Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/7589
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
James, Spencer L | Theadom, Alice | Ellenbogen, Richard G | Bannick, Marlena S | Montjoy-Venning, Wcliff | Lucchesi, Lydia R | Abbasi, Nooshin | Abdulkader, Rizwan | Abraha, Haftom Niguse | Adsuar, Jose C | Afarideh, Mohsen | Monasta, Lorenzo | Mondello, Stefania | Moosazadeh, Mahmood | Moradi, Ghobad | Moradi, Mahmoudreza | Tortajada-Girbés, Miguel | Moradi-Lakeh, Maziar | Filip, Irina | Moradinazar, Mehdi | Bhalla, Ashish | Hussen, Mamusha Aman | Gebrehiwot, Tsegaye Tewelde | Morrison, Shane Douglas | Ali, Beriwan Abdulqadir | Moschos, Marilita M | Mousavi, Seyyed Meysam | Murthy, Srinivas | Musa, Kamarul Imran | Tran, Bach Xuan | Mustafa, Ghulam | Naghavi, Mohsen | Ilesanmi, Olayinka Stephen | Ram, Usha | Naik, Gurudatta | Fischer, Florian | Ronfani, Luca | Najafi, Farid | Nangia, Vinay | Nascimento, Bruno Ramos | Alsharif, Ubai | Negoi, Ionut | Tran, Khanh Bao | Irvani, Seyed Sina Naghibi | Nguyen, Trang Huyen | Sunguya, Bruno F | Nichols, Emma | Ningrum, Dina Nur Anggraini | Nirayo, Yirga Legesse | Nyasulu, Peter S | Roshandel, Gholamreza | Fukumoto, Takeshi | Ogbo, Felix Akpojene | Oh, In-Hwan | Jakovljevic, Mihajlo | Okoro, Anselm | Haj-Mirzaian, Arya | Hassen, Hamid Yimam | Olagunju, Andrew T | Altirkawi, Khalid | Olagunju, Tinuke O | Olivares, Pedro R | Otstavnov, Stanislav S | Owolabi, Mayowa Ojo | Roy, Nobhojit | Jayaraman, Sudha | P A, Mahesh | Ganji, Morasaleh | Pakhale, Smita | Bhaumik, Soumyadeeep | Tudor Car, Lorainne | Pandey, Achyut Raj | Pesudovs, Konrad | Pinilla-Monsalve, Gabriel D | Polinder, Suzanne | Andrei, Catalina Liliana | Renzaho, Andre M N | Poustchi, Hossein | Prakash, Swayam | Ruhago, George Mugambage | Qorbani, Mostafa | Bhutta, Zulfiqar A | Radfar, Amir | Ukwaja, Kingsley Nnanna | Gankpe, Fortune Gbetoho | Rafay, Anwar | Saddik, Basema | Jha, Ravi Prakash | Safari, Hosein | Safiri, Saeid | Sahraian, Mohammad Ali | Ansha, Mustafa Geleto | Liben, Misgan Legesse | Biadgo, Belete | Salamati, Payman | Agrawal, Sutapa | Rahimi-Movaghar, Afarin | Saldanha, Raphael de Freitas | Aichour, Amani Nidhal | Samy, Abdallah M | Sanabria, Juan | Santos, João Vasco | Santric Milicevic, Milena M M | Sartorius, Benn | Satpathy, Maheswar | Biffino, Marco | Savuon, Kim | Lotufo, Paulo A | Schneider, Ione J C | Jonas, Jost B | Alahdab, Fares | Antonio, Carl Abelardo T | Gezae, Kebede Embaye | Schwebel, David C | Sepanlou, Sadaf G | Shabaninejad, Hosein | Shaikh, Masood A Ali | Bijani, Ali | Shams-Beyranvand, Mehran | Sharif, Mehdi | Tekle, Merhawi Gebremedhin | Sharif-Alhoseini, Mahdi | Lunevicius, Raimundas | Ullah, Irfan | Shariful Islam, Sheikh Mohammed | She, Jun | Sheikh, Aziz | Gopalkrishna, Gururaj | Appiah, Seth Christopher Yaw | Bililign, Nigus | Shen, Jiabin | Bekele, Bayu Begashaw | Sheth, Kevin N | Shibuya, Kenji | Shiferaw, Mekonnen Sisay | Shigematsu, Mika | Usman, Muhammad Shariq | Mahotra, Narayan Bahadur | Shiri, Rahman | Shiue, Ivy | Shoman, Haitham | Mehta, Varshil | Alebel, Animut | Siabani, Soraya | Goulart, Alessandra C | Siddiqi, Tariq J | Ariani, Filippo | Silva, João Pedro | Silveira, Dayane Gabriele Alves | Atique, Suleman | Sinha, Dhirendra Narain | Majdan, Marek | Smith, Mari | Jones, Kelly M | Birungi, Charles | Soares Filho, Adauto Martins | Sobhani, Soheila | Soofi, Moslem | Soriano, Joan B | Haagsma, Juanita A | Soyiri, Ireneous N | Stein, Dan J | Uthman, Olalekan A | Asefa, Nigus Gebremedhin | Jorjoran Shushtari, Zahra | Stokes, Mark A | Boufous, Soufiane | Majeed, Azeem | Sufiyan, Mu'awiyyah Babale | Valdez, Pascual R | Vasankari, Tommi Juhani | Venketasubramanian, Narayanaswamy | Violante, Francesco S | Hamadeh, Randah R | Rahimi-Movaghar, Vafa | Jozwiak, Jacek Jerzy | Wagnew, Fasil Wagnew Shiferaw | Fereshtehnejad, Seyed-Mohammad | Sunshine, Jacob E | Waheed, Yasir | Wang, Yuan-Pang | Weldegwergs, Kidu Gidey | Werdecker, Andrea | Awasthi, Ashish | Wijeratne, Tissa | Winkler, Andrea Sylvia | Jürisson, Mikk | Wyper, Grant M A | Rahman, Mahfuzar | Yano, Yuichiro | Gebre, Abadi Kahsu | Hamidi, Samer | Manda, Ana-Laura | Yaseri, Mehdi | Yasin, Yasin Jemal | Ye, Pengpeng | Yimer, Ebrahim M | Kabir, Ali | Yip, Paul | Yisma, Engida | Ayala Quintanilla, Beatriz Paulina | Rahman, Muhammad Aziz | Brazinova, Alexandra | Yonemoto, Naohiro | Yoon, Seok-Jun | Yost, Michael G | Mansournia, Mohammad Ali | Haro, Josep Maria | Kahsay, Amaha | Younis, Mustafa Z | Yousefifard, Mahmoud | Yu, Chuanhua | Zaidi, Zoubida | Zaman, Sojib Bin | Brown, Allen W | Anjomshoa, Mina | Zamani, Mohammad | Zenebe, Zerihun Menlkalew | Ayuk, Tambe B | Resnikoff, Serge | Zodpey, Sanjay | Massenburg, Benjamin Ballard | Feigin, Valery L | Hassankhani, Hadi | Vos, Theo | Murray, Christopher J L | Havmoeller, Rasmus | Azzopardi, Peter S | Rai, Rajesh Kumar | Badali, Hamid | Kahssay, Molla | Badawi, Alaa | Balalla, Shivanthi | Banstola, Amrit | Barker-Collo, Suzanne Lyn | Mate, Kedar K V | Bärnighausen, Till Winfried | Bedi, Neeraj | Car, Mate | Ahmadi, Alireza | Behzadifar, Masoud | Kalani, Rizwan | Rajati, Fatemeh | Behzadifar, Meysam | Cárdenas, Rosario | Carrero, Juan J | Carvalho, Félix | Castañeda-Orjuela, Carlos A | Meles, Hagazi | Sykes, Bryan L | Catala-Lopez, Ferran ISCIII | Levi, Miriam | Belachew, Abate Bekele | Chaiah, Yazan | Champs, Ana Paula | Chang, Jung-Chen | Choi, Jee-Young J | Hawley, Caitlin | Christopher, Devasahayam J | Cooper, Cyrus | Crowe, Christopher Stephen | Szoeke, Cassandra E I | Dandona, Lalit | Malekzadeh, Reza | Melese, Addisu | Rawaf, David Laith | Dandona, Rakhi | Daryani, Ahmad | Davitoiu, Dragos Virgil | Degefa, Meaza Girma | Demoz, Gebre Teklemariam | Deribe, Kebede | Hay, Simon I | Tabarés-Seisdedos, Rafael | Karch, André | Djalalinia, Shirin | Do, Huyen Phuc | Doku, David Teye | Rawaf, Salman | Memiah, Peter T N | Drake, Thomas M | Dubey, Manisha | Dubljanin, Eleonora | El-Khatib, Ziad | Ofori-Asenso, Richard | Aichour, Ibtihel | Haj-Mirzaian, Arvin | Eskandarieh, Sharareh | Esteghamati, Alireza | Hegazy, Mohamed I | Esteghamati, Sadaf | Reiner, Robert C | Faro, Andre | Mendoza, Walter | Farzadfar, Farshad | Farzaei, Mohammad Hosein | Mengistu, Getnet | Hendrie, Delia | Te Ao, Braden James | Henok, Andualem | Hibstu, Desalegn Tsegaw | Hoffman, Howard J | Hole, Michael K | Ahmed, Muktar Beshir | Reis, Cesar | Homaie Rad, Enayatollah | Hosseini, Seyed Mostafa | Kasaeian, Amir | Fernandes, Eduarda | Hostiuc, Sorin | Tehrani-Banihashemi, Arash | Hu, Guoqing | Kassa, Getachew Mullu | Kassa, Tesfaye Dessale | Kassa, Zemenu Yohannes | Kengne, Andre Pascal | Rezaei, Satar | Belay, Yihalem Abebe | Khader, Yousef Saleh | Rafiei, Alireza | Khafaie, Morteza Abdullatif | Khalid, Nauman | Khalil, Ibrahim | Khan, Ejaz Ahmad | Meretoja, Atte | Aichour, Miloud Taki Eddine | Khan, Muhammad Shahzeb | Khang, Young-Ho | Bennett, Derrick A | Khazaie, Habibolah | Ansari, Hossein | Asgedom, Solomon Weldegebreal | Khoja, Abdullah T | Khubchandani, Jagdish | Kiadaliri, Aliasghar A | Kim, Daniel | Kim, Young-Eun | Kisa, Adnan | Meretoja, Tuomo J | Bensenor, Isabela M | Koyanagi, Ai | Akinyemi, Rufus Olusola | Krohn, Kristopher J | Temsah, Mohamad-Hani | Rezaeian, Shahab | Kuate Defo, Barthelemy | Kucuk Bicer, Burcu | Kumar, G Anil | Kumar, Manasi | Lalloo, Ratilal | Mehndiratta, Man Mohan | Lami, Faris Hasan | Lansingh, Van C | Mestrovic, Tomislav | Laryea, Dennis Odai | Temsah, Omar | Latifi, Arman | Roever, Leonardo | Akseer, Nadia | Leshargie, Cheru Tesema | Miazgowski, Tomasz | Berhane, Adugnaw | Miller, Ted R | Mini, GK | Mirica, Andreea | Mirrakhimov, Erkin M | Feyissa, Garumma Tolu | Topor-Madry, Roman | Moazen, Babak | Alghnam, Suliman A | Li, Shanshan | Mohammadi, Moslem | Beuran, Mircea | Molokhia, Mariam
Lancet Neurol. 2019;18(1):56-87.
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. FUNDING: Bill & Melinda Gates Foundation.
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