa, M. G.UNSPECIFIED
Demoz, G. T.UNSPECIFIED
Deribe, K.UNSPECIFIED
Djalalinia, S.UNSPECIFIED
Do, H. P.UNSPECIFIED
Doku, D. T.UNSPECIFIED
Drake, T. M.UNSPECIFIED
Dubey, M.UNSPECIFIED
Dubljanin, E.UNSPECIFIED
El-Khatib, Z.UNSPECIFIED
Eskandarieh, S.UNSPECIFIED
Esteghamati, A.UNSPECIFIED
Esteghamati, S.UNSPECIFIED
Faro, A.UNSPECIFIED
Farzadfar, F.UNSPECIFIED
Farzaei, M. H.UNSPECIFIED
Fereshtehnejad, S. M.UNSPECIFIED
others, UNSPECIFIED
Keywords: united-states new-zealand epidemiology survival Neurosciences & Neurology
Journal index: ISI
Journal or Publication Title: Lancet Neurology
Volume: 18
Number: 1
Date: 2019
URI: http://eprints.dums.ac.ir/id/eprint/3299

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