Evidence map›Paper›PMID 40016567›Full record

ArticleJournal of epidemiology and global health2025

Regional and National Burden of Traumatic Brain Injury and Spinal Cord Injury in North Africa and Middle East Regions, 1990-2021: A Systematic Analysis for The Global Burden of Disease Study 2021.

Seyed Ali Mofidi, Shahryar Rajai Firouzabadi, Ida Mohammadi, Aryan Aarabi, Mohammadreza Alinejadfard, Samin Sadraei, Sana Mohammad Soltani, Neda Izadi, Saba Goodarzi, Arman Shafiee

Abstract read
In one paragraph

Article in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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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

10 authors.

Seyed Ali MofidiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Shahryar Rajai FirouzabadiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ida MohammadiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Aryan AarabiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammadreza AlinejadfardSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Samin SadraeiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sana Mohammad SoltaniSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Neda IzadiResearch Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. neda.izady@yahoo.com.
Saba GoodarziStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Alborz, Iran.
Arman ShafieeResearch Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. armanshafieemd@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) and spinal cord injury (SCI) are significant central nervous system injuries with epidemiological importance, particularly in the North Africa and the Middle East (NAME) region, which is diverse in public health aspects across its 21 countries.

objectiveThis study aims to present an up-to-date assessment of the regional and national TBI and SCI burden and their causes in the NAME region from 1990 to 2021.

methodsWe utilized the Global Burden of Disease (GBD) results tool to gather relevant data. The analysis included TBI and SCI incidence, prevalence, and years lived with disability (YLDs) rates, along with absolute numbers and percent change trends by gender, age, and country from 1990 to 2021. We also examined the causes of TBI and SCI and identified the most common causes for each country.

resultsIn 2021, TBI age-standardized rates of incidence, prevalence, and YLDs were 333 (293, 380), 593 (553, 642), and 87 (63, 114) per 100,000 people, respectively. For SCI, the rates were 10 (7, 13), 256 (200, 344), and 78 (51, 115). Since 1990, incidence rates of TBI and SCI have decreased in most countries. Saudi Arabia, Afghanistan, and Yemen experienced increasing incidence rates for both injuries. Transport injuries and unintentional injuries were the primary causes of TBI and SCI, respectively, in most countries.

conclusionDespite global trends showing a decreased burden of TBI and SCI, the NAME region's public health systems should remain vigilant. Both injuries are epidemiologically significant and require continued public health interventions to manage and control them in this particular region.

Indexed as

Brain Injuries, TraumaticSpinal Cord InjuriesAdolescentAdultAfrica, NorthernAgedChildChild, PreschoolCost of IllnessFemaleGlobal Burden of DiseaseHumansIncidenceInfantMaleMiddle AgedGlobal Burden of DiseaseMiddle EastNorth AfricaSpinal Cord InjuriesTraumatic Brain Injuries

Identifiers

PMID40016567
PMCPMC11868010

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Registered trials

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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.