ArticleArchives of public health = Archives belges de sante publique2022
The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study.
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23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Establishing a safe community program: a qualitative systematic literature review.BMC public health · 2025Pooled it
- Methodological considerations in injury burden of disease studies across Europe: a systematic literature review.BMC public health · 2022Pooled it
- Effect of financial health risk protection education on health insurance knowledge and enrollment willingness among rural households in Tanzania: a cluster randomized controlled trial.BMC public health · 2025Trial
- Nonfatal Burden of Disease and Risk-Attributable Burden in Romania, 1990 to 2023: A Secondary Analysis of Global Burden of Disease 2023 Estimates.Healthcare (Basel, Switzerland) · 2026Article
- Understanding Barriers to Effective Injury Care by Medical Trainees and Traffic Law Enforcement First Responders in Low-Income Contexts in Uganda (Motor Registry Project Part 2): Convergent Mixed Methods Analysis.JMIR human factors · 2026Article
- Burden of disease and trend of osteoporotic fall-related hip fractures in Ecuador: findings from the global burden disease 2021.Archives of osteoporosis · 2025Article
- Comparative statistical performance of prehospital scoring systems with and without incorporating age for predicting multiple trauma outcomes: an observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Mortality risk factors in chest trauma patients in a level one trauma center in southern Iran.Scientific reports · 2025Article
- Management of Systemic Anti-psoriatic Drugs in Psoriasis Patients with Concurrent Paraplegia or Tetraplegia: Insights From a 6-Year Multicenter, Retrospective Observational Study.Dermatology and therapy · 2025Article
- Global, regional and national burden of traumatic amputations from 1990 to 2021: a systematic analysis of the Global Burden of Disease study 2021.Frontiers in public health · 2025Article
- Global, regional, and national burden of spinal injuries attributable to road injuries: a systematic analysis of incidence, prevalence, and YLDs with projections to 2046.Frontiers in public health · 2025Article
- Article
- The burden of injury among elderly individuals in China from 1990 to 2019: An analysis of data from the global burden of disease study 2019.Preventive medicine reports · 2024Article
- Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis.Emergency medicine journal : EMJ · 2024Observational
- Characteristics and demography of low energy fall injuries in patients > 60 years of age: a population-based analysis over a decade with focus on undertriage.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Association Between Platelet-to-Lymphocyte Ratio and In-hospital Mortality in Elderly Patients with Severe Trauma.The western journal of emergency medicine · 2024Observational
- Cross-cultural adaptation, content validity, and reliability of the Amharic version of the modified John-Hopkins fall risk assessment scale among older adults who attend home health care services.Frontiers in public health · 2024Article
- Epidemiology of Hip Fractures Due to Falls.Medicina (Kaunas, Lithuania) · 2023Article
- Tracking the Trauma Epidemic in KwaZulu-Natal, South Africa.World journal of surgery · 2023Article
- Inequalities in the burden of non-communicable diseases across European countries: a systematic analysis of the Global Burden of Disease 2019 study.International journal for equity in health · 2023Article
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Authors and funding
138 authors.
Juanita A HaagsmaDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Periklis CharalampousDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. p.charalampous@erasmusmc.nl.ORCID http://orcid.org/0000-0002-3460-4828
Filippo ArianiEpidemiology Unit, Central Tuscany Local Health Authority, Florence, Italy.
Anne GallayDepartment of Non-Communicable Diseases and Injuries, Santé Publique France, Saint-Maurice, France.
Kim Moesgaard IburgDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Evangelia NenaLaboratory of Social Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
Che Henry NgwaSchool of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Alexander RommelDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Ausra ZelvieneInstitute of Hygiene, Health Information Center, Kaunas, Lithuania.
Kedir Hussein AbegazDepartment of Biostatistics, Near East University, Nicosia, Cyprus.
Hanadi Al HamadGeriatrics and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar.
Luciana AlbanoDepartment of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Catalina Liliana AndreiCardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Tudorel AndreiDepartment of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania.
Ippazio Cosimo AntonazzoResearch Center On Public Health, University of Milan-Bicocca, Monza, Italy.
Olatunde AremuDepartment of Public Health, Birmingham City University, Birmingham, UK.
Ashokan ArumugamDepartment of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Alok AtreyaDepartment of Forensic Medicine, Lumbini Medical College, Palpa, Nepal.
Avinash AujayebNorthumbria Healthcare NHS Foundation Trust, Cramlington, UK.
Jose Luis Ayuso-MateosHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
Luchuo Engelbert BainLincoln International Institute for Rural Health (LIIRH), University of Lincoln, Lincoln, UK.
Maciej BanachDepartment of Hypertension, Medical University of Lodz, Lodz, Poland.
Till Winfried BärnighausenHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Francesco Barone-AdesiDepartment of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
Massimiliano BeghiDepartment of Mental Health, AUSL Romagna, Cesena, Italy.
Derrick A BennettClinical Trials Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Akshaya S BhagavathulaInstitute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates.
Félix CarvalhoResearch Unit On Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal.
Giulio CastelpietraOutpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region, Trieste, Italy.
Ledda CaterinaDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Joht Singh ChandanInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Rosa A S CoutoDepartment of Chemical Sciences, University of Porto, Porto, Portugal.
Natália Cruz-MartinsFaculty of Medicine, University of Porto, Porto, Portugal.
Giovanni DamianiClinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy.
Anna DastiridouDepartment of Ophthalmology, University Hospital of Larissa, Larissa, Greece.
Andreas K DemetriadesEdinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Diana Dias-da-SilvaLaboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal.
Adeniyi Francis FagbamigbeDepartment of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Seyed-Mohammad FereshtehnejadDivision of Neurology, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Eduarda FernandesAssociated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal.
Pietro FerraraResearch Center On Public Health, University of Milan-Bicocca, Monza, Italy.
Florian FischerInstitute of Public Health, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Urbano Fra PaleoResearch Institute for Sustainable Land Development (Interra), University of Extremadura, Caceres, Spain.
Silvia GhiriniNational Center On Addictions and Doping, Istituto Superiore Di Sanità, Rome, Italy.
James C GlasbeyNIHR Global Health Research Unit On Global Surgery, University of Birmingham, Birmingham, UK.
Ionela-Roxana GlavanDepartment of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania.
Nelson G M GomesAssociated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal.
Michal GrivnaInstitute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates.
Netanja I HarliantoDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, Netherlands.
Josep Maria HaroBiomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain.
M Tasdik HasanInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Sorin HostiucDepartment of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Ivo IavicoliDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Milena D IlicDepartment of Epidemiology, University of Kragujevac, Kragujevac, Serbia.
Irena M IlicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Mihajlo JakovljevicN. A. Semashko Department of Public Health and Healthcare, I. M. Sechenov First Moscow State Medical University, Moscow, Russia.
Jost B JonasDepartment of Ophthalmology, Heidelberg University, Mannheim, Germany.
Jacek Jerzy JozwiakDepartment of Family Medicine and Public Health, University of Opole, Opole, Poland.
Mikk JürissonInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Joonas H KauppilaDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Gbenga A KayodeInternational Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria.
Moien A B KhanDepartment of Family Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates.
Adnan KisaSchool of Health Sciences, Kristiania University College, Oslo, Norway.
Sezer KisaDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Ai KoyanagiBiomedical Research Networking Center for Mental Health Network (CiberSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain.
Manasi KumarDepartment of Psychiatry, University of Nairobi, Nairobi, Kenya.
Om P KurmiDivision of Respirology, Department of Medicine, McMaster University, Hamilton, Canada.
Carlo La-VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Demetris LamnisosDepartment of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Savita LasradoDepartment of Otorhinolaryngology, Father Muller Medical College, Mangalore, India.
Paolo LauriolaInstitute of Clinical Physiology, National Research Council, Pisa, Italy.
Shai LinnSchool of Public Health, University of Haifa, Haifa, Israel.
Joana A LoureiroLaboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal.
Raimundas LuneviciusDepartment of General Surgery, School of Medicine, Liverpool University Hospitals NHS Foundation Trust, University of Liverpool, Liverpool, UK.
Aurea Madureira-CarvalhoInstitute of Research and Advanced, Training in Health Sciences and Technologies (INFACTS), Gandra, Portugal.
Enkeleint A MechiliClinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece.
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Ritesh G MenezesForensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Alexios-Fotios A MentisPublic Health Laboratories, Hellenic Pasteur Institute, Athens, Greece.
Atte MeretojaSchool of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Tomislav MestrovicClinical Microbiology and Parasitology Unit, Dr Zora Profozic Polyclinic, Zagreb, Croatia.
Tomasz MiazgowskiDepartment of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland.
Bartosz MiazgowskiCenter for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland.
Andreea MiricaDepartment of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania.
Mariam MolokhiaFaculty of Life Sciences and Medicine, King's College London, London, UK.
Shafiu MohammedHeidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Lorenzo MonastaClinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy.
Francesk MulitaDepartment of General Surgery, University General Hospital of Patras, Patras, Greece.
Mukhammad David NaimzadaLaboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia.
Ionut NegoiDepartment of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Subas NeupaneFaculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland.
Bogdan OanceaAdministrative and Economic Sciences Department, University of Bucharest, Bucharest, Romania.
Hans OrruInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Adrian OtoiuDepartment of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania.
Nikita OtstavnovLaboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia.
Stanislav S OtstavnovLaboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia.
Alicia Padron-MonederoNational School of Public Health, Institute of Health Carlos III, Madrid, Spain.
Songhomitra Panda-JonasDepartment of Ophthalmology, Heidelberg University, Mannheim, Germany.
Shahina PardhanVision and Eye Research Institute, Anglia Ruskin University, Cambridge, UK.
Jay PatelFaculty of Medicine and Health, University of Leeds, Leeds, UK.
Paolo PedersiniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Marina PinheiroDepartment of Chemistry, University of Porto, Porto, Portugal.
Ivo RakovacWorld 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.
Chythra R RaoDepartment of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Salman RawafDepartment of Primary Care and Public Health, Imperial College London, London, UK.
David Laith RawafWorld Health Organization (WHO) Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK.
Violet RodriguesCommunity Nursing Unit, Ireland Hospital, Abbeyleix, Ireland.
Luca RonfaniClinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy.
Dominic SagoeDepartment of Psychosocial Science, University of Bergen, Bergen, Norway.
Francesco SanmarchiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Milena M Santric-MilicevicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Brijesh SathianGeriatrics and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar.
Aziz SheikhCentre for Medical Informatics, University of Edinburgh, Edinburgh, UK.
Rahman ShiriFinnish Institute of Occupational Health, Helsinki, Finland.
Siddharudha ShivalliDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK.
Inga Dora SigfusdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Rannveig SigurvinsdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Valentin Yurievich SkryabinDepartment No.16, Moscow Research and Practical Centre On Addictions, Moscow, Russia.
Anna Aleksandrovna SkryabinaTherapeutic Department, Balashiha Central Hospital, Balashikha, Russia.
Catalin-Gabriel SmarandacheDepartment of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Bogdan SoceaDepartment of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Raúl A R C SousaProfessional Association of Licensed Optometry Professionals, Linda-a-Velha, Portugal.
Paschalis SteiropoulosDepartment of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana, Alexandroupolis, Greece.
Rafael Tabarés-SeisdedosCarlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain.
Marcos Roberto Tovani-PaloneDepartment of Pathology and Legal Medicine, University of São Paulo, Ribeirão Preto, Brazil.
Fimka TozijaInstitute of Public Health of Republic of North Macedonia, Saints Cyril and Methodius University of Skopje, Skopje, North Macedonia.
Sarah Van de VeldeCentre for Population, Family and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium.
Tommi Juhani VasankariUKK Institute, Tampere, Finland.
Massimiliano VerouxDepartment of Medical, Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
Francesco S ViolanteDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Vasiliy VlassovDepartment of Health Care Administration and Economics, National Research University Higher School of Economics, Moscow, Russia.
Yanzhong WangSchool of Population Health and Environmental Sciences, King's College London, London, UK.
Ali YadollahpourPsychology Department, University of Sheffield, Sheffield, UK.
Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada.
Mikhail Sergeevich ZastrozhinLaboratory of Genetics and Genomics, Moscow Research and Practical Centre On Addictions, Moscow, Russia.
Anasthasia ZastrozhinaPediatrics Department, Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Suzanne PolinderDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Marek MajdanDepartment of Public Health, Institute for Global Health and Epidemiology, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia.
Funding
World Health Organization 001
Abstract
backgroundInjury 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.
methodsWe 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.
resultsIn 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.
conclusionsInjury 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.
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Burden of diseaseDisability adjusted life yearsEuropeInjuriesMortality
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