The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study.
Por:
Haagsma JA, Charalampous P, Ariani F, Gallay A, Moesgaard Iburg K, Nena E, Ngwa CH, Rommel A, Zelviene A, Abegaz KH, Al Hamad H, Albano L, Liliana Andrei C, Andrei T, Antonazzo IC, Aremu O, Arumugam A, Atreya A, Aujayeb A, Ayuso-Mateos JL, Engelbert Bain L, Banach M, Winfried Bärnighausen T, Barone-Adesi F, Beghi M, Bennett DA, Bhagavathula AS, Carvalho F, Castelpietra G, Caterina L, Chandan JS, Couto RAS, Cruz-Martins N, Damiani G, Dastiridou A, Demetriades AK, Dias-da-Silva D, Francis Fagbamigbe A, Fereshtehnejad SM, Fernandes E, Ferrara P, Fischer F, Fra Paleo U, Ghirini S, Glasbey JC, Glavan IR, Gomes NGM, Grivna M, Harlianto NI, Haro JM, Hasan MT, Hostiuc S, Iavicoli I, Ilic MD, Ilic IM, Jakovljevic M, Jonas JB, Jerzy Jozwiak J, Jürisson M, Kauppila JH, Kayode GA, Khan MAB, Kisa A, Kisa S, Koyanagi A, Kumar M, Kurmi OP, La-Vecchia C, Lamnisos D, Lasrado S, Lauriola P, Linn S, Loureiro JA, Lunevicius R, Madureira-Carvalho A, Mechili EA, Majeed A, Menezes RG, Mentis AA, Meretoja A, Mestrovic T, Miazgowski T, Miazgowski B, Mirica A, Molokhia M, Mohammed S, Monasta L, Mulita F, David Naimzada M, Negoi I, Neupane S, Oancea B, Orru H, Otoiu A, Otstavnov N, Otstavnov SS, Padron-Monedero A, Panda-Jonas S, Pardhan S, Patel J, Pedersini P, Pinheiro M, Rakovac I, Rao CR, Rawaf S, Rawaf DL, Rodrigues V, Ronfani L, Sagoe D, Sanmarchi F, Santric-Milicevic MM, Sathian B, Sheikh A, Shiri R, Shivalli S, Dora Sigfusdottir I, Sigurvinsdottir R, Yurievich Skryabin V, Aleksandrovna Skryabina A, Smarandache CG, Socea B, Sousa RARC, Steiropoulos P, Tabarés-Seisdedos R, Roberto Tovani-Palone M, Tozija F, Van de Velde S, Juhani Vasankari T, Veroux M, Violante FS, Vlassov V, Wang Y, Yadollahpour A, Yaya S, Sergeevich Zastrozhin M, Zastrozhina A, Polinder S and Majdan M
Publicada:
20 may 2022
Ahead of Print:
20 may 2022
Categoría:
Public health, environmental and occupational health
Resumen:
BACKGROUND: Injury remains a major concern to public health in the European region. Previous iterations of the Global Burden of Disease (GBD) study showed wide variation in injury death and disability adjusted life year (DALY) rates across Europe, indicating injury inequality gaps between sub-regions and countries. The objectives of this study were to: 1) compare GBD 2019 estimates on injury mortality and DALYs across European sub-regions and countries by cause-of-injury category and sex; 2) examine changes in injury DALY rates over a 20 year-period by cause-of-injury category, sub-region and country; and 3) assess inequalities in injury mortality and DALY rates across the countries. METHODS: We performed a secondary database descriptive study using the GBD 2019 results on injuries in 44 European countries from 2000 to 2019. Inequality in DALY rates between these countries was assessed by calculating the DALY rate ratio between the highest-ranking country and lowest-ranking country in each year. RESULTS: In 2019, in Eastern Europe 80 [95% uncertainty interval (UI): 71 to 89] people per 100,000 died from injuries; twice as high compared to Central Europe (38 injury deaths per 100,000; 95% UI 34 to 42) and three times as high compared to Western Europe (27 injury deaths per 100,000; 95%UI 25 to 28). The injury DALY rates showed less pronounced differences between Eastern (5129 DALYs per 100,000; 95% UI: 4547 to 5864), Central (2940 DALYs per 100,000; 95% UI: 2452 to 3546) and Western Europe (1782 DALYs per 100,000; 95% UI: 1523 to 2115). Injury DALY rate was lowest in Italy (1489 DALYs per 100,000) and highest in Ukraine (5553 DALYs per 100,000). The difference in injury DALY rates by country was larger for males compared to females. The DALY rate ratio was highest in 2005, with DALY rate in the lowest-ranking country (Russian Federation) 6.0 times higher compared to the highest-ranking country (Malta). After 2005, the DALY rate ratio between the lowest- and the highest-ranking country gradually decreased to 3.7 in 2019. CONCLUSIONS: Injury mortality and DALY rates were highest in Eastern Europe and lowest in Western Europe, although differences in injury DALY rates declined rapidly, particularly in the past decade. The injury DALY rate ratio of highest- and lowest-ranking country declined from 2005 onwards, indicating declining inequalities in injuries between European countries.
Filiaciones:
Haagsma JA:
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
Charalampous P:
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Ariani F:
Epidemiology Unit, Central Tuscany Local Health Authority, Florence, Italy
Gallay A:
Department of Non-Communicable Diseases and Injuries, Santé Publique France, Saint-Maurice, France
Moesgaard Iburg K:
Department of Public Health, Aarhus University, Aarhus, Denmark
Nena E:
Laboratory of Social Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Ngwa CH:
School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Rommel A:
Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
Zelviene A:
Institute of Hygiene, Health Information Center, Kaunas, Lithuania
Abegaz KH:
Department of Biostatistics, Near East University, Nicosia, Cyprus
Department of Biostatistics and Health Informatics, Madda Walabu University, Bale Robe, Ethiopia
Al Hamad H:
Geriatrics and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
Albano L:
Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
Liliana Andrei C:
Cardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Andrei T:
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Antonazzo IC:
Research Center On Public Health, University of Milan-Bicocca, Monza, Italy
Aremu O:
Department of Public Health, Birmingham City University, Birmingham, UK
Arumugam A:
Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
Atreya A:
Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal
Aujayeb A:
Northumbria Healthcare NHS Foundation Trust, Cramlington, UK
Ayuso-Mateos JL:
Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain
Carlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain
Engelbert Bain L:
Lincoln International Institute for Rural Health (LIIRH), University of Lincoln, Lincoln, UK
Global South Health Services and Research, GSHS, Amsterdam, The Netherlands
Banach M:
Department of Hypertension, Medical University of Lodz, Lodz, Poland
Polish Mothers' Memorial Hospital Research Institute, Lodz, Poland
Winfried Bärnighausen T:
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
Barone-Adesi F:
Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
Beghi M:
Department of Mental Health, AUSL Romagna, Cesena, Italy
Bennett DA:
Clinical Trials Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
Bhagavathula AS:
Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
Department of Social and Clinical Pharmacy, Charles University, Hradec Kralova, Prague, Czech Republic
Carvalho F:
Research Unit on Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal
Castelpietra G:
Outpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region, Trieste, Italy
Caterina L:
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
Chandan JS:
Institute of Applied Health Research, University of Birmingham, Birmingham, UK
Couto RAS:
Department of Chemical Sciences, University of Porto, Porto, Portugal
Cruz-Martins N:
Faculty of Medicine, University of Porto, Porto, Portugal
Institute for Research & Innovation in Health (i3S), University of Porto, Porto, Portugal
Institute of Research and Advanced, Training in Health Sciences and Technologies (INFACTS), Gandra, Portugal
Damiani G:
Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy
Department of Dermatology, Case Western Reserve University, Cleveland, OH, USA
Dastiridou A:
Department of Ophthalmology, University Hospital of Larissa, Larissa, Greece
Demetriades AK:
Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Royal Infirmary of Edinburgh, Edinburgh, UK
Dias-da-Silva D:
Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal
Francis Fagbamigbe A:
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
Fereshtehnejad SM:
Division of Neurology, Department of Medicine, University of Ottawa, Ottawa, ON, Canada
Division of Clinical Geriatrics, Department of Neurobiology, Karolinska Institute, Stockholm, Sweden
Fernandes E:
Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal
Ferrara P:
Research Center On Public Health, University of Milan-Bicocca, Monza, Italy
Fischer F:
Institute of Public Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
Fra Paleo U:
Research Institute for Sustainable Land Development (Interra), University of Extremadura, Caceres, Spain
Ghirini S:
National Center On Addictions and Doping, Istituto Superiore Di Sanità, Rome, Italy
Glasbey JC:
NIHR Global Health Research Unit On Global Surgery, University of Birmingham, Birmingham, UK
Glavan IR:
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Gomes NGM:
Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal
Department of Chemistry, University of Porto, Porto, Portugal
Grivna M:
Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
Harlianto NI:
Department of Orthopedics, University Medical Center Utrecht, Utrecht, Netherlands
Haro JM:
Research and Development Unit, San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain
Hasan MT:
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK
Hostiuc S:
Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Clinical Legal Medicine Department, National Institute of Legal Medicine Mina Minovici, Bucharest, Romania
Iavicoli I:
Department of Public Health, University of Naples Federico II, Naples, Italy
Ilic MD:
Department of Epidemiology, University of Kragujevac, Kragujevac, Serbia
Ilic IM:
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Jakovljevic M:
N. A. Semashko Department of Public Health and Healthcare, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
Department of Global Health, Economics and Policy, University of Kragujevac, Kragujevac, Serbia
Jonas JB:
Department of Ophthalmology, Heidelberg University, Mannheim, Germany
Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Beijing, China
Jerzy Jozwiak J:
Department of Family Medicine and Public Health, University of Opole, Opole, Poland
Jürisson M:
Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
Kauppila JH:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Surgery Research Unit, University of Oulu, Oulu, Finland
Kayode GA:
International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria
Julius Centre for Health Sciences and Primary Care, Utrecht University, Utrecht, The Netherlands
Khan MAB:
Department of Family Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates
Primary Care Department, NHS North West London, London, England
Kisa A:
School of Health Sciences, Kristiania University College, Oslo, Norway
Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, USA
Kisa S:
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
Koyanagi A:
Catalan Institution for research and Advanced Studies (ICREA), Barcelona, Spain
Biomedical Research Networking Center for Mental Health Network (CIBERSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
Kumar M:
Department of Psychiatry, University of Nairobi, Nairobi, Kenya
Division of Psychology and Language Sciences, University College London, London, UK
Kurmi OP:
Division of Respirology, Department of Medicine, McMaster University, Hamilton, Canada
Faculty of Health and Life Sciences, Coventry University, Coventry, UK
La-Vecchia C:
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Lamnisos D:
Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
Lasrado S:
Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India
Lauriola P:
Institute of Clinical Physiology, National Research Council, Pisa, Italy
Linn S:
School of Public Health, University of Haifa, Haifa, Israel
Loureiro JA:
Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal
Lunevicius R:
Department of General Surgery, School of Medicine, Liverpool University Hospitals NHS Foundation Trust, University of Liverpool, Liverpool, UK
Madureira-Carvalho A:
Institute of Research and Advanced, Training in Health Sciences and Technologies (INFACTS), Gandra, Portugal
Laboratório de Farmacognosia, Departamento de Química, Faculdade de Farmácia, Universidade Do Porto, Porto, Portugal
Mechili EA:
Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece
Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
Majeed A:
Department of Primary Care and Public Health, Imperial College London, London, UK
Menezes RG:
Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
Mentis AA:
Public Health Laboratories, Hellenic Pasteur Institute, Athens, Greece
Department of Neurology, University Hospital of Larissa, University of Thessaly, Larissa, Greece
Meretoja A:
School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia
Neurology Unit, Helsinki University Hospital, Helsinki, Finland
Mestrovic T:
Clinical Microbiology and Parasitology Unit, Dr Zora Profozic Polyclinic, Zagreb, Croatia
University Centre Varazdin, University North, Varazdin, Croatia
Miazgowski T:
Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland
Miazgowski B:
Center for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland
Mirica A:
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Molokhia M:
Faculty of Life Sciences and Medicine, King's College London, London, UK
Mohammed S:
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
Monasta L:
Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
Mulita F:
Department of General Surgery, University General Hospital of Patras, Patras, Greece
David Naimzada M:
Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia
Experimental Surgery and Oncology Laboratory, Kursk State Medical University, Kursk, Russia
Negoi I:
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of General Surgery, Emergency Hospital of Bucharest, Bucharest, Romania
Neupane S:
Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland
Gerontology Research Center, Tampere University, Tampere, Finland
Oancea B:
Administrative and Economic Sciences Department, University of Bucharest, Bucharest, Romania
Orru H:
Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
Department of Public Health and Clinical Medicine, Sustainable Health, Umea University, Umea, Sweden
Otoiu A:
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Otstavnov N:
Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia
Otstavnov SS:
Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia
Department of Project Management, National Research University Higher School of Economics, Moscow, Russia
Padron-Monedero A:
National School of Public Health, Institute of Health Carlos III, Madrid, Spain
Panda-Jonas S:
Department of Ophthalmology, Heidelberg University, Mannheim, Germany
Pardhan S:
Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, UK
Patel J:
Faculty of Medicine and Health, University of Leeds, Leeds, UK
Pedersini P:
IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy
Pinheiro M:
Department of Chemistry, University of Porto, Porto, Portugal
Rakovac I:
World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation
Rao CR:
Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
Rawaf S:
Department of Primary Care and Public Health, Imperial College London, London, UK
Academic Public Health Department, Public Health England, London, UK
Rawaf DL:
World Health Organization (WHO) Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK
University College London Hospitals, London, UK
Rodrigues V:
Community Nursing Unit, Ireland Hospital, Abbeyleix, Ireland
Ronfani L:
Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
Sagoe D:
Department of Psychosocial Science, University of Bergen, Bergen, Norway
Sanmarchi F:
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
Santric-Milicevic MM:
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
School of Public Health and Health Management, University of Belgrade, Belgrade, Serbia
Sathian B:
Geriatrics and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
Sheikh A:
Centre for Medical Informatics, University of Edinburgh, Edinburgh, UK
Division of General Internal Medicine, Harvard University, Boston, MA, USA
Shiri R:
Finnish Institute of Occupational Health, Helsinki, Finland
Shivalli S:
Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
Dora Sigfusdottir I:
Department of Psychology, Reykjavik University, Reykjavik, Iceland
Icelandic Centre for Social Research and Analysis (ICSRA), Reykjavik, Iceland
Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY, USA
Sigurvinsdottir R:
Department of Psychology, Reykjavik University, Reykjavik, Iceland
Yurievich Skryabin V:
Department No.16, Moscow Research and Practical Centre on Addictions, Moscow, Russia
Aleksandrovna Skryabina A:
Therapeutic Department, Balashiha Central Hospital, Balashikha, Russia
Smarandache CG:
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Socea B:
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Sousa RARC:
Professional Association of Licensed Optometry Professionals, Linda-a-Velha, Portugal
Steiropoulos P:
Department of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana, Alexandroupolis, Greece
Tabarés-Seisdedos R:
Carlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain
Department of Medicine, University of Valencia, Valencia, Spain
Roberto Tovani-Palone M:
Department of Pathology and Legal Medicine, University of São Paulo, Ribeirão Preto, Brazil
Tozija F:
Institute of Public Health of Republic of North Macedonia, Saints Cyril and Methodius University of Skopje, Skopje, North Macedonia
Van de Velde S:
Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium
Juhani Vasankari T:
UKK Institute, Tampere, Finland
Veroux M:
Department of Medical, Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
Violante FS:
Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
Occupational Health Unit, Sant'Orsola Malpighi Hospital, Bologna, Italy
Vlassov V:
Department of Health Care Administration and Economics, National Research University Higher School of Economics, Moscow, Russia
Wang Y:
School of Population Health and Environmental Sciences, King's College London, London, UK
Yadollahpour A:
Psychology Department, University of Sheffield, Sheffield, UK
Yaya S:
School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada
The George Institute for Global Health, University of Oxford, Oxford, UK
Sergeevich Zastrozhin M:
Laboratory of Genetics and Genomics, Moscow Research and Practical Centre on Addictions, Moscow, Russia
Addictology Department, Russian Medical Academy of Continuous Professional Education, Moscow, Russia
Zastrozhina A:
Pediatrics Department, Russian Medical Academy of Continuous Professional Education, Moscow, Russia
Polinder S:
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
Majdan M:
Department of Public Health, Institute for Global Health and Epidemiology, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia
Green Published, Green Accepted, gold, Green Submitted
|