Evidence map›Paper›PMID 36754559›Full record

ArticleBMJ open2023

Trends in mortality related to unintentional poisoning in the South Asian region from 1990 to 2019: analysis of data from the Global Burden of Disease Study.

Nadeem Ullah Khan, Uzma Khan, Umerdad Khudadad, Asrar Ali, Ahmed Raheem, Shahan Waheed, Junaid Abdul Razzak

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  5. Three decades of pediatric drug intoxication trends in Taiwan (1985-2020).Journal of the Chinese Medical Association : JCMA · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nadeem Ullah KhanDepartment of Emergency Medicine, The Aga Khan University, Karachi, Pakistan nadeemullah.khan@aku.edu.
Uzma KhanDepartment of Emergency Medicine, The Aga Khan University, Karachi, Pakistan.
Umerdad KhudadadDepartment of Emergency Medicine, The Aga Khan University, Karachi, Pakistan.ORCID 0000-0002-3364-4844
Asrar AliDepartment of Emergency Medicine, The Aga Khan University, Karachi, Pakistan.
Ahmed RaheemDepartment of Emergency Medicine, The Aga Khan University, Karachi, Pakistan.
Shahan WaheedDepartment of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan.
Junaid Abdul RazzakDepartment of Emergency Medicine, Weill Cornell Medicine, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to estimate the burden of unintentional poisoning in South Asian countries from 1999 to 2019.

designAn ecological study conducted at the regional level for South Asian countries, based on data from the Global Burden of Disease Study 2019.

settingWe extracted unintentional poisoning data from the Global Burden of Disease Study data set from 1990 to 2019 to assess trends in mortality, disability-adjusted life-years (DALYs), years of life lost, years lived with disability (YLDs) and causative agents in South Asian countries (Bangladesh, Bhutan, India, Nepal and Pakistan). OUTCOME MEASURES: We determined the per cent change and 95% CI for the period between 1990 and 2019 by age, gender and country. We also conducted Poisson regression to measure the percentage change in the rate per year.

resultsThe absolute number of deaths due to unintentional poisoning in South Asia decreased (-32.6%) from 10 558 deaths in 1990 to 7112 deaths in 2019. The age standardised death rate from unintentional poisoning in South Asia has seen a downward trend (-55.88%), declining from 0.87 (0.67-1.01) age-standardised per 100 000 population in 1990 to 0.41 (0.34-0.47) in 2019. Among age groups, under 9 years and 10-19 years have seen downward trends for death and DALYs, accounting for -93.5% and -38.3%, respectively. YLDs have seen an upward trend (5.9%), increasing from 10 461.7 per 100 000 in 1990 to 11 084 per 100 000 in 2019. YLDs in women increased by 7.4%, from 11 558.2 per 100 000 to 12 418.3 per 100 000. The incidence rate ratios (IRRs) adjusted by all age groups and gender for DALYs in all South Asian countries has reduced significantly (IRR 0.97, 95% CI 0.96 to 0.97) from 1990 to 2019.

conclusionThis study showed reduction in death and DALYs due to unintentional poisoning in South Asia except YLDs which is showing an increasing trend. Public health systems should continue efforts to minimise and prevent disabilities arising from unintentional poisoning in South Asia.

Indexed as

Global Burden of DiseasePersons with DisabilitiesAsia, SouthernChildFemaleGlobal HealthHumansIncidenceQuality-Adjusted Life Yearsepidemiologypublic healthtoxicology

Identifiers

PMID36754559
PMCPMC9923325

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.